Management of dentoskeletal deformity due to condylar resorption: literature review.

OBJECTIVES

The aim of this review was to examine all publicly available literature on the current treatments of the dentoskeletal deformity due to condylar resorption and their outcomes and to suggest management guidelines.

STUDY

DESIGN

A systematic review was performed of all literature located on the electronic PubMed database from 1970 to 2012.

RESULTS

The search resulted in 21 papers and 210 cases treated from 1991 to 2012. Orthognathic surgery was the most commonly used option (42%) and was sometimes combined with open joint surgery (19%). Stability was observed, respectively, in 57% and 100% of the orthognathic surgery and open joint surgery cases. Condylectomy and reconstruction with chondrocostal graft or temporomandibular joint total joint prosthesis were used in 19% and 10% of all cases of orthognathic surgery and open joint surgery with good results (95% and 100%, respectively). Osteogenic distraction was anecdotic (1%). Nine percent of all cases received conservative treatment.

CONCLUSIONS

Larger comparative studies are necessary to obtain evidence-based recommendations.