TMJ Developmental Disorders .

  • The most common developmental abnormalities are: Condylar Hyperplasia and Condylar Hypoplasia.
  • The abnormalities are usually unilateral.
  • The cortical thickness and the trabecular pattern of the condyle are usually normal.
  • Condylar Hypoplasia
  • Hypoplastic condyle generally has normal shape and diminished size.
  • Condylar neck is thinner and shorter.
  • Joint space may be increased.
  • Ramus and mandibular body may be hypoplastic resulting to facial asymmetry, hemifacial microsomia, mandibular retrognathism and malocclusion.
  • Condylar Hyperplasia
  • Hyperplastic condyle may have normal or irregular shape and is enlarged.
  • Condylar neck is longer and enlarged.
  • Glenoid fossa may be enlarged.
  • Joint space may be reduced.
  • Ramus and mandibular body may be hyperplastic resulting to facial asymmetry, hemifacial hypertrophy, mandibular prognathism and malocclusion.

Case 1

Female 18 yrs, facial asymmetry due to hyperplastic right condyle and ramus

Case 2

Hyperplasia of left condyle and ramus

Case 3

Hypoplasia of left condyle. MRI images show anteriorly displaced disk with reduction (arrows).

Case 4

Condylar hyperplasia of right condyle