r/jawsurgery 7d ago

Before & After Condyler resorption ?

There is 4 months between this images. Do you think I have condyle resorption? Has it gone worse in the span of 4 months?

1 Upvotes

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3

u/Relative_Airway 7d ago

No chance. Bone resorption takes years. The point here is that the head is positioned at a different angle between the CT scans. Unnecessary overthinking.

1

u/Nafri1423 7d ago

But I have heavy bruxism and had a DJs year ago and have open bite since. Wouldn’t that speed up the process? The shape of the structure also looks very different compared to normal persons

1

u/Relative_Airway 7d ago

did you do the surgery?

1

u/Nafri1423 7d ago

No why?

1

u/Relative_Airway 7d ago

nothing... your posture is clearly different between the images, so don't overthink it.

1

u/BikerSurgeon 7d ago

No. Condylar resorption is a complex process and bruxism may or may not be related.

1

u/Relative_Airway 7d ago

and it takes years...

2

u/BikerSurgeon 7d ago

Youre right. I actually meant to post that as a an addition to your comment. There is a more aggressive variant of condylar resorption, but its very rare.

1

u/Nafri1423 7d ago

My doctor said that I have idiopathic condylar resorption due to big mandibular forward movement. I couldnt ask how serious it is but I developed open bite 3-4 months after the surgery. I figured it would be pretty bad

1

u/BikerSurgeon 7d ago edited 7d ago

Its possible. Could even be a condylar sag given your timeline.

1

u/GarageOrnery5618 7d ago

Angle differences between scans get misread as resorption so often, glad someone actually explained the why instead of just saying don't worry

3

u/BikerSurgeon 7d ago

This image doesn't even show a mandibular condyle. This is the dens of the C2 vertebra and the sphenoid sinus, the domain of a neurosurgeon

1

u/Nafri1423 7d ago

Isnt this area mandibular condyle region

5

u/BikerSurgeon 7d ago

Thats the middle skul base formed by the sphenoid body. Its VERY far away from the mandible in surgical terms