Condylar Resorption : Case Reports and Review

하악과두 흡수(Condylar Resorption)에 대한 고찰

  • Lee, Kyung-Eun (Department of Oral Medicine, Institution of Oral Bioscience, College of Dentistry Chonbuk National University)
  • 이경은 (전북대학교 치과대학 구강내과학 교실)
  • Published : 2007.03.30


Condylar resroption, or condylysis can be defined as progressive alteration of condylar shape and decrease in mass. Although the cause is unknown, condylar resorption has been assocated with rheumatoid arthritis, systemic sclerosis, systemic erythematous, steroid usage, orthodontic treatment and orthognathic surgery. In most case, however, there is no identifiable precipitating event. Hence the term is idiopathic condylar resorption. With condylar resorption, the bone loss is resulting in a loss of posterior support in the involved condyle and the mandible can then shift. As a result, the most patients exhibit occlusal change, openbite, retrognathism, and a decrease in posterior face height. This article reports cases of condylar resorption. And the author will review factors capable of changes of condyle, pathogensis and management of conylar resorption.


  1. Masuda M and Holmes TH. Life events: Perceptions and Frequencies. Psychosomatic Medicine 1978;40: 236-261
  2. Uhlenhuth EH and Paykel ES. Symptom, Intensity and life events. Arch Gen Psychiat 1973;28:473-477
  3. Holmes TH, Rahe RH. The social readjustment rating scale. J Psychosom. Res. 1967;11:213-218
  4. Paykel ES et al. Life events and Depression. Arch Gen Psychiat 1969;21:753-760
  5. Laskin DM. Etiology of the pain-dysfunction syndrome. JADA 1969;79:149
  6. Dekker DJ and Webb JT. Relationship of the social readjustment rating scale to psychiatric patient status, anxiety and social desirability. J Psychosom Res 1974;18:125-130
  7. 홍강의 외. 사회재적응 평가척도 제작. 신경정신의학 1982;21:123-136
  8. Olson RE. Myofascial pain-dysfunction syndrome : Psychological aspects. In Sarnet BG and Laskin DM(Ed). The Temporomandibular Joint 3rd ed. Springfield, 1979, Charles C. Thomas Publisher, pp. 300-314
  9. 김재환 외. 간이정신진단검사(SCL-90-R)의 한국판 표 준화연구III. 정신건강연구 1984;2:278-311
  10. Selye H. The Physiology and pathology of exposure to stress : a treatise based on the concepts of the general adaptation-syndrome and the diseases of adaptation. Montreal, 1950, ACTA Inc
  11. Wyler AR, Masuda M and Holmes TH. Magnitude of life events and serious of illness. Psychosome Med 1971;33:115-122
  12. Seyle S. History and present status of the stress concept. In Gold borger L and Breznitz S(Ed). Handbook of stress. 1st, Newyork, 1982, The Free Press Inc., pp7-17.
  13. Franks AST. Masticatory muscle hyperactivity and temporomandibular joint dysfunction. J Prosthet Dent 1965;15:1122-1131
  14. Johnson DL, Laskin. Physiologic responses to stressful stimuli in patients with myofascial pain-dysfunction(MPD) syndrome. Chicage:IADR 1972;abstract No. 191
  15. 정성창, 김영구, 한경수. 악관절 장애와 두개안면 동통. 초판, 서울, 1995, 지성출판사, pp. 19
  16. Stein S et al. Symptoms of TMJ dysfunction or related to stress measured by the social readjustment rating scale. J Prosthet Dent 1982;47:545-548
  17. 백기청 외. 스트레스 요인으로서의 생활사건과 통재소 재 및 불안의 관계에 대한 연구. 신경정신의학 1987; 26:75-111
  18. 박준상, 고명연. SRRS를 이용한 측두하악장애환자의 생활변화에 관한 연구. 구강내과학회지 1987;12:63-74
  19. 이평숙. 생활사건과 관련된 스트레스양 측정에 관한 방 법론적 연구. 연세대학교 박사학위 논문. 1984, pp.1- 138
  20. Markush RE and Farero RV. Epidemiologic assessment of stressful life events, depressed, mood, and psychophysiological symptoms-a preliminary report. In Dohrenwend BS and Dohrenwend BP(Ed). Streesful life events: Their nature and effects. New York, 1974, John Wiley & Sous, pp. 217-243
  21. Moulton RE. Psychiatric considerations in maxillofacial pain. JADA 1955;51:408-414
  22. Lupton DE. Psychological aspects of tempormandibular joint dysfunction. JADA 1969;79:131-136
  23. 최태진 외. 한국에서의 사회재적응 평가척도에 관한 예비적 연구. 신경정신의학 1981;20:131-146
  24. Fearon CG and Serwatka WJ. Stress : A common denominator for nonorganic TMJ pain-dysfunction. J Prosthet Dent 1983;49:805-808
  25. Moody PM et al. Recent life changes and myofascial pain syndrome. J Prosthet Dent 1982;48:328-330
  26. Uhlenhuth EH. Symptom Intensity and Life Stress in the city. Arch Gen Psychiat 1974;31:759-764
  27. Laskin DM. Etiology of the pain-dysfunction syndrome. JADA 1969;79:147-153
  28. 조대경 외. 정신위생. 초판, 서울, 1984, 중앙적성출판부, pp. 75-101, 144-147
  29. Solberg WK et al. Prevalence of mandibular dysfunction in young adult. JADA 1979;96:25-34
  30. Gelb H, Berustein I. Clinical evaluation of two hundred patients with temporomandibular joint syndrome. J Prosthet Dent 1963;49:234-243
  31. Kydd WL. Psychosomatic aspects of temporomandibular joint dysfunction. JADA 1959;59:31-44
  32. 이무석. 생활변화와 질병에 대한 연구-당뇨병 환자를 대상으로. 신경정신의학 1987;26:121-129
  33. DeBoever J. Functional Disturbances of the Temporomandibular Joint. In Zarb AZ et al.(Ed). Temporomandibular Joint. St. Louis, 1979, The C.V. Mosby Co., pp. 193-214
  34. 고병학 외. 한국인의 생활사건에 관한 예비적 연구. 신경정신의학 1981;20:62-78
  35. Mercuri LG, Laskin. The specificity of response to experimental stress in patients with myofascial paindysfunction paindysfunction syndrome. J Dent Res 1979;58:1866-1871
  36. 고명연, 김영구. MMPI를 중심으로 한 악관절기능장애 환자의 인성에 관한 연구. 대한구강내과학회지 1985; 10:17-31
  37. Heloe B, Heloe LA and Heiberg A. Relationship between sociomedical factors and TMJ symptoms in Norwegians with myofascial pain-dysfunction syndrome. Community Dent Oral Epidemiol 1977;5: 207-212
  38. 이승우 외. 측두하악장애의 진단과 치료. 초판, 서울, 1986, 고문사, pp.9-22, 111-137
  39. Holmes TH, Masuda M. Life change and illness susceptibility. In Scott J P and Senay EC(Ed). Separation and Depression. Clinical and Research Aspects, 1st, Washington, DC, 1973, American Association for the Advancement of Science, Publication No.94, pp161-186
  40. Newton AV. Predisposing causes for temporomandibular joint dysfunction. J Prosthet Dent 1969;22:647 -651