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A case of synovial chondromatosis in the temporomandibular joint accompanied by progressive occlusal changes

Journal of Oral Medicine and Pain 2019³â 44±Ç 2È£ p.69 ~ 73
¹Ú¹ÌÁÖ, º¯Áø¼®, Á¤À籤, ÃÖÀç°©,
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¹Ú¹ÌÁÖ ( Park Mi-Ju ) - Kyungpook National University School of Dentistry Department of Oral Medicine
º¯Áø¼® ( Byun Jin-Seok ) - Kyungpook National University School of Dentistry Department of Oral Medicine
Á¤À籤 ( Jung Jae-Kwang ) - Kyungpook National University School of Dentistry Department of Oral Medicine
ÃÖÀç°© ( Choi Jae-Kap ) - Kyungpook National University School of Dentistry Department of Oral Medicine

Abstract


Synovial chondromatosis (SC) is an uncommon progressive cartilaginous metaplasia of residual mesenchymal cells in synovial tissue. This disorder usually affects large joints and is rarely observed in the temporomandibular joint (TMJ). SC in TMJ is difficult to diagnose early owing to non-specific clinical symptoms. In this article, we report a patient with SC on the right TMJ, who presented with pain in the right TMJ and progressive occlusal changes, not responsive to conventional conservative temporomandibular disorder treatment for several months. This case emphasizes the importance of an accurate specific diagnosis for TMJ problems before the delivery of any treatment.

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Synovial chondromatosis; Temporomandibular joint

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