Investigating the correlation between bone density and fracture frequency in the mandibular condyle with micro-computed tomography |
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Authors: | A.J. Thirunavukarasu A. Ferro S. Singh Dubb D.L. Hamilton C. Brassett |
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Affiliation: | 1. Corpus Christi College, University of Cambridge, United Kingdom;2. Human Anatomy Centre, Anatomy Building, Department of Physiology, Development and Neuroscience, University of Cambridge, United Kingdom;3. Department of Oral and Maxillofacial Surgery, Addenbrooke’s Hospital, Cambridge, United Kingdom;4. Department of Anaesthesia, James Cook University Hospital, Middlesbrough, United Kingdom;5. University of Sunderland School of Medicine, Sunderland, United Kingdom;1. OMFS-IMPATH Research Group, Department of Imaging & Pathology, Faculty of Medicine, KU Leuven & Oral and Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium;2. Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden;1. King’s College Hospital NHS Foundation Trust;2. University College London Division of Surgery and Interventional Science, Division of Surgery and Interventional Science;3. University College London Hospital Foundation Trust;4. Royal Free NHS Foundation Trust;5. University College London Hospitals NHS Foundation Trust, Department of Anaesthesia and Preoperative Medicine;6. University Hospital Southampton NHS Foundation Trust;7. University College London Hospitals NHS Foundation Trust;1. Department of Oral and Maxillofacial Surgery, Maulana Azad Institute of Dental Sciences, MAMC Complex, Bahadur Shah Zafar Marg, New Delhi, 110002, India;2. Bensups Hospital, Sector – 12, Dwarka, New Delhi, 110002, India |
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Abstract: | Fractures of the mandibular condyle are common and include diacapitular fractures that affect the condylar head. The medial part of the condylar head is least commonly fractured, possibly due to decreased propensity for lines of force to run in the region. Micro-computed tomography (X-ray microtomography) of five temporomandibular joint specimens was conducted to explore whether trabecular bone structure correlates positively with fracture prevalence, which could reflect adaptation in response to lower exposure to physiological loads throughout life. Models of trabecular bone, and graphic representation of bone density indicated least dense bone medially, but a statistically significant ANOVA result was not obtained. Further study is required to verify whether a relationship between bone microstructure and fracture frequency exists, and whether or not this is the product of association between the directions of physiological and traumatic forces. |
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Keywords: | Mandibular condyle micro-computed tomography X-ray microtomography diacapitular fracture bone structure anatomy |
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