The Role of Orthodontics in Idiopathic Condylar Resorption: A Literature Review

Idiopathic Condylar Resorption (ICR) is a pathologic condition affecting the temporomandibular joint that secondarily may present as an anterior open bite, increased overjet, Class II malocclusion, or mandibular retrognathia. Although ICR is a relatively uncommon condition, orofacial pain and orthodontists can recognize its symptoms and presentation. The treatment options can range from nonsurgical to surgical approaches. Although the skeletal and dental malocclusions secondary to the condition are anomalies often treated by orthodontists, the pathological cause of this presentation may require adjustments to typical treatment modalities. Since cases of ICR are rare, there are limited opportunities to conduct randomized clinical trials, making a compilation of case reports relevant data to review to help establish a standardized treatment protocol. Here we review the current ICR treatment trends, focusing on orthodontic management.