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lüll Malocclusion associated with osteocartilaginous loose bodies of the temporomandibular joint Xiang S; Rebellato J; Inwards CY; Keller EEJ Am Dent Assoc 2005[Apr]; 136 (4): 484-9BACKGROUND: The authors review the literature regarding osteocartilaginous loose bodies (that is, secondary synovial chondrometaplasia or secondary synovial chondromatosis) in the temporomandibular joint (TMJ), present a case report and stress the importance of early diagnosis. CASE DESCRIPTION: A 57-year-old woman was referred to an orthodontist with a chief complaint of bite changes that took place over several years as the patient intermittently experienced TMJ problems. The authors noted radiopacities around the right TMJ space on a panoramic radiograph. They referred the patient to an oral and maxillofacial surgeon for treatment. CLINICAL IMPLICATIONS: Asymmetrical occlusal changes in a nongrowing adult with progressive shifts from Class I to Class III malocclusion unilaterally may indicate a space-occupying lesion in the TMJ space on the affected side.|Chondromatosis, Synovial/complications/pathology[MESH]|Facial Asymmetry/etiology[MESH]|Female[MESH]|Follow-Up Studies[MESH]|Humans[MESH]|Joint Loose Bodies/*complications/pathology[MESH]|Malocclusion/*etiology[MESH]|Middle Aged[MESH]|Temporomandibular Joint Disorders/*complications/pathology[MESH] |