Effects of altered mandibular function on mandibular growth after condylectomy.

The purpose of this study was to investigate the effect of protruded mandibular function on bilaterally condylectomized mandibles of growing rats. Sixty 4-week-old rats were divided into three experimental and two control groups each consisting of 12 animals as follows: (A) bilateral condylectomy was performed and the mandible was left to function normally; (B) the mandible was protracted forward without any condylectomy; (C) after bilateral condylectomy, the mandible was forced to function in a protruded position; (D) the animals were used as controls without any operation or appliance; and (E) a sham operation was performed in the condylar area but no appliance was used. Mandibular protraction was achieved by means of a specific appliance acting via rubber bands pulling the mandible in a straight, forward direction with a force of 25 g for 12 hours/day. The experimental period was 30 days. Lateral and dorsoventral radiographs were taken and vital dyes were administered on days 1 and 30 for all animals. Cephalometric analysis included 10 measurements. Findings resulting from statistical analysis of measurements in the five groups are summarized as follows: (i) between group A and groups D and E, less growth was found in group A; (ii) between group B and groups D and E, more growth was found in group B; (iii) between group A and group B, more growth was found in group B; (iv) between group A and group C, more growth was found in group C; and (v) between group B and group C, more growth was found in group B. These findings support the conclusion that although mandibular propulsion enhances growth even after condylectomy, the condyle seems to be an essential element for normal growth and development.