Evaluation of the morphology of pterygoid hamulus using cone beam computed tomography: A retrospective study

Introduction: The pterygoid hamulus develops from the medial lamella of the pterygoid process. Understanding the architecture of the pterygoid Hamulus is crucial in terms of image interpretation as well as to diagnose idiopathic pain of the oral cavity and pharynx. Apart from diagnostic implications...

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Main Authors: K. Smrithy Sivadas, Vidya Ajila, Shruthi Hegde, Yashika Jain
Format: Article
Language:English
Published: Elsevier 2025-11-01
Series:Journal of Oral Biology and Craniofacial Research
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Online Access:http://www.sciencedirect.com/science/article/pii/S2212426825001812
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author K. Smrithy Sivadas
Vidya Ajila
Shruthi Hegde
Yashika Jain
author_facet K. Smrithy Sivadas
Vidya Ajila
Shruthi Hegde
Yashika Jain
author_sort K. Smrithy Sivadas
collection DOAJ
description Introduction: The pterygoid hamulus develops from the medial lamella of the pterygoid process. Understanding the architecture of the pterygoid Hamulus is crucial in terms of image interpretation as well as to diagnose idiopathic pain of the oral cavity and pharynx. Apart from diagnostic implications, the pterygoid hamulus can be utilised in forensic identification by studying its variations in different age groups and genders using three-dimensional imaging modalities such as cone beam computed tomography. Materials and methods: In this study, 608 Full FOV CBCT images were evaluated for the length, width, inclination, and shape of the pterygoid hamulus on both right and left sides in 4 different age groups, i.e. 20-30, 31–40, 41–50, and 51–60 years and correlated between males and females. Results: Statistically significant data was obtained with the assessment of pterygoid hamulus length, width, and inclination in the age groups spanning from 20 to 60 years. The distribution of shapes, i.e., slender and triangular, was found to be statistically significant in the assessed age groups. Males had a significantly longer and wider pterygoid hamulus compared to females. No statistically significant data were obtained on mean inclination and shape distribution among males and females. Conclusion: The assessment of various parameters of pterygoid hamulus using radiographic imaging modalities such as cone beam computed tomography could help in diagnosing orofacial pain of uncertain origin as well as in forensic identification, given variations noticed with age progression and amongst males and females.
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spelling doaj-art-b7dfecd27c364b7b8f3eea77ae04bb4e2025-08-20T03:04:46ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682025-11-011561254125910.1016/j.jobcr.2025.08.008Evaluation of the morphology of pterygoid hamulus using cone beam computed tomography: A retrospective studyK. Smrithy Sivadas0Vidya Ajila1Shruthi Hegde2Yashika Jain3Nitte (Deemed to be University), A B Shetty Memorial Institute of Dental Sciences (ABSMIDS), Department of Oral Medicine and Radiology, Mangalore, IndiaCorresponding author.; Nitte (Deemed to be University), A B Shetty Memorial Institute of Dental Sciences (ABSMIDS), Department of Oral Medicine and Radiology, Mangalore, IndiaNitte (Deemed to be University), A B Shetty Memorial Institute of Dental Sciences (ABSMIDS), Department of Oral Medicine and Radiology, Mangalore, IndiaNitte (Deemed to be University), A B Shetty Memorial Institute of Dental Sciences (ABSMIDS), Department of Oral Medicine and Radiology, Mangalore, IndiaIntroduction: The pterygoid hamulus develops from the medial lamella of the pterygoid process. Understanding the architecture of the pterygoid Hamulus is crucial in terms of image interpretation as well as to diagnose idiopathic pain of the oral cavity and pharynx. Apart from diagnostic implications, the pterygoid hamulus can be utilised in forensic identification by studying its variations in different age groups and genders using three-dimensional imaging modalities such as cone beam computed tomography. Materials and methods: In this study, 608 Full FOV CBCT images were evaluated for the length, width, inclination, and shape of the pterygoid hamulus on both right and left sides in 4 different age groups, i.e. 20-30, 31–40, 41–50, and 51–60 years and correlated between males and females. Results: Statistically significant data was obtained with the assessment of pterygoid hamulus length, width, and inclination in the age groups spanning from 20 to 60 years. The distribution of shapes, i.e., slender and triangular, was found to be statistically significant in the assessed age groups. Males had a significantly longer and wider pterygoid hamulus compared to females. No statistically significant data were obtained on mean inclination and shape distribution among males and females. Conclusion: The assessment of various parameters of pterygoid hamulus using radiographic imaging modalities such as cone beam computed tomography could help in diagnosing orofacial pain of uncertain origin as well as in forensic identification, given variations noticed with age progression and amongst males and females.http://www.sciencedirect.com/science/article/pii/S2212426825001812Pterygoid hamulusForensicOrofacial painCone beam computed tomography
spellingShingle K. Smrithy Sivadas
Vidya Ajila
Shruthi Hegde
Yashika Jain
Evaluation of the morphology of pterygoid hamulus using cone beam computed tomography: A retrospective study
Journal of Oral Biology and Craniofacial Research
Pterygoid hamulus
Forensic
Orofacial pain
Cone beam computed tomography
title Evaluation of the morphology of pterygoid hamulus using cone beam computed tomography: A retrospective study
title_full Evaluation of the morphology of pterygoid hamulus using cone beam computed tomography: A retrospective study
title_fullStr Evaluation of the morphology of pterygoid hamulus using cone beam computed tomography: A retrospective study
title_full_unstemmed Evaluation of the morphology of pterygoid hamulus using cone beam computed tomography: A retrospective study
title_short Evaluation of the morphology of pterygoid hamulus using cone beam computed tomography: A retrospective study
title_sort evaluation of the morphology of pterygoid hamulus using cone beam computed tomography a retrospective study
topic Pterygoid hamulus
Forensic
Orofacial pain
Cone beam computed tomography
url http://www.sciencedirect.com/science/article/pii/S2212426825001812
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