Investigation of coronoid process hyperplasia using Levandoski analysis on panoramic radiographs

BACKGROUND: The diagnosis of coronoid process hyperplasia (CPH) is usually based on symptoms and radiological imaging. Because of its similar symptoms, it can be confused with temporomandibular joint diseases. Therefore, an objective and reproducible way of diagnosis should be determined. AIM: To investigate CPH using Levandoski analysis on panoramic radiographs to determine its prevalence. METHODS: A total of 300 panoramic radiograph images (600 coronoid processes) were examined. Having measured the Condyle-Gonion (Cd-Go) and Coronoid-Gonion (Cor-Go) distances, the Cor-Go:Cd-Go ratio was calculated for the left and right sides of each image. RESULTS: There was a statistically significant difference in Cd-Go and Cor-Go distances between male and female participants (P < 0.001). There was no statistically significant relationship between Cor-Go:Cd-Go ratios and gender (P > 0.05). CONCLUSION: Cd-Go and Cor-Go distances were statistically significantly increased in males on both the left and right sides. The ratio of Cor-Go:Cd-Go was preserved in both genders. The prevalence of CPH was found to be 0.3%.