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Patient-Fitted (“Custom”) Alloplastic Temporomandibular Joint Replacement Technique

      Alloplastic temporomandibular joint (TMJ) replacement is indicated as management of the following conditions:
      • a.
        Inflammatory arthritis involving the TMJ not responsive to other modalities of treatment
      • b.
        Recurrent fibrosis and/or bony ankylosis not responsive to other modalities of treatment
      • c.
        Failed tissue grafts (bone and soft tissue)
      • d.
        Failed alloplastic joint reconstruction
      • e.
        Loss of vertical mandibular height and/or occlusal relationship due to bony resorption, trauma, developmental abnormalities, or pathologic lesions.
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      Further Readings

        • Mercuri L.G.
        The use of alloplastic prostheses for temporomandibular joint reconstruction.
        J Oral Maxillofac Surg. 2000; 58: 70-75
        • Mercuri L.G.
        The TMJ Concepts patient fitted total temporomandibular joint reconstruction prosthesis.
        Oral Maxillofac Clin North Am. 2000; 12: 73-91
        • Mercuri L.G.
        • Anspach III, W.
        Principles for the revision of TMJ prostheses.
        Int J Oral Maxillofac Surg. 2003; 32: 353-359
        • Mercuri L.G.
        • Giobbe-Hurder A.
        Long term outcomes after total alloplastic TMJ reconstruction following exposure to failed materials.
        J Oral Maxillofac Surg. 2004; 62: 1088-1096
        • Mercuri L.G.
        Alloplastic vs. autogenous temporomandibular joint reconstruction.
        Oral Maxillofac Clin North Am. 2006; 18: 399-411
        • Mercuri L.G.
        Microbial biofilms—a potential source of alloplastic device failure.
        J Oral Maxillofac Surg. 2006; 64: 1303-1309
        • Mercuri L.G.
        • Edibam N.R.
        • Giobbie-Hurder A.
        14-year follow-up of a patient fitted total temporomandibular joint reconstruction system.
        J Oral Maxillofac Surg. 2007; 65: 1140-1148
        • Mercuri L.G.
        A rationale for alloplastic temporomandibular joint reconstruction in the management of idiopathic/progressive condylar resorption.
        J Oral Maxillofac Surg. 2007; 65: 1600-1609
        • Mercuri L.G.
        Temporomandibular joint reconstruction.
        in: Fonseca R. Oral and Maxillofac Surg. Elsevier, Philadelphia2008: 945-960
        • Mercuri L.G.
        • Alcheikh Ali F.
        • Woolson R.
        Outcomes of total alloplastic replacement with peri-articular autogenous fat grafting for management of re-ankylosis of the temporomandibular joint.
        J Oral Maxillofac Surg. 2008; 66: 1794-1803
        • Mercuri L.G.
        • Swift J.Q.
        Considerations for the use of alloplastic temporomandibular joint replacement in the growing patient.
        J Oral Maxillofac Surg. 2009; 67: 1979-1990