Indications for temporomandibular joint (TMJ) reconstruction include bony ankylosis, failed previous alloplastic and autogenous joint replacement, posttraumatic condylar injury, avascular necrosis, posttumor reconstruction, developmental abnormalities, functional deformity, and severe inflammatory conditions that have failed to resolve with conservative treatments. Successful TMJ replacement requires careful preoperative planning, reasonable patient expectations, proper intraoperative technique, regimented postoperative physical therapy, close follow-up, and adequate pain management. Achieving successful TMJ replacement often requires multidisciplinary care from oral and maxillofacial surgeons, pain specialists, internists, physical therapists, and general dentists to optimize patient outcome.
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Dr Quinn is a paid consultant for Biomet Microfixation.
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