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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Further Readings
- Historical development of alloplastic temporomandibular joint replacement after 1945 and state of the art.Int J Oral Maxillofac Surg. 2009; 38: 909-920
- Anatomical study of the complications of intraoral vertico-sagittal ramus osteotomy.J Oral Maxillofac Surg. 2006; 64: 384-389
- Temporomandibular joint total replacement prosthesis: current knowledge and considerations for the future.Int J Oral Maxillofac Surg. 2008; 37: 103-110
- Alloplastic reconstruction of the temporomandibular joint.Selected Readings Oral Maxillofac Surgery. 1999; 7: 1-20
- Autogenous and alloplastic reconstruction of the temporomandibular joint.in: Quinn P.D. Color atlas of temporomandibular joint surgery. Mosby, St Louis (MO)1998: 170-212
- Lorenz prosthesis.Oral Maxillofac Surg Clin North Am. 2000; 12: 93-299
- Reconstruction of the temporomandibular joint autogenous compared with alloplastic.Br J Oral Maxillofac Surg. 2002; 40: 296-299
- Guidelines for the replacement of temporomandibular joints in the United Kingdom.Br J Oral Maxillofac Surg. 2008; 46: 146-147
- Total reconstruction of the temporomandibular joint. Up to 8 years follow-up of patients with Biomet total joint prostheses.Int J Oral Maxillofac Surg. 2010; 39: 951-955
Article info
Footnotes
Dr Quinn is a paid consultant for Biomet Microfixation.
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Copyright
© 2011 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
