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Total Alloplastic Temporomandibular Joint Replacement

Journal of Maxillofacial and Oral Surgery Aims and scope Submit manuscript

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Abstract

Purpose

End-stage temporomandibular joint (TMJ) disease are not uncommon and affects quality of life. Multiple surgical procedures have been mentioned in literature for management of TMJ disease which ranges from conservative management to aggressive resection of involved joint and replacement with alloplastic total joint prosthesis. The purpose of the present paper was to provide an overview of the role of alloplastic total joint prosthesis in TMJ replacement.

Methods and results

Alloplastic total joint prosthesis is nowadays considered as a standard of care in the adult patients who require TMJ replacement. The requirement of alloplastic total prosthesis has increased in present era with the improvement in design and material of implants, surgical skills and reported victorious outcome along with improved quality of life after its use. It provides restoration of form and functions, improvement in quality of life, reduction in pain and maintenance of ramal height. Additionally, in TMJ ankylosis it reduces chances of re-ankylosis and allows facial asymmetry correction. Currently, enough evidence is however not available for replacement in skeletally immature patient.

Conclusion

The authors conclude that the total joint replacement is a standard procedure for end-stage TMJ disease. Every maxillofacial surgeon should be well-acquainted with TMJ replacement.

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  1. Department of Oral and Maxillofacial Surgery, All India Institute of Medical Sciences, New Delhi, India

    Poonam Yadav, Ajoy Roychoudhury, Rudra Deo Kumar, Ongkila Bhutia, Tsering Bhutia & Bhaskar Aggarwal

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  1. Poonam Yadav
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Yadav, P., Roychoudhury, A., Kumar, R.D. et al. Total Alloplastic Temporomandibular Joint Replacement. J. Maxillofac. Oral Surg. 20, 515–526 (2021). https://doi.org/10.1007/s12663-021-01628-8

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