Total temporomandibular joint alloplastic reconstruction

Ferreira, Felipe Mussi; Cunali, Rafael Schlögel; Bonotto, Daniel; Farias, Aguinaldo Coelho de; Cunali, Paulo Afonso

doi:10.5935/1806-0013.20140046

Cited by 12 publications

(13 citation statements)

References 49 publications

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“…This type of prosthesis consist of a component representing the glenoid fossa, which was made of ultra-high molecular weight polyethylene cast with pure titanium and is fixed to the mandibular fossa with titanium bolts. The component representing the condyle was made of a molybdenum cobalt-chromium alloy and the titanium branch [ 13 , 14 ].…”

Section: Case Presentationmentioning

confidence: 99%

An unusual osteoma in the mandibular condyle and the successful replacement of the temporomandibular joint with a custom-made prosthesis: a case report

Souza

Cavalcante

et al. 2017

BMC Res Notes

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BackgroundAn osteoma is a benign tumor of bone with unknown etiology and is considered rare, mostly restricted to the craniofacial skeleton.Case presentationThis case report describes an uncommon condylar osteoma in a 67 years old white female patient with laterognathism to the left side, limited mouth opening, aesthetic change and pain associated with the right temporomandibular joint (TMJ). The histopathological examination confirmed osteoma. The lesion was surgically excised and immediate reconstruction was carried out using a custom-made total TMJ prosthesis. The patient has been in follow-up for 2 years, with no symptoms.ConclusionsUnilateral total TMJ prosthesis can be considered to replacement of TMJ after osteoma excision with resection of the condyle.

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Section: Case Presentationmentioning

confidence: 99%

An unusual osteoma in the mandibular condyle and the successful replacement of the temporomandibular joint with a custom-made prosthesis: a case report

Souza

Cavalcante

et al. 2017

BMC Res Notes

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“…The most prevalent TMDs symptoms are pain in the TMJ region, in the masticatory muscles, and in the neck and shoulder region. Many therapeutic alternatives can be considered, being divided into non-invasive (pharmacotherapy, physiotherapy), minimally invasive (arthroscopy, arthrocentesis) and invasive (arthroplasty) interventions [1] , [2] .…”

Section: Introductionmentioning

confidence: 99%

“…Initially, conservative therapies aimed at reducing pain and improving joint function should be prioritized. However, patients with severe pain or those who do not respond to non-invasive treatment may be candidates for alloplastic or autogenous reconstruction of TMJ [1] .…”

Section: Introductionmentioning

confidence: 99%

“…The ideal total alloplastic joint reconstruction is one that supports chewing forces, reproduces the movements of a normal TMJ, and enable speech and swallowing functions without alterations [1] . In addition, the prosthesis should be non-toxic, biocompatible, stable and resistant to corrosion [6] .…”

Section: Introductionmentioning

confidence: 99%

“…The customized prosthesis is made from a prototype obtained through a computerized tomography of the patient. The possibility of managing the loads imposed, reducing the possibility of micromovements is a great advantage of the customized prostheses, as well as the better positioning of the screws in the joint fossa and branch of the jaw, factors that allow greater predictability of results and shorter surgical time [1] , [4] .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Total bilateral TMJ reconstruction for pain and dysfunction: Case report

Moreira¹,

Serra²,

Silva³

et al. 2018

International Journal of Surgery Case Reports

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HighlightsThe use of TMJ protheses was configured as a good therapeutic alternative for severe conditions that do not respond to conservative treatments.A correct diagnosis of the pathology and the correct indication for reconstruction are fundamental for the success of the technique.The stock prostheses is a good alternative when there is no need for mandibular advancement and the branches are still preserved.Further studies are needed to demonstrate whether these results are long term.

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