Patient-Fitted Total Temporomandibular Joint Prosthesis: A Case Series

Year 2023, Volume: 2 Issue: 2, 35 - 37, 21.05.2023

Seçil Çubuk , Palin Çiftçioğlu Burak Bayram

Abstract

The treatment protocol of patients having end-stage temporomandibular joint (TMJ) disorder using patient-fitted TMJ prosthesis
is presented in this case series. The prosthetic fossa and ramus components and the surgical guides were designed on the
basis of the final position of the maxilla-mandibular skeleton using Geomagic software (Morrisville, North Carolina, USA). The
prosthetic ramus component and the supporting frame of the fossa were produced using a titanium alloy. The fossa component
was constructed solely from ultra-high molecular weight polyethylene. Patient-fitted TMJ prosthesis was placed through high
submandibular and pre-auricular approach in 3 patients. No complication related to the operations was seen. Temporomandibular
joint reconstruction using patient-fitted TMJ prosthesis resulted in satisfying jaw function and skeletal relationships in patients
having end-stage TMJ disorder.

Keywords

temporomandibular joint, custom made prosthesis, end-stage disease

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