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Alloplastic total temporomandibular joint replacement using stock prosthesis: a one-year follow-up report of two cases

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ÀÌ»óÈÆ ( Lee Sang-Hoon ) - Yonsei University College of Dentistry Gangnam Severance Dental Hospital Department of Oral and Maxillofacial Surgery
·ù´ÙÁ¤ ( Ryu Da-Jung ) - Yonsei University College of Dentistry Gangnam Severance Dental Hospital Department of Oral and Maxillofacial Surgery
±èÇý¼ø ( Kim Hye-Sun ) - Yonsei University College of Dentistry Gangnam Severance Dental Hospital Department of Oral and Maxillofacial Surgery
±èÇü°ï ( Kim Hyung-Gon ) - Yonsei University College of Dentistry Gangnam Severance Dental Hospital Department of Oral and Maxillofacial Surgery
ÇãÁ¾±â ( Huh Jong-Ki ) - Yonsei University College of Dentistry Gangnam Severance Dental Hospital Department of Oral and Maxillofacial Surgery

Abstract


Alloplastic total replacement of the temporomandibular joint (TMJ) was developed in recent decades. In some conditions, previous studies suggested the rationale behind alloplastic TMJ replacement rather than reconstruction with autogenous grafts. Currently, three prosthetic products are available and approved by the US Food and Drug Administration. Among these products, customized prostheses are manufactured, via computer aided design/computer aided manufacturing (CAD/CAM) system for customized design; stock-type prostheses are provided in various sizes and shapes. In this report, two patients (a 50-year-old female who had undergone condylectomy for the treatment of osteochondroma extending to the cranial base on the left condyle, and a 21-year-old male diagnosed with left temporomandibular ankylosis) were treated using the alloplastic total replacement of TMJ using stock prosthesis. The follow-up results of a favorable one-year, short-term therapeutic outcome were obtained for the alloplastic total TMJ replacement using a stock-type prosthesis.

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Temporomandibular joint disorders; Replacement arthroplasty; Maxillofacial prosthesis; Temporomandibular ankylosis

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