Planning for Combined TMJ Arthroplasty and Orthognathic Surgery
Temporomandibular joint (TMJ) and dentofacial deformities commonly coexist. The TMJ disorders may be the causative factor of the jaw deformity or may have developed as a result of the jaw…
Patient-Fitted (“Custom”) Alloplastic Temporomandibular Joint Replacement Technique
Alloplastic temporomandibular joint (TMJ) replacement is indicated as management of the following conditions: a. Inflammatory arthritis involving the TMJ not responsive to other modalities of treatment b. Recurrent fibrosis and/or…
Total Reconstruction of the Temporomandibular Joint with a Stock Prosthesis
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…
Resection of the Severely Ankylosed Temporomandibular Joint
Few deformities of the maxillofacial region present with such a wide constellation of symptoms and clinical findings as ankylosis of the temporomandibular joint. Pain, swelling, disruption of diet and speech,…
Modified Condylotomy for Temporomandibular Joint Dysfunction
The modified condylotomy is an extra-articular surgical procedure used to manage patients with temporomandibular joint dysfunction. The primary purpose of the procedure is to increase joint space by allowing the…
Temporomandibular Joint Eminectomy for Recurrent Dislocation
Recurrent mandibular dislocation Since the days of Hippocrates, repositioning of the dislocated mandible has been an important topic in medicine and dentistry, and the first surgical techniques for the prevention…
Arthroplasty and Discectomy of the Temporomandibular Joint
Surgery to correct disorders of the temporomandibular joint (TMJ) has been performed and documented since the mid-nineteenth century. Although earlier mentions may be found, Annandale’s brief 1888 Lancet article reports…
Advanced Arthroscopy of the Temporomandibular Joint
Patient selection for advanced operative arthroscopy Indications Advanced operative arthroscopic procedures are indicated for disabling joint conditions refractory to medical management and primary arthroscopy alone and that require internal structural…
Arthroscopic Anatomy and Lysis and Lavage of the Temporomandibular Joint
Internal derangement of the temporomandibular joint (TMJ) is one of the most common temporomandibular disorders. In 1983, Dolwick defined it as an abnormal relation between the temporomandibular disc with respect…
Current Concepts in Temporomandibular Joint Surgery
Gregory M. Ness, DDS, Guest Editor The oral and maxillofacial surgery world is experiencing a resurgence of interest in temporomandibular joint disease and its surgical treatment, and this issue will…
Systematic Treatment Planning Protocol for Patients with Maxillofacial Defects: Avoiding Living a Life of Seclusion and Depression
Rehabilitation of patients with maxillofacial defects presents a difficult challenge for the oral and maxillofacial surgeon, the maxillofacial prosthodontist, and the anaplastologist. To improve the care for patients with maxillofacial…
Facial Skeletal Augmentation Using Custom Facial Implants
Facial skeletal augmentation is one of many techniques used to enhance facial aesthetics. It is especially useful in the malar, mandibular angle, and genial areas. For many years, correction of…
Computer-Aided Orthognathic Surgery
Virtual, or computer-aided, surgery is a process that integrates computer-aided design (CAD) and computer-aided manufacturing (CAM) into surgical treatment planning by providing a means to (1) visualize and analyze 3-dimensional…
