This case presentation refers to a 56 year old male patient, which is diagnosed with a recurrent keratocystic odontogenic tumor that completely compromises the left ascending ramous, condylar complex and retro molar portion of the mandible, requiring excision of the lesion. After the excision intervention, under a secondary surgical procedure, a complete TMJ replacement surgery utilizing custom made titanium-HTR prosthesis is executed under general anesthesia. This presentation refers to the experience utilizing this procedure and a 5 year follow-up to determine the long term viability and functionality of such prosthesis.
Conflict of interest: None declared.