Temporal mandibular joint (TMJ) reconstruction (functional and anatomical), is a common clinical problem in the maxillofacial area. The reasons that may lead to a TMJ breakdown are: by a tumor; infectious; traumatic or pathological origin, or late sequelae which can lead to ankylosis of the joint.

This report shows a series of clinical cases where by reconstruction of the joint was made (based on an anatomic functional idea) through a series of surgical procedures ranging from displacement of muscle flaps, to a complete reconstruction by total temporomandibular joint prosthesis Stock type (system Biomet Total TMJ). The clinical results achieved, as well as the anatomic and biomechanical results, were acceptable as demonstrated in the follow-up appointments.

We concluded, the management of patients with anatomical and functional collapse of TMJ is complex. Despite there being many therapeutic approaches described in literature, there are few alternatives with a degree of predictability and stability over time. Out of all the techniques (that meet this requirement) described in literature, the total reconstruction prostheses appear to be the most suitable.

Conflict of interest: None declared.