ArticleJournal of the Korean Association of Oral and Maxillofacial Surgeons2025
Functional outcomes of total temporomandibular joint replacement with customized prostheses: a clinical case series.
Article in Journal of the Korean Association of Oral and Maxillofacial Surgeons, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objectives: To report the clinical and functional outcomes of patients undergoing total temporomandibular joint (TMJ) replacement with customized prostheses. Materials and Methods: Six female patients treated between 2018 and 2024 for advanced TMJ pathology-severe osteoarthritis (n=5) or condylar osteochondroma (n=1)-were included. All underwent unilateral total joint replacement using customized prostheses planned with cone-beam computed tomography and magnetic resonance imaging. Interincisal mouth opening (IMO), pain (visual analog scale), jaw function (JF), and dietary intake (DI), assessed through a Likert-type psychometric scale, were recorded preoperatively and during a minimum follow-up of 24 months. Results: All patients showed postoperative improvement. Median JF decreased from 6.5 to 3.5, DI from 8 to 1.5, and pain from 7 to 2. Postoperative IMO averaged 32 to 33 mm. One patient required revision for screw displacement without long-term functional compromise. Conclusion: Customized TMJ prostheses proved safe and effective, demonstrating consistent improvements in pain, mandibular function, and dietary capacity in patients with severe joint disease. This approach represents a reliable therapeutic option when combined with individualized surgical planning.
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