ArticleMaxillofacial plastic and reconstructive surgery2026
Template-guided digitally planned patient-specific implant augmentation eminoplasty for chronic recurrent temporomandibular joint dislocation: a prospective study.
Article in Maxillofacial plastic and reconstructive surgery, 2026. 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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6 authors.
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Abstract
backgroundSurgical options for chronic recurrent temporomandibular joint (TMJ) dislocation remain heterogeneous. Digitally planned patient-specific onlay augmentation may provide a reproducible mechanical stop while minimizing intraoperative guesswork.
methodsEleven patients (> 16 years) with chronic recurrent TMJ dislocation/hypermobility (maximal incisal opening > 40 mm) underwent augmentation eminoplasty using a digitally planned patient-specific implant and CAD/CAM workflow. Clinical outcomes included pain (VAS 0-10) and maximal incisal opening (MIO) assessed preoperatively, at 2 weeks, and at 6 months; radiologic assessment included panoramic TMJ views and MSCT at 6 months.
resultsThe cohort was predominantly female (72.7%) with mean age 20.55 ± 4.08 years. Mean VAS pain decreased from 8.80±0.53 preoperatively to 8.07±0.73 at 2 weeks and 6.29±1.29 at 6 months (all pairwise comparisons p<0.001). Mouth opening decreased significantly after surgery and remained reduced at follow-up; there was no significant difference between 2-week and 6-month mouth opening (p=0.082). Two patients (18.2%) developed right-sided postoperative infection requiring implant removal. Clinical signs suggestive of infection were first recognized at approximately 3 weeks postoperatively and ultimately led to implant removal at around 2 months after failure of initial conservative treatment. No clinical recurrence of dislocation/open-lock was documented during the available 6-month follow-up.
conclusionsDigitally planned patient-specific onlay eminoplasty demonstrated short-term feasibility, reduction in pain, and controlled postoperative mouth opening; however, the observed infection rate and limited functional follow-up warrant cautious interpretation."
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