Journal of Pain Research (Sep 2021)
Persistent Pain Following Proplast-Teflon Implants of the Temporomandibular Joint: A Case Report and 35-Year Management Perspective
Abstract
Roxanne Bavarian,1,2 Michael E Schatman,3,4 David A Keith1,2 1Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, Boston, MA, USA; 2Department of Oral and Maxillofacial Surgery, Harvard School of Dental Medicine, Boston, Ma, USA; 3Department of Anesthesiology, Perioperative Care, & Pain Medicine, NYU School of Medicine, New York, NY, USA; 4School of Social Work, North Carolina State University, Raleigh, NC, USACorrespondence: David A KeithDepartment of Oral and Maxillofacial Surgery, Massachusetts General Hospital, 55 Fruit St, Boston, MA, 02114, USATel +1 617 643-1425Fax +1 617 726-2814Email [email protected]: Over three decades ago, hundreds of predominantly young women with temporomandibular joint pain and other symptoms were implanted with a prosthetic device composed of Proplast-Teflon that subsequently caused considerable harm, with patients developing chronic pain, dysfunction, and disability. This perspective review presents such a patient who suffered for decades with severe pain despite extensive pharmacotherapy, injection therapy, multiple surgeries, and behavioral health interventions. The details of the origin and subsequent events regarding the use of Proplast-Teflon interpositional implants in the temporomandibular joint are described with resources from several different perspectives. The lessons learned demonstrate failures at the federal, professional, and individual level.Keywords: Proplast-Teflon, implants, temporomandibular joint surgery, temporomandibular joint replacement, risk management, medicolegal, chronic pain
