Journal of Oral Biology and Craniofacial Research (Jul 2021)

Alloplastic total joint replacement in management of temporomandibular joint ankylosis

  • Ajoy Roychoudhury,
  • Poonam Yadav,
  • Ongkila Bhutia,
  • Rohan Mane,
  • Rahul Yadav,
  • Devalina Goswami,
  • Anson Jose

DOI
https://doi.org/10.1016/j.jobcr.2021.05.006
Journal volume & issue
Vol. 11, no. 3
pp. 457 – 465

Abstract

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Both autogenous and alloplastic material have been used in management of temporomandibular joint (TMJ) ankylosis. Second surgical site, donor site morbidity, possibility of over/undergrowth, graft fracture or resorption and increased surgical time are the disadvantages of autogenous graft. Alloplastic total joint replacement (TJR) has become a promising technique in management of adult temporomandibular joint ankylosis (TMJA). This paper intends to present the role of alloplastic TJR in management of TMJA. There is significant current evidence of the role of alloplastic TJR in the management of TMJA. Results in TMJA are excellent with sustained improvement in pain free mouth opening, correction of facial asymmetry, reduction in recurrence and improved quality of life. TMJ TJR is becoming the gold standard of care in the management of TMJA, although costs can sometime preclude access to this mode of therapy.

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