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Role of Temporomandibular Total Joint Replacement in Correction of Facial Deformities

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Abstract

Introduction

Individuals suffering from facial deformities experience esthetic, functional and social setback in their lives every day. These patients benefit greatly with single-stage temporomandibular joint replacement along with orthognathic surgical procedures to correct functional as well as esthetic components.

Methodology

Five individuals with facial deformities due to hemifacial macrosomia, fibrous dysplasia, idiopathic condylar resorption, ankylosis, etc., were treated with total joint replacement along with orthognathic surgical procedures for functional and esthetic correction. The customized temporomandibular joint was digitally custom designed, and the orthognathic procedures were virtually planned on NemoFAB software before performing the surgical procedure.

Results

Intraoperatively, the overall time was reduced considerably with minimal unpredictable complications. One-week postoperative computed tomographs were obtained and superimposed on preoperative virtual surgical planning which showed minimal discrepancy. Follow-up period of 18–30 months was maintained for all the patients with stable results, minimal relapse and satisfactory functional abilities.

Discussion

Total joint replacement along with orthognathic procedure provides single-stage functional and esthetic corrections for the patients, considerably improving their quality of life. Precise preoperative surgical planning proves to be an indispensable step for achieving desired results with minimal margin of error and avoid any unseen complications during the surgical procedure.

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Funding

This research did not receive any specific grant from funding agencies in the public, commercial or not-for-profit sectors.

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Authors and Affiliations

  1. Oral and Maxillofacial Surgery, Nuface Maxillofacial and Dental Hospital, Plot No.2, Sai Nagar, Anand Mahal to Adajan Gam Road, Adajan, Surat, Gujarat, 395009, India

    Nehal Patel & Pooja Patel

  2. Oral and Maxillofacial Prosthodontics, Nuface Maxillofacial and Dental Hospital, Plot No.2, Sai Nagar, Anand Mahal to Adajan Gam Road, Adajan, Surat, Gujarat, 395009, India

    Anshul Mel

  3. Oral and Maxillofacial Surgery, AOMSI- Fellow 2022 – Orthognathic Surgery, Shri K.P. Sanghvi Hospital, 2/1924, Ring Rd, Lalwadi, Sagrampura, Surat, Gujarat, 395002, India

    Saloni Gupta

Authors
  1. Nehal Patel
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  2. Anshul Mel
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  3. Pooja Patel
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  4. Saloni Gupta
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by NP, AM, PP and SG. The first draft of the manuscript was written by Dr. NP, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Saloni Gupta.

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The authors declare that they do not have any commercial or associative interest that represents a conflict of interest in connection with the work submitted.

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Patel, N., Mel, A., Patel, P. et al. Role of Temporomandibular Total Joint Replacement in Correction of Facial Deformities. J. Maxillofac. Oral Surg. 22, 1072–1077 (2023). https://doi.org/10.1007/s12663-023-02023-1

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  • DOI: https://doi.org/10.1007/s12663-023-02023-1

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