Long-term study of temporomandibular joint surgery with alloplastic implants compared with nonimplant surgery and nonsurgical rehabilitation for painful temporomandibular joint disc displacement

Evaluation of Surgically Retrieved Temporomandibular Joint Alloplastic Implants: Pilot Study

“…22,26,27,29,38 In the late 1980s, Proplast/Teflon® TMJ IP were found to brake or be rejected in many patients, because of the high biomechanical forces placed on them. 20,21,25,33,36,[39][40][41][42] The breakdown lead to production of fragmented particles which resulted in an immune foreign body response 21,25,39-42 , causing problems ranging from severe cutaneous inflammatory reaction in the pre-auricular and cheek areas 43 ; to severe degenerative joint disease with resorption and erosion of the TMJ bony structures, perforation into the middle cranial fossa 44,45,46 , chronic pain, increased joint noises, TMJ hypomobility, and malocclusion. The result was a dramatic clinical spectrum of failures for these implants.…”

A monolateral TMJ replacement under intraoral endoscopic assistance for jaw osteomielitis: a modified approach

“…Success rate for total alloplastic TMJ replacement devices has been reported to be 84-91% (8,9). The goal of any alloplastic joint replacement is the functional restoration whilst the pain reduction may be a secondary benefit (10,11). Even this procedure is commonly used, the literature reports several complications.…”

TMD and pregnancy?

“…Sometimes assistance is even needed to get the jaw closed and that can result in pain and soreness for days, or even weeks. The fear of this scary event happening again is very stressful [9]. As the levels of relaxin and estrogen increases throughout pregnancy, laxity of the temporomandibular joint may increase and there may be a tendency to TMD.…”