Perioperative, Postoperative, and Prophylactic Use of Antibiotics in Alloplastic Total Temporomandibular Joint Replacement Surgery: A Survey and Preliminary Guidelines

Mercuri, Louis G.; Psutka, David J.

doi:10.1016/j.joms.2011.01.006

Cited by 63 publications

(17 citation statements)

References 30 publications

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“…Infection commonly occurs from skin flora, with oral cavity, nasal cavity, ear canal and hair follicles as possible sites from which contamination may occur. Staphylococcus species are the most commonly associated microorganism with most TMJ surgeons prescribing a week of antibiotics postoperatively ( 25 ). In a review by Wolford et al, postoperative infections involving the TMJ prostheses occurred in 2.5% of the patients and 1.6% of the number of prostheses placed ( 26 ).…”

Section: Complicationsmentioning

confidence: 99%

Alloplastic Reconstruction of the Temporomandibular Joint

Dang¹,

Mehra²

2017

J Istanbul Univ Fac Dent

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Temporomandibular joint reconstruction (TMJR) is often necessary for patients with severe and/or refractory TMJ disease who have failed conservative treatment. TMJR aids to improve masticatory function and is associated with improved quality of life outcomes. Currently, alloplastic reconstruction is considered as the treatment of choice in most severe TMJ disorders due to its many advantages inclusive but not limited to early mobilization, stable longterm results, and significant improvement in jaw function. Broadly speaking, two types of TMJR prostheses are available for reconstruction: 1) stock, and, 2) custommade prostheses. The purpose of this article is to provide the reader with a brief overview of the basic principles and fundamentals of TMJR while referencing pertinent existing literature.

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Section: Complicationsmentioning

confidence: 99%

Alloplastic Reconstruction of the Temporomandibular Joint

Dang¹,

Mehra²

2017

J Istanbul Univ Fac Dent

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“…The stability and inertness of these materials has been proven, with no evidence of foreign body reactions or material complications exhibited thus far. There are significant risks associated with the surgery, such as: facial nerve weakness (temporary or permanent), parasthesia or anaesthesia to the lip or tongue, infection and loosening or dislodgement of the prosthesis components. The risks and benefits must be discussed in full with the patients to determine whether this is the appropriate treatment option for the individual.…”

Section: Discussionmentioning

confidence: 99%

An unusual and severe presentation of rheumatoid arthritis in the temporomandibular joint

et al. 2020

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Rheumatoid arthritis is a common autoimmune inflammatory disease that can present within the temporomandibular joints. The common features include: condylar flattening, reduced joint space and osteophyte formation, resulting in pain, reduced mouth opening and muscle spasm. We present an unusually severe case of rheumatoid arthritis within the temporomandibular joints, leading to extensive erosion of the mandibular fossa resulting in intracranial gas within the middle cranial fossa. There have been no reports to our knowledge of any cases of this severity.

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“…20 Additionally, the reduction in intraoperative time required for the placement of patient-matched prostheses is an important determinant in minimizing surgical site infection after TJR. 21,22 Increased cost is the main disadvantage of patientmatched TMJ TJR. However, it has been postulated that the high cost of patient-matched TMJ TJR is outweighed by the disadvantages of stock device placement, which include the risk of donor site morbidity, the unpredictable nature of autogenous grafting, and the added intraoperative time required.…”

Section: Complications and Revisionsmentioning

confidence: 99%

Temporomandibular joint total replacement using the Zimmer Biomet Microfixation patient-matched prosthesis results in reduced pain and improved function

Boyo

McKay

Lebovic

et al. 2019

Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

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Objective. The aim of this study was to evaluate pain and maximum interincisal opening (MIO) in patients treated with the Zimmer Biomet Microfixation patient-matched alloplastic temporomandibular joint (TMJ) prosthesis. Study Design. We performed a retrospective cohort study of patients who had undergone bilateral or unilateral TMJ total joint replacement (TJR). The primary outcome variables were pain and MIO, which were measured at various time points between 12 and greater than 60 months. Secondary outcomes included perceived masticatory efficiency and patient satisfaction. Results. A total of 33 patients (62 joints) met the inclusion criteria for the study. The relationship between time and the change in pain scores, although significant immediately after surgery in an unadjusted model, was not statistically significant in an adjusted model. A statistically significant improvement between time and MIO was noted in both adjusted and unadjusted models. The majority of patients (91%) reported subjective improvement in their diet. Similarly, 91% of patients felt that TJR was beneficial and, in retrospect, would repeat their decision to undergo TJR. Conclusions. Patients treated with the Zimmer Biomet Microfixation patient-matched TMJ prosthesis experience improvements in pain, MIO, and ability to masticate. Future studies are needed to assess long-term outcomes prospectively. (Oral Surg Oral Med Oral Pathol Oral Radiol 2019;128:572À580)

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Perioperative, Postoperative, and Prophylactic Use of Antibiotics in Alloplastic Total Temporomandibular Joint Replacement Surgery: A Survey and Preliminary Guidelines

Cited by 63 publications

References 30 publications

Alloplastic Reconstruction of the Temporomandibular Joint

Alloplastic Reconstruction of the Temporomandibular Joint

An unusual and severe presentation of rheumatoid arthritis in the temporomandibular joint

Temporomandibular joint total replacement using the Zimmer Biomet Microfixation patient-matched prosthesis results in reduced pain and improved function

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