Total alloplastic temporomandibular joint reconstruction combined with orthodontic treatment in a patient with idiopathic condylar resorption

Alloplastic total temporomandibular joint replacement using stock prosthesis: a one-year follow-up report of two cases

“…On the other hand, Westermark15 reported more than 34 mm mouth opening and improved masticatory activity and pain as a result of a 2 to 8 years' follow-up survey among 12 patients (5 unilateral replacements and 7 bilateral replacements) who underwent replacement using stock prosthesis10. Stock prosthesis minimizes the need for a complex process of three-dimensional model production and offers cheaper cost of operation than customized prosthesis.…”

Orthognathic surgery of temporomandibular disorders

“…In cases of severe condylar resorption showing few remained condylar process, severe mandibular retrusion, anterior open bite, or severe CO-CR discrepancy, it is not only difficult to locate the condylar head during orthognathic surgery, but it is also expected that recurrence of condylar resorption will proceed after surgery. The surgeon should consider orthognathic surgery combined with alloplastic total joint replacement in these cases 5 . In addition, many of these patients have sleep disorders due to a narrow airway space by mandibular retrusion, so sleep evaluation through polysomnography is necessary before surgery.…”

The Role of Orthodontics in Idiopathic Condylar Resorption: A Literature Review

“…In general, the treatment objectives for ICR are to relieve joint pain, establish ideal joint function, correct the anterior openbite malocclusion, and improve facial esthetics [8]. Consistent among several articles reviewed was the emphasis placed on the importance of waiting to begin invasive treatment until after the active resorption had ceased, unless the purpose of treatment is to halt the progression of ICR [4,9].…”

“…Conservative options presented in case reports included an occlusal splint and pain medication with or without conventional orthodontics to camouflage the esthetic changes and correct the class II malocclusion and anterior overbite [8]. Additionally, nonsteroidal anti-inflammatory drugs, therapeutic exercises, intraarticular space steroid injections, and Vitamin D and calcium supplementation to increase bone density during the active resorption stage may be recommended [2,10].…”

“…Other noninvasive treatment options can include exercise, manual therapy, and relaxation training [9]. While nonsurgical, conservative options aim to achieve pain relief and remission of pathological changes first, orthodontic therapy can provide improvements in occlusion but is limited in its ability to drastically improve facial esthetics [8].…”