J Korean Assoc Maxillofac Plast Reconstr Surg.  2010 Mar;32(2):162-167.

A CLINICAL CASE OF ALLOPLASTIC CONDYLE REPLACEMENT WITH CONDYLAR PROSTHESIS IN SEVERE DEGENERATIVE JOINT DISEASE

• Jeon YM
• Kim CH
• Cha JS
• Min KG
• Kwon JJ

Abstract

This is a case report about patient who had suffered from degenerative joint disease and treated by TMJ reconstruction with condylar prosthesis. The patient visited Korea University An-am hospital on 2007 complaining symptom about both TMJ pain, mouth opening limitation and open bite. From CT view there was severe resorption of both condylar head, therefore condylar prosthesis reconstruction was planned. After 3D RP model analysis for preparation, the patient was operated under general anesthesia for condylar prosthesis reconstruction and the symptom was alleviated. (increased mouth opening, reduced anterior open bite, full mouth occlusal contact achieved) Follow up was carried out monthly, but after this, patient refused follow up. After 26 months from the operation, the patient revisited for anterior open bite. In clinical evaluation, occlusal contact was remained, but anterior open bite was relapsed. From cephalometry analysis, severe resorption of glenoid fossa was found. Therefore, Autogenous disc reconstruction with alloplastic material was planned on August 2009. After another surgery, condylar prosthesis was regained its normal position in glenoid fossa, and occlusion was recovered properly.

Keyword

TMJ; Degenerative joint disease; Osteoarthritis; Condylar prosthesis; Condylar resortion

MeSH Terms

Anesthesia, General
Cephalometry
Follow-Up Studies
Head
Humans
Joint Diseases
Joints
Korea
Mouth
Open Bite
Osteoarthritis
Prostheses and Implants
Temporomandibular Joint