Stock versus custom-made joint prostheses for total temporomandibular joint reconstruction

Elhawary, Mohamed Salah; Beheiri, Galal; Khashaba, Mohammed; Noman, Samer Mohamed; Shindy, Mostafa Ibrahim

doi:10.21608/edj.2023.245373.2762

	Stock versus custom-made joint prostheses for total temporomandibular joint reconstruction
Egyptian Dental Journal
Volume 70, Issue 1 - Serial Number 2, January 2024, Page 75-84 PDF (3.21 MB)
Document Type: Original Article
DOI: 10.21608/edj.2023.245373.2762
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Authors
Mohamed Salah Elhawary ¹; Galal Beheiri ²; Mohammed Khashaba ³; Samer Mohamed Noman ⁴; Mostafa Ibrahim Shindy ⁵
¹Lecturer in Oral and Maxillofacial Surgery Department, Nahda University
²Professor in Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Cairo University
³Assistant Professor in Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Cairo University
⁴Lecturer in Oral and Maxillofacial Surgery Department, Faculty of Dentistry, sana University in Yemen
⁵Assistant Professor of Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Cairo University
Abstract
Aim: the current study aimed to evaluate the custom-made joints are superior to the ready-made joints regarding the post operative mouth opening following the joint replacement surgery. Methodology: The study was performed on 14 patients(26 joints) indicated for total joint replacement surgery. Patients randomized into two groups; Group 1: (Study Group) Consisting of 7 patients (13 joints), custom made total joint prothesis have been used. Group 2:(Control Group) Consisting of 7 patients (13 joints), ready-made total joint prothesis have been used, post operative pain levels and maximum inter incisal mouth opening have been evaluated. . Result: All patients expressed satisfaction with the functional outcome and reduction of pain. There were statistically significance differences between the preoperative and post operative outcomes, while there were no statistically significant differences between the two groups, both types of the joints provide the same degree of improvement. Conclusion: The results concluded that custom made total joint replacements are not superior to ready-made total joint prosthesis regarding the post operative inter incisal mouth opening but provide better surgical experience regarding the reduced intra operative time and simplicity of the fixation.
Keywords
KEYWORDS: temporomandibular joint replacement; custom made total joint; ready-made total joint; stock joint prosthesis


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