Maxillofacial - Huntington
7 High Street, Ste 308
Huntington , NY 11743
631-547-8324

Indications for Total Joint Replacement


Joint Failure Signs and Symptoms

  • Pain
  • Noise
  • Altered Range of Motion of the Lower Jaw
  • Severe Bony Changes on CT Scan, MRI or X-ray


Joint Replacement Is Indicated When The Signs and Symptoms Of Joint Failure
Interfere With The Patient's Daily Activities Or Affect The Quality Of Life
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Total TMJ Replacement


Patient Specific Devices Are Constructed On Stereolithgraphic Anatomic Models
The Models Are Generated From A CT Scan Of The Patient

Devices Are Initially Made Of Wax Then Cast In Titanium & Chrome Cobalt
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Case Presentation of Total Joint Replacement

A Patient With Idiopathic Condylar Resorption, A Condition of Unknown Cause, in Which Both TM Joints Have Resorbed or Melted Away

Findings

  • Pain in both joints
  • Grating noise in both joints
  • Both joints resorbed (melted away) on CT scan and x-ray
  • Retruded jaw due to loss of joints
  • Altered bite due to lack of functional joints

Retruded Lower Jaw Due to Loss of Joints

Altered Bite Due to Jaw Retrusion
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Ball of Joints (Yellow) Have Resorbed Leaving Only Stump (Black)

 

Joint Resorption Has Resulted in Open Bite
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Jaw Repositioned On SLA Model And Devices Constructed

To Correct Bite and Replace Joints




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Before Joint Replacement Surgery

After Joint Replacement Surgery


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Well Healed Incisions In Front of Ear and Under Angle of Jaw

1 Year After Joint Replacement Surgery
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X-ray Appearance of Devices After Surgery



 

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6 Years After Total Joint Replacement Surgery