Indications for application of alloplastic total temporomandibular joint replacement (TJR) are multifaceted and vary from case to case and it is imperative for the clinician to understand all the contemporary approaches and literature when considering the appropriate treatment, which might require the involvement of TJR. The proper diagnosis must be supported by the necessary studies, including TMJ MRI, CBCT and clinical findings. The correct option and timing of surgery is paramount to the long-term success of each case. Tailored treatment planning will be discussed in conjunction with cutting edge digital workflow to increase success and predictability of the surgical and stable orthodontic outcomes. In this lecture, the pathophysiology of the most common disorders such as juvenile idiopathic arthritis, idiopathic condylar resorption, psoriatic arthritis, and other condylar resorption related pathologies will be discussed along with trauma and ankylosis.
Learning Objectives:
After this session, attendees will be able to:
Appreciate the appropriate use of clinical and radiographic (CT and MRI) evaluation for diagnosis of various TMJ pathologies.
Evaluate the surgical possibilities in conjunction with TJR while assessing function, airway, bite, and facial profile.
Outline the non-surgical or minimally invasive options available prior to considering recommending TJR for their patients.
