Persistent Pain Following Proplast-Teflon Implants of the Temporomandibular Joint: A Case Report and 35-Year Management Perspective
Roxanne Bavarian,1,2 Michael E Schatman,3,4 David A Keith1,2 1Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, Boston, MA, USA; 2Department of Oral and Maxillofacial Surgery, Harvard School of Dental Medicine, Boston, Ma, USA; 3Department of Anesthesiology, Perioperative...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2021-09-01
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| Series: | Journal of Pain Research |
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| Online Access: | https://www.dovepress.com/persistent-pain-following-proplast-teflon-implants-of-the-temporomandi-peer-reviewed-fulltext-article-JPR |
| _version_ | 1818621708789088256 |
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| author | Bavarian R Schatman ME Keith DA |
| author_facet | Bavarian R Schatman ME Keith DA |
| author_sort | Bavarian R |
| collection | DOAJ |
| description | Roxanne Bavarian,1,2 Michael E Schatman,3,4 David A Keith1,2 1Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, Boston, MA, USA; 2Department of Oral and Maxillofacial Surgery, Harvard School of Dental Medicine, Boston, Ma, USA; 3Department of Anesthesiology, Perioperative Care, & Pain Medicine, NYU School of Medicine, New York, NY, USA; 4School of Social Work, North Carolina State University, Raleigh, NC, USACorrespondence: David A KeithDepartment of Oral and Maxillofacial Surgery, Massachusetts General Hospital, 55 Fruit St, Boston, MA, 02114, USATel +1 617 643-1425Fax +1 617 726-2814Email dkeith@mgh.harvard.eduAbstract: Over three decades ago, hundreds of predominantly young women with temporomandibular joint pain and other symptoms were implanted with a prosthetic device composed of Proplast-Teflon that subsequently caused considerable harm, with patients developing chronic pain, dysfunction, and disability. This perspective review presents such a patient who suffered for decades with severe pain despite extensive pharmacotherapy, injection therapy, multiple surgeries, and behavioral health interventions. The details of the origin and subsequent events regarding the use of Proplast-Teflon interpositional implants in the temporomandibular joint are described with resources from several different perspectives. The lessons learned demonstrate failures at the federal, professional, and individual level.Keywords: Proplast-Teflon, implants, temporomandibular joint surgery, temporomandibular joint replacement, risk management, medicolegal, chronic pain |
| first_indexed | 2024-12-16T18:13:34Z |
| format | Article |
| id | doaj.art-2d1f4d8604c4427c9de793d899bc2b13 |
| institution | Directory Open Access Journal |
| issn | 1178-7090 |
| language | English |
| last_indexed | 2024-12-16T18:13:34Z |
| publishDate | 2021-09-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Journal of Pain Research |
| spelling | doaj.art-2d1f4d8604c4427c9de793d899bc2b132022-12-21T22:21:42ZengDove Medical PressJournal of Pain Research1178-70902021-09-01Volume 143033304669203Persistent Pain Following Proplast-Teflon Implants of the Temporomandibular Joint: A Case Report and 35-Year Management PerspectiveBavarian RSchatman MEKeith DARoxanne Bavarian,1,2 Michael E Schatman,3,4 David A Keith1,2 1Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, Boston, MA, USA; 2Department of Oral and Maxillofacial Surgery, Harvard School of Dental Medicine, Boston, Ma, USA; 3Department of Anesthesiology, Perioperative Care, & Pain Medicine, NYU School of Medicine, New York, NY, USA; 4School of Social Work, North Carolina State University, Raleigh, NC, USACorrespondence: David A KeithDepartment of Oral and Maxillofacial Surgery, Massachusetts General Hospital, 55 Fruit St, Boston, MA, 02114, USATel +1 617 643-1425Fax +1 617 726-2814Email dkeith@mgh.harvard.eduAbstract: Over three decades ago, hundreds of predominantly young women with temporomandibular joint pain and other symptoms were implanted with a prosthetic device composed of Proplast-Teflon that subsequently caused considerable harm, with patients developing chronic pain, dysfunction, and disability. This perspective review presents such a patient who suffered for decades with severe pain despite extensive pharmacotherapy, injection therapy, multiple surgeries, and behavioral health interventions. The details of the origin and subsequent events regarding the use of Proplast-Teflon interpositional implants in the temporomandibular joint are described with resources from several different perspectives. The lessons learned demonstrate failures at the federal, professional, and individual level.Keywords: Proplast-Teflon, implants, temporomandibular joint surgery, temporomandibular joint replacement, risk management, medicolegal, chronic painhttps://www.dovepress.com/persistent-pain-following-proplast-teflon-implants-of-the-temporomandi-peer-reviewed-fulltext-article-JPRproplast teflonimplantstemporomandibular joint surgerytemporomandibular joint replacementrisk managementmedicolegalchronic pain |
| spellingShingle | Bavarian R Schatman ME Keith DA Persistent Pain Following Proplast-Teflon Implants of the Temporomandibular Joint: A Case Report and 35-Year Management Perspective Journal of Pain Research proplast teflon implants temporomandibular joint surgery temporomandibular joint replacement risk management medicolegal chronic pain |
| title | Persistent Pain Following Proplast-Teflon Implants of the Temporomandibular Joint: A Case Report and 35-Year Management Perspective |
| title_full | Persistent Pain Following Proplast-Teflon Implants of the Temporomandibular Joint: A Case Report and 35-Year Management Perspective |
| title_fullStr | Persistent Pain Following Proplast-Teflon Implants of the Temporomandibular Joint: A Case Report and 35-Year Management Perspective |
| title_full_unstemmed | Persistent Pain Following Proplast-Teflon Implants of the Temporomandibular Joint: A Case Report and 35-Year Management Perspective |
| title_short | Persistent Pain Following Proplast-Teflon Implants of the Temporomandibular Joint: A Case Report and 35-Year Management Perspective |
| title_sort | persistent pain following proplast teflon implants of the temporomandibular joint a case report and 35 year management perspective |
| topic | proplast teflon implants temporomandibular joint surgery temporomandibular joint replacement risk management medicolegal chronic pain |
| url | https://www.dovepress.com/persistent-pain-following-proplast-teflon-implants-of-the-temporomandi-peer-reviewed-fulltext-article-JPR |
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