Virtual Surgical Planning for Temporomandibular Joint Reconstruction with Stock TMJ Prostheses: Pilot Study
The temporomandibular joint (TMJ) is one of the most complex joints in the human anatomy. In advanced degenerative stages, conservative or minimally invasive surgical therapies have failed to restore joint function, and joint replacement with prostheses has been required. Stock prostheses, compared...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-02-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/60/2/339 |
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| author | José Luis del Castillo Pardo de Vera José Luis Cebrián Carretero Íñigo Aragón Niño Marta María Pampín Martínez José Tadeo Borjas Gómez Ignacio Navarro Cuéllar Ana María López López Estela Gómez Larren Carlos Navarro Vila Pablo Montes Fernández-Micheltorena Álvaro Pérez Sala Carlos Navarro Cuéllar |
| author_facet | José Luis del Castillo Pardo de Vera José Luis Cebrián Carretero Íñigo Aragón Niño Marta María Pampín Martínez José Tadeo Borjas Gómez Ignacio Navarro Cuéllar Ana María López López Estela Gómez Larren Carlos Navarro Vila Pablo Montes Fernández-Micheltorena Álvaro Pérez Sala Carlos Navarro Cuéllar |
| author_sort | José Luis del Castillo Pardo de Vera |
| collection | DOAJ |
| description | The temporomandibular joint (TMJ) is one of the most complex joints in the human anatomy. In advanced degenerative stages, conservative or minimally invasive surgical therapies have failed to restore joint function, and joint replacement with prostheses has been required. Stock prostheses, compared to custom-made prostheses, are much less expensive and require less pre-operative preparation time. Four patients followed for years for temporomandibular dysfunction and previously operated on by arthroscopy or open joint surgery that have been reconstructed with stock TMJ prostheses (STMJP) through virtual surgical planning (VSP) and an STL model with surgical and positioning guides were included. The median follow-up was 15 months; the median number of previous TMJ surgeries was 2. The mean preoperative MIO was 24.6 mm and at longest follow-up was 36.4 mm. The median preoperative TMJ pain score was 8, and the median postoperative TMJ pain was 3. All patients have improved their mandibular function with a clear improvement of their initial situation. In conclusion, we believe that stock TMJ prostheses with virtual surgical planning and surgical guides are a good alternative for TMJ reconstruction at the present time. Nonetheless, prospective and randomized trials are required with long-term follow up to assess their performance and safety. |
| first_indexed | 2024-03-07T22:21:40Z |
| format | Article |
| id | doaj.art-5493f6a0752b44f2a534f76bcaad16fb |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-07T22:21:40Z |
| publishDate | 2024-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-5493f6a0752b44f2a534f76bcaad16fb2024-02-23T15:26:48ZengMDPI AGMedicina1010-660X1648-91442024-02-0160233910.3390/medicina60020339Virtual Surgical Planning for Temporomandibular Joint Reconstruction with Stock TMJ Prostheses: Pilot StudyJosé Luis del Castillo Pardo de Vera0José Luis Cebrián Carretero1Íñigo Aragón Niño2Marta María Pampín Martínez3José Tadeo Borjas Gómez4Ignacio Navarro Cuéllar5Ana María López López6Estela Gómez Larren7Carlos Navarro Vila8Pablo Montes Fernández-Micheltorena9Álvaro Pérez Sala10Carlos Navarro Cuéllar11Oral and Maxillofacial Surgery Department, University Hospital La Paz, Paseo de la Castellana, 261, 28046 Madrid, SpainOral and Maxillofacial Surgery Department, University Hospital La Paz, Paseo de la Castellana, 261, 28046 Madrid, SpainOral and Maxillofacial Surgery Department, University Hospital La Paz, Paseo de la Castellana, 261, 28046 Madrid, SpainOral and Maxillofacial Surgery Department, University Hospital La Paz, Paseo de la Castellana, 261, 28046 Madrid, SpainOral and Maxillofacial Surgery Department, University Hospital La Paz, Paseo de la Castellana, 261, 28046 Madrid, SpainOral and Maxillofacial Surgery Department, University Hospital Gregorio Marañón, C/Dr. Esquerdo 46, 28007 Madrid, SpainOral and Maxillofacial Surgery Department, University Hospital Gregorio Marañón, C/Dr. Esquerdo 46, 28007 Madrid, SpainOral and Maxillofacial Surgery Department, University Hospital Gregorio Marañón, C/Dr. Esquerdo 46, 28007 Madrid, SpainOral and Maxillofacial Surgery Department, University Hospital Gregorio Marañón, C/Dr. Esquerdo 46, 28007 Madrid, SpainOral and Maxillofacial Surgery Department, University Hospital San Pedro, C/Piqueras 98, 26006 Logroño, SpainOral and Maxillofacial Surgery Department, University Hospital San Pedro, C/Piqueras 98, 26006 Logroño, SpainOral and Maxillofacial Surgery Department, University Hospital Gregorio Marañón, C/Dr. Esquerdo 46, 28007 Madrid, SpainThe temporomandibular joint (TMJ) is one of the most complex joints in the human anatomy. In advanced degenerative stages, conservative or minimally invasive surgical therapies have failed to restore joint function, and joint replacement with prostheses has been required. Stock prostheses, compared to custom-made prostheses, are much less expensive and require less pre-operative preparation time. Four patients followed for years for temporomandibular dysfunction and previously operated on by arthroscopy or open joint surgery that have been reconstructed with stock TMJ prostheses (STMJP) through virtual surgical planning (VSP) and an STL model with surgical and positioning guides were included. The median follow-up was 15 months; the median number of previous TMJ surgeries was 2. The mean preoperative MIO was 24.6 mm and at longest follow-up was 36.4 mm. The median preoperative TMJ pain score was 8, and the median postoperative TMJ pain was 3. All patients have improved their mandibular function with a clear improvement of their initial situation. In conclusion, we believe that stock TMJ prostheses with virtual surgical planning and surgical guides are a good alternative for TMJ reconstruction at the present time. Nonetheless, prospective and randomized trials are required with long-term follow up to assess their performance and safety.https://www.mdpi.com/1648-9144/60/2/339stock TMJ prosthesis3D virtual surgical planningCAD/CAM surgical guidesTMJ reconstruction |
| spellingShingle | José Luis del Castillo Pardo de Vera José Luis Cebrián Carretero Íñigo Aragón Niño Marta María Pampín Martínez José Tadeo Borjas Gómez Ignacio Navarro Cuéllar Ana María López López Estela Gómez Larren Carlos Navarro Vila Pablo Montes Fernández-Micheltorena Álvaro Pérez Sala Carlos Navarro Cuéllar Virtual Surgical Planning for Temporomandibular Joint Reconstruction with Stock TMJ Prostheses: Pilot Study Medicina stock TMJ prosthesis 3D virtual surgical planning CAD/CAM surgical guides TMJ reconstruction |
| title | Virtual Surgical Planning for Temporomandibular Joint Reconstruction with Stock TMJ Prostheses: Pilot Study |
| title_full | Virtual Surgical Planning for Temporomandibular Joint Reconstruction with Stock TMJ Prostheses: Pilot Study |
| title_fullStr | Virtual Surgical Planning for Temporomandibular Joint Reconstruction with Stock TMJ Prostheses: Pilot Study |
| title_full_unstemmed | Virtual Surgical Planning for Temporomandibular Joint Reconstruction with Stock TMJ Prostheses: Pilot Study |
| title_short | Virtual Surgical Planning for Temporomandibular Joint Reconstruction with Stock TMJ Prostheses: Pilot Study |
| title_sort | virtual surgical planning for temporomandibular joint reconstruction with stock tmj prostheses pilot study |
| topic | stock TMJ prosthesis 3D virtual surgical planning CAD/CAM surgical guides TMJ reconstruction |
| url | https://www.mdpi.com/1648-9144/60/2/339 |
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