Concomitant Temporomandibular Joint Replacement and Orthognathic Surgery.

The treatment of patients with severe temporomandibular joint (TMJ) disorders and associated skeletal discrepancies presents a complex challenge for oral and maxillofacial surgeons. It is widely recognized that TMDs can impact the stability and outcomes of surgical treatments for dentofacial deformities. Consequently, addressing TMDs prior to or in conjunction with orthodontic or surgical interventions may be necessary to achieve optimal and long-lasting results.

Most Facial Fractures Do Not Require Surgical Intervention.

Purpose: Literature describing the number of patients that had a facial fracture that required surgical intervention in the United States is very limited. The purpose of this study was to evaluate the percentage of patients who required surgical intervention after presenting to a Level 1 Trauma Center with 1 or more facial fractures.

Materials And Methods: This was a retrospective cross-sectional study of all patients who presented with facial fracture(s) to University Hospital, a Level 1 Trauma Center (San Antonio, Texas), over a 5-year period from July 2015 to July 2020.

Outcomes of total joint alloplastic reconstruction in TMJ ankylosis.

Objective: The purpose of this study was to evaluate subjective and objective outcomes in patients with temporomandibular joint (TMJ) ankylosis treated with TMJ alloplastic reconstruction (TMJR).

Study Design: All patients diagnosed with TMJ ankylosis that underwent TMJR at our institution between 2010 and 2019 were retrospectively reviewed. Patients were divided into 2 cohorts: bony and fibrous ankylosis.

Sagittal reduction genioplasty: Technical note.

Without a doubt, the chin plays an important role on facial harmony. Both position and shape of the chin can significantly affect the facial profile. Genioplasty is a relatively simple surgical procedure that allows to correct deformities associated to the chin area.

Comparison of the Accuracy of Maxillary Positioning With Interim Splints Versus Patient-Specific Guides and Plates in Executing a Virtual Bimaxillary Surgical Plan.

Purpose: An extension of digital technology is to provide patient-specific hardware to reposition the first jaw in a bimaxillary case without the use of an intermediate splint. The purpose of our study was to determine if there were significant differences in maxillary repositioning using interim splints versus patient-specific guides and implants (PSIs) in executing a bimaxillary virtual surgical plan (VSP).

Materials And Methods: This is a retrospective cohort study of patients who underwent bimaxillary orthognathic surgery with interim splints or PSIs planned with VSP at our institution.

A Minimally Invasive Approach for Temporomandibular Joint Replacement: A Pilot Study.

Temporomandibular joint replacement (TJR) with an alloplastic (metal/ultra-high-molecular-weight polyethylene) device has proven to be a successful and predictable procedure. This paper describes a novel technique for performing TJR with an endaural incision alone. The technique we are describing uses only an endaural incision with supplemental trocar incision(s), to perform a TJR.

Temporomandibular Joint Prosthesis Revision and/or Replacement Survey and Review of the Literature.

Purpose: The purpose of the present study was to report the temporomandibular joint (TMJ) alloplastic reconstruction (TMJR) revision and/or replacement rates and associated complication outcomes data gathered from experienced TMJ surgeons and to review the recent relevant data.

Materials And Methods: A 21-question anonymous on-line survey was sent to all Commission on Dental Accreditation-approved oral and maxillofacial surgery program directors and to members of the European Society of TMJ Surgeons and the American Society of Temporomandibular Joint Surgeons.

Results: Of the surgeons sent the survey, 22% completed the full questionnaire.

Treatment of malocclusion after TMJ disc repositioning with Mitek anchors. A retrospective review.

Objective: Evaluate the outcomes of using Class III elastic mechanics to correct the postsurgical malocclusion produced after temporomandibular joint (TMJ) disc repositioning with the Mitek anchor technique.

Materials And Methods: Retrospective study of 42 patients (72 TMJs) with a Wilkes class II or III internal derangement (ID) that were corrected surgically with Mitek anchors (Mitek Surgical Products, Westwood, MA) for TMJ disc repositioning at the OMS Department, University of Texas Health Science Center at San Antonio.

Results: Immediately post-operatively (T2) 23 of the 42 patients (54%) had immediate malocclusion (bilateral posterior open bite, mandibular deviation, and class III malocclusion) requiring elastics.

Idiopathic Condylar Resorption: A Survey and Review of the Literature.

Purpose: Idiopathic condylar resorption (ICR) is a relatively uncommon condition. Its diagnosis, etiology, and management options are controversial. Furthermore, it is difficult for 1 provider to collect a large cohort of ICR patients to develop a statistically significant study of these concerns.