This case is an example of a patient with apparent successful total TMJ replacement. With reconstruction of the joints with artificial implants, the loss of posterior ramus height because of complete erosion of the joints, mandibular retrognathia, and severe open bite were corrected. The improved masticatory function, absence of choking, and disappearance of sleep apnea symptoms allowed the patient to resume a more normal life. The patient will continue to be examined periodically, but the current prognosis is favorable.

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