Martínez HEA, Hernández CJR, Flores GR

Language: Spanish
References: 11
Page: 235-239
PDF size: 454.84 Kb.

ABSTRACT

Introduction: The success of the joint replacement surgery of the temporomandibular joint requires a careful planning, reasonable expectations of the patient and an adequate surgical technique, physical therapy, the interdisciplinary treatment it’s essential and continuous monitoring of the patient. Material and methods: Case report of a 14-year-old female patient with skeletal class III malocclusion, dolichofacial biotype, concave profile, class III right canine and molar, left class canine and molar not analysable, anterior crossbite and posterior left crossbite. Objectives: Correction of facial asymmetry, right condyle osteoma removal as well as the placement of alloplastic prosthesis in the same condyle. Results: They were obtained class I molar and canine, correction of laterognathia, coincidence of middle lines, adequate overbite horizontally and vertically and proportionate thirds. Conclusion: The complete reconstruction of the temporomandibular joint with the alloplastic prosthesis with the Lorenz system presents excellent aesthetic and functional results.

REFERENCES

1. Woldenberg Y, Nash M, Bodner L. Peripheral osteoma of the maxilofacial region. Diagnosis and management: a study of 14 cases. Med Oral Patol Cir Bucal. 2005; 10: E139-142.

2. Sayan NB, Uçok C, Karasu HA, Günhan O. Peripheral osteoma of the oral and maxilofacial region: a study of 35 new cases. J Oral Maxillofac Surg. 2002; 1299-1301.

3. Rodriguez Y, Baena R, Rizzo S, Fiandrino G, Lupi S, Galioto S. Mandibular traumatic peripheral osteoma: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011; 112 (6): e44-48.

4. Corea DC. Reemplazo total de la articulación temporomandibular con prótesis aloplásticas estándar. Univ Odontol. 2012; 31 (67): 57-69.

5. Park J, Keller EE, Reid KI. Surgical management of advanced degenerative arthritis of temporomandibular joint with metal fossa-hemijoint replacement prosthesis: an 8-year retrospective pilot study. J Oral Maxillofac Surg. 2004; 62: 320-328.

6. Goizueta Adamen C. Reconstrucción de la articulación temporomandibular: prótesis aloplástica. Rev Esp Cir Oral Maxilofac. 2005; 27: 7-14.

7. Ramírez SH, Goñi EI, Contreras RD, Zúñiga RS, Vargas DA, Vásquez BM y cols. Cirugía reconstructiva de la articulación temporomandibular. Rev Chilena de Cirugía. 2013; 65 (1): 85-93.

8. Garcia A, Morey MA, Ramos M, Janeiro S, Molina BI, Iriarte JI. Reconstrucción de la articulación temporomandibular postraumática con prótesis a medida. Rev Esp Cir Oral Maxilofac. 2011; 33 (2): 53-60.

9. Wolford LG, Wolford LM, Sanders B, Dean White R, Giobbie-Hunder A. Long-term follow-up of the CAD/CAM patient fitted total temporomandibular joint reconstruction system. J Oral Maxillofac Surg. 2002; 60: 1440-1448.

10. Mercuri LG. The TMJ concepts patient fitted total temporomandibular joint reconstruction prosthesis. Oral Maxillofac Surg Clin Am. 2000; 12: 73-91.

11. Freeman BS, Kilgo M, Coleman III JJ. Craniofacial reconstruction with computer generated patient-matched HTR implants. Plast Surg. 2002;