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Abstract
We report a series of seven patients with rheumatoid arthritis whose temporomandibular
joints were replaced using the Christensen joint system. Patients were assessed before
and after operation both subjectively (pain and dietary interference) and objectively
(interincisal distance). Patient's satisfaction with the outcome of operation was
also recorded. All patients showed improved visual analogue scores for pain and dietary
interference after their operations and an improvement in interincisal distance was
recorded in five of the patients (the remaining two having had the operation for anterior
open bite). Overall satisfaction was high and no patient has rejected the prosthesis
or had any substantial complications. The mean follow up period is 30 months (range
8–50). We suggest that patients with severe, rheumatoid-induced temporomandibular
disease should be considered for arthroplasty as it is possible to restore some normal
function and appearance.
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Article info
Publication history
Accepted:
October 3,
2000
Received:
February 6,
2000
Identification
Copyright
© 2001 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.
