Thirty-one patients were assessed for changes in pain and maximal mouth opening (MMO) before and after total temporomandibular joint (TMJ) replacement. All prosthetic joint replacements used the Christensen fossa-eminence prosthesis system; 18 were unilateral and 13 bilateral. There were more women (n = 22) than men (n = 9), and their mean age was 45 years (women 46, range 18–74, and men 42, range 28–69). Indications for replacement included osteoarthritis, ankylosis, and “other”. There were overall significant improvements in pain scores for the whole group at one year (95% CI 6.3–8.5 compared with 0.2–3.0) and for women alone (6.5 to 9.2 compared with −0.5 to 2.0). There were also significant improvements in pain scores in both those with osteoarthritis (95% CI 8.1 to 8.9 compared with −0.8 to 3.8) and the group with “other” diagnoses at the 12-month follow-up (95% CI 4.4 to 10.7 compared with −0.2 to 0.5). Finally, there was a significant improvement in MMO in the whole group at the time of 12-month follow-up (95% CI 15.8–23.5 compared with 24.0–32.3).
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- A systematic review of patient self-completed questionnaires suitable for oral and maxillofacial surgery.Br J Oral Maxillofac Surg. 2010; 48: 579-590
- Current thinking in temporomandibular joint management.Br J Oral Maxillofac Surg. 2009; 47: 91-94
- Current status of replacement of the temporomandibular joint in the United Kingdom.Br J Oral Maxillofac Surg. 2009; 47: 37-41
- TheChristensen prosthesis.Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996; 81: 134-135
- Technique of surgery of the mandibular joint.Aust Dent J. 1975; 20: 174-175
- Foreign body response around total prosthetic metal-on-metal replacements of the temporomandibular joint in the UK.Br J Oral Maxillofac Surg. 2008; 46: 288-292
- Temporomandibular joint reconstruction of the complex patient with the Techmedica custom-made total joint prosthesis.J Oral Maxillofac Surg. 1994; 52: 2-10
- Treatment modalities of TMJ ankylosis: experience in Delta Nile, Egypt.Int J Oral Maxillofac Surg. 2010; 39: 333-342
- Treatment of temporomandibular joint ankylosis: gap and interpositional arthroplasty with temporalis muscle flap.Oral Maxillofac Surg. 2009; 13: 207-212
- Considerations for the use of alloplastic temporomandibular joint replacement in the growing patient.J Oral Maxillofac Surg. 2009; 67: 1979-1990
- Ankylosis of the temporomandibular joint.J Craniomaxillofac Surg. 2010; 38: 122-130
- Advances in temporomandibular joint reconstruction.Curr Opin Otolaryngol Head Neck Surg. 2010; 18: 255-260
- Historical development of alloplastic temporomandibular joint replacement after 1945 and state of the art.Int J Oral Maxillofac Surg. 2009; 38: 909-920
Published online: April 04, 2011
Accepted: January 10, 2011
© 2011 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.