Treatment of a Class 2 Skeletal Malocclusion with Degenerative Arthritis of the Condyles Using Custom-made Temporomandibular Joint Replacements and Genioplasty. (March 2017)

• Record Type: Journal Article
• Authors: Webster, Kersten; McIntyre, Grant; Laverick, Sean; McLoughlin, Philip; Tothill, Catherine
• Is Part Of: Journal of orthodontics. Volume 44:Number 1(2017)
• Page Start: 55
• Page End: 58
• Publication Date: 2017-03
• Subjects: TMJ -- JIA -- class 2 -- TMJR -- orthognathic -- temporomandibular joint replacement; Orthodontics -- Periodicals; 617.643005
• DOI: 10.1080/14653125.2016.1275441
• Languages: English
• ISSNs: 1465-3125

Abstract

This case report presents the use of custom-made temporomandibular joint prostheses in the treatment of a class 2 malocclusion secondary to juvenile idiopathic arthritis. The patient had degeneration of the mandibular condyles with associated arthropathy and dentofacial deformity. Conventional orthognathic treatment was considered, but would not address the arthropathy. The orthognathic movements were accounted for in the design of the prosthesis and the patient's arthralgia, functional limitations and aesthetics were addressed.