DOI:

10.37988/1811-153X_2025_2_98

Bilateral total temporomandibular joint (TMJ) replacement in a patient with post-traumatic deforming TMJ osteoarthritis and occlusal relationship deformity: A clinical case

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Authors

  • S.Yu. Ivanov 1, 2, Russian Academy of Science corresponding member, Doctor of Science in Medicine, full professor of the Maxillofacial surgery Department; full professor of the Maxillofacial surgery and surgical dentistry Department
    ORCID: 0000-0001-5458-0192
  • A.D. Sviridenko 1, PhD in Medical Sciences, assistant professor of the Maxillofacial surgery Department
    ORCID: 0000-0002-5547-1892
  • D.Yu. Milyukova 1, PhD in Medical Sciences, associate professor of the Maxillofacial surgery Department
  • A.M. Gusarov 1, PhD in Medical Sciences, associate professor of the Maxillofacial surgery Department
    ORCID: 0000-0002-6583-4685
  • P.P. Soloshenkov 1, assistant at the Maxillofacial surgery Department, head of the surgical ward
    ORCID: 0000-0002-3844-0082
  • O.T. Zangieva 3, PhD in Medical sciences, associate professor of the Maxillofacial surgery and dentistry Department
    ORCID: 0000-0001-7294-5247
  • 1 Sechenov University, 119991, Moscow, Russia
  • 2 RUDN University, 117198, Moscow, Russia
  • 3 Pirogov National Medical & Surgical Center, 105203, Moscow, Russia

Abstract

The purpose of the study is to demonstrate an integrated approach to the rehabilitation of a patient with ankylosis, traumatic deformation of the condylar processes of the mandible and malocclusion by introducing into the standard protocol elements of cephalometric analysis in planning the position of the mandible.
Materials and methods.
Patient 55 years old with a bilateral intracapsular crushed fracture of the articular heads, right and left condylar processes of the lower jaw with displacement of bone fragments, unstable, pathological bite, absence of teeth 1.5, 2.6, 3.6, 3.7, 4.6, and 4.7.
Results.
The first stage involved bilateral extraction of the articular heads and condylar processes of the lower jaw by resection of incorrectly consolidated bone fragments using resection templates. Then the splint was placed and the artificial articular fossa made of PEEK and articular heads made of titanium were fixed using titanium miniscrews. To restore the physiological bite, the second stage (after 30 days) orthopedic treatment was carried out using an occlusal splint to register the bite, dental implants and all-ceramic crowns.
Conclusion.
The obtained treatment result indicates the significant role of computer planning and normalization of physiological occlusion when carrying out reconstructive interventions for fractures in the area of the condylar processes in complex forms of malocclusion.

Key words:

fracture of the lower jaw, endoprosthetics of the temporomandibular joint, fracture of the condylar process, treatment, quality of life

For Citation

[1]
Ivanov S.Yu., Sviridenko A.D., Milyukova D.Yu., Gusarov A.M., Soloshenkov P.P., Zangieva O.T. Bilateral total temporomandibular joint (TMJ) replacement in a patient with post-traumatic deforming TMJ osteoarthritis and occlusal relationship deformity: A clinical case. Clinical Dentistry (Russia).  2025; 28 (2): 98—102. DOI: 10.37988/1811-153X_2025_2_98

References

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Received

March 26, 2024

Accepted

May 25, 2025

Published on

July 5, 2025