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Maxillo-mandibular counter-clockwise rotation and mandibular advancement with TMJ Concepts total joint prostheses:
L P Pinto1, L M Wolford, P H Buschang
1Department of Restorative Dentistry, Pharmacology, Dental and Nursing School, Federal University of Ceará, Fortaleza, Brazil.
Abstract:
47 end-stage TMJ patients with high occlusal plane angulation, treated with TMJ custom-fitted total joint prostheses and simultaneous maxillo-mandibular counter-clockwise rotation were evaluated for pain and dysfunction presurgery (T1) and at the longest follow-up (T2). Patients subjectively rated their facial pain/headache, TMJ pain, jaw function, diet and disability. Objective functional changes were determined by measuring maximum interincisal opening (MIO) and laterotrusive movements. Patients were divided according to the number of previous failed TMJ surgeries: Group 1 (0-1), Group 2 (2 or more). Significant subjective pain and dysfunction improvements (37-52%) were observed (
