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Updated: Sep 12, 2025

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Eminectomy performed through an innovative digital workflow.

F Melhem-Elias1, B A Q Reis1, N K de Oliveira1

  • 1Department of Oral and Maxillofacial Surgery, School of Dentistry, University of São Paulo, São Paulo, Brazil.

International Journal of Oral and Maxillofacial Surgery
|August 9, 2025
PubMed
Summary
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This study introduces a digital workflow using 3D-printed guides to improve eminectomy for temporomandibular joint (TMJ) dislocation. The innovative approach enhances surgical precision, efficiency, and safety.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Digital Dentistry
  • Surgical Innovation

Background:

  • Recurrent temporomandibular joint (TMJ) dislocation is a condition managed by eminectomy.
  • Traditional eminectomy techniques may lack precision and carry risks to adjacent structures.
  • Advancements in digital technology offer potential improvements in surgical procedures.

Purpose of the Study:

  • To present a novel digital workflow for eminectomy to improve surgical precision and safety.
  • To evaluate the efficiency and safety of digitally planned and 3D-printed surgical guides in eminectomy.
  • To demonstrate the application of this workflow in a patient with recurrent TMJ dislocation and myasthenia gravis.

Main Methods:

  • A digital workflow involving 3D-printed cutting guides and depth templates was designed using specialized software (Dolphin Imaging 11.95).
Keywords:
Computer-assisted surgeryDigital technologyPlanning techniquesTemporomandibular jointThree-dimensional printing

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  • These guides were utilized during bilateral eminectomy performed with a piezoelectric device.
  • Surgical planning considered the patient's medical history of myasthenia gravis.
  • Main Results:

    • The digitally planned instruments facilitated a more precise osteotomy and controlled bone removal.
    • The procedure was more efficient compared to the surgeon's previous eminectomies.
    • The customized guides enhanced surgical safety by protecting adjacent neurovascular structures.

    Conclusions:

    • Digitally planned and 3D-printed surgical guides significantly improve the precision of eminectomy.
    • This digital workflow enhances the efficiency and safety of surgical management for recurrent TMJ dislocation.
    • The presented method represents a valuable advancement in surgical techniques for TMJ disorders.