Linked Life Data

12767873

Source:http://linkedlifedata.com/resource/pubmed/id/12767873

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2003-5-27
pubmed:abstractText
This prospective study evaluated the 5 to 8 year subjective and objective results of 42 consecutive patients who had TMJ reconstruction using the TMJ Concepts/Techmedica custom made total joint prosthesis. Criteria for use of the prosthesis included the following TMJ conditions: (1) multiply operated, (2) previous alloplastic implants, (3) osteoarthritis, (4) inflammatory or resorptive arthritis, (5) connective tissue or autoimmune disease, (6) ankylosis, and (7) absent or deformed structures. Thirty-eight of 42 patients (90%) with 69 TMJs reconstructed using the TMJ Concepts/Techmedica total joint prosthesis had appropriate data for inclusion in the study. The average age at surgery was 36 years and average follow-up was 73.5 months. The entire group and three subgroups were objectively evaluated for incisal opening, lateral excursions, and occlusal stability, while subjectively assessed for pain and jaw function. Paired t-test and comparison analyses were used to assess outcomes. For the group of 38 patients, there was statistically significant improvement in incisal opening (P=0.001), jaw function (P=0.001), and pain level (P=0.0001). Lateral excursion movements significantly decreased (P=0.04). The occlusion remained stable in all cases. Complications occurred in six patients. Comparison analysis of the three groups demonstrated significantly better outcomes for patients with fewer previous TMJ surgeries and without exposure to Proplast-Teflon or Silastic TMJ implants. This study demonstrated that the TMJ Concepts/Techmedica total joint prosthesis is a viable technique for TMJ reconstruction as a primary procedure and for patients with previous multiple TMJ surgeries and mutilated anatomy of the TMJ.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
D
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
0901-5027
pubmed:author
pubmed:issnType
Print
pubmed:volume
32
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
268-74
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:12767873-Adolescent, pubmed-meshheading:12767873-Adult, pubmed-meshheading:12767873-Arthroplasty, Replacement, pubmed-meshheading:12767873-Chromium Alloys, pubmed-meshheading:12767873-Dimethylpolysiloxanes, pubmed-meshheading:12767873-Female, pubmed-meshheading:12767873-Follow-Up Studies, pubmed-meshheading:12767873-Humans, pubmed-meshheading:12767873-Joint Prosthesis, pubmed-meshheading:12767873-Male, pubmed-meshheading:12767873-Middle Aged, pubmed-meshheading:12767873-Oral Surgical Procedures, pubmed-meshheading:12767873-Polyethylene, pubmed-meshheading:12767873-Polytetrafluoroethylene, pubmed-meshheading:12767873-Proplast, pubmed-meshheading:12767873-Prosthesis Design, pubmed-meshheading:12767873-Reoperation, pubmed-meshheading:12767873-Silicones, pubmed-meshheading:12767873-Temporomandibular Joint, pubmed-meshheading:12767873-Temporomandibular Joint Disorders, pubmed-meshheading:12767873-Titanium
pubmed:year
2003
pubmed:articleTitle
TMJ Concepts/Techmedica custom-made TMJ total joint prosthesis: 5-year follow-up study.
pubmed:affiliation
Dept of Oral and Maxillofacial Surgery, Baylor University Medical Center, Baylor College of Dentistry, Texas A & M University System, Dallas, TX, USA. lwolford@swbell.net
pubmed:publicationType
Journal Article, Clinical Trial