Total temporomandibular joint reconstruction:
Gespeichert in:
Format: | Buch |
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Sprache: | English |
Veröffentlicht: |
Philadelphia [u.a.]
Saunders
2000
|
Schriftenreihe: | Oral and maxillofacial surgery clinics of North America
12,1 |
Schlagworte: | |
Online-Zugang: | Inhaltsverzeichnis |
Beschreibung: | XII, 163 S. Ill., graph. Darst. |
Internformat
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490 | 1 | |a Oral and maxillofacial surgery clinics of North America |v 12,1 | |
650 | 2 | |a Articulation temporomandibulaire | |
650 | 2 | |a Dent prothétique | |
650 | 2 | |a Troubles de l'articulation temporomandibulaire | |
650 | 4 | |a Dental Prosthesis | |
650 | 4 | |a Temporomandibular Joint Disorders |x therapy | |
650 | 4 | |a Temporomandibular Joint |x anatomy & histology | |
650 | 4 | |a Temporomandibular Joint |x surgery | |
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Datensatz im Suchindex
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adam_text | TOTAL TEMPOROMANDIBULAR JOINT RECONSTRUCTION
CONTENTS
Preface xi
William C. Donlon
Anatomy of the Temporomandibular Joint 1
Michael Koslin
The temporomandibular joint (TMJ) is the articulation of the mandible
and the skull. Although it possesses most characteristics of other synovia!
joints, the TMJ has some unique anatomic and functional characteristics.
This article discusses the anatomy and pathology of the TMJ.
Chronic Temporomandibular Joint Arthralgia 5
Stephen B. Milam
Temporomandibular joint (TMJ) arthralgia results from complex phenom¬
ena involving neural responses to biochemicals and mechanical stresses.
Furthermore, it is envisioned that neural responses to TMJ stimulation are
influenced by generic, hormonal, environmental, and psychosocial factors
that contribute to individual susceptibilities to protracted TMJ pain. This
article provides an overview of mechanisms that may be involved in the
genesis of chronic TMJ arthralgia.
Temporomandibular Joint Biomechanics 27
Gaylord S. Throckmorton
After more than 75 years of study, our understanding of tho qualitative
principles of temporomandibular joint (TMJ) biomechanics is good. But
design of effective TMJ prosthetic replacements requires information about
the quantitative magnitudes of human TMJ forces, and currently such
information is extremely limited. Direct measurement of these magnitudes
in human subjects is impossible, and attempts to calculate them have
resulted in widely varying estimates. Without this important information,
design of optimal total joint prostheses will continue to rely on trial
and error.
ORAL AND MAXILLOFACIAL CLINICS OF NORTH AMERICA
VOLUME 12 • NUMBER 1 • FEBRUARY 2000 Vil
Biomaterial and Orthopedic Considerations in Endoprostheses 43
Jack E. Lemons
The functional aspects of endoprostheses for oral and maxillofacial surgical
reconstruction can be related directly to device biomaterial and biomechan
ical properties, plus experience with orthopedic total joint arthro
plasty surgery. In this article, selected designs are used to emphasize the
roles of size and shape plus the material bulk and surface characteristics
for known clinical applications.
Food and Drug Administration Regulation of
Temporomandibular Joint Implants 57
Carolyn A. Tylenda
Temporomandibular joint prostheses are regulated by the Food and Drug
Administration (FDA) under the medical device regulations. A manufac¬
turer must have an approved premarket approval application in order to
place the devices in commercial distribution, and must follow FDA regula¬
tion on tracking, post market surveillance, registration, and listing require¬
ments.
The Christensen Temporomandibular Prosthesis System: An
Overview 61
David A. Gerard and J.W. Hudson
Most patients with diagnosed temporomandibular disorders can be treated
successfully with nonsurgical means. There is a group of patients for
whom nonsurgical treatment is either unsuccessful or not an option. This
includes patients with arthritis ankylosis, neoplasm, congenital malforma¬
tion, or trauma to the temporomandibular joint (TMJ). Also, a significant
number of patients have undergone prior surgical treatments, often with
teflon/proplast or Silastic, which have failed. The Christensen TMJ pros¬
thesis system has been used as either a partial or total joint allograft for
over 30 years. Evidence from a number of sources indicates that it is safe
and effective in treating this group of patients.
The TMJ Concepts Patient Fitted Total Temporomandibular
Joint Reconstruction Prosthesis 73
Louis G. Mercuri
The TMJ Concepts Patient Fitted Total Temporomandibular Joint Recon¬
struction Prosthesis system marries computer assisted design and com¬
puter aided manufacturing technology with the alloplastic management of
severe, debilitating anatomic TMJ disease in the functionless TMJ patient.
The TMJ reconstruction system is composed of material that have proven
biocompatibility under loads for over 40 years in the orthopedic manage¬
ment of severe peripheral joint disease. After analysis of prospective clini¬
cal and laboratory data accumulated over 10 years, the system received
FDA approval in July 1999 as safe and effective for the following uses:
management of inflammatory arthritis involving the TMJ; recurrent fibrous
or bony ankylosis, not responsive to other modalities of treatment; failed
tissue graft; failed alloplastic joint reconstruction; and loss of vertical
mandibular height or occlusal relationship due to TMJ bone resorption,
trauma, developmental abnormality, or pathologic lesion.
Viii CONTENTS
Lorenz Prosthesis 93
Peter D. Quinn
The 4 year experience with the stock alloplastic temporomandibular joint
prosthesis developed by Lorenz is discussed in this article. The design,
biomaterial concepts, and surgical technique are covered in detail. The
specific advantages, disadvantages, and relative contraindications for the
prosthetic joint system are discussed.
Hoffman Pappas Prosthesis 105
David C. Hoffman and Michael J. Pappas
The Hoffman Pappas Temporomandibular Joint Replacement is a custom
made CAD CAM manufactured device. This total joint replacement is
made of titanium condyle, coated with a thin layer of ceramic (titanium
nitride), and has a titanium backed fossa with a replaceable high molecular
weight polyethylene insert for an articulating surface. The design require¬
ments and rationale are discussed. Surgical technique is well illustrated.
The Groningen Temporomandibular Joint Prosthesis 125
Lambert G.M. de Bont and Jan Paul van Loon
The Groningen temporomandibular joint (TMJ) prosthesis consists of a
titanium zirconiumoxide skull part, a titanium mandibular part with a
zirconiumoxide spherical head, and an intervening polyethylene disc. The
design is based on imitation of anterior condylar translation by an inferi
orly located center of rotation, unrestricted mandibular movements by a
double articulation, correct fit to the skull by a self adjusting skull part
consisting of two connected parts, and stable fixation by bone screws
which are rigidly connected to the prosthesis parts. Tests showed that the
Groningen TMJ prosthesis appears to combine proper functioning with a
low wear rate, the possibility of a close fit to the skull, stable fixation, and
appropriate choice of materials.
Nonprosthetic Reconstructive Options 133
William C. Donlon
In the year 2000, the surgeon is faced with an increasing array of prosthetic
choices, but prudence requires that autogenous and allogeneic alternatives
be considered and used when in the best interest of the patient. This
article discusses nonprosthetic and partial reconstructive options for the
temporomandibular joint.
Complete Replacement of the Temporomandibular Joint with a
Microvascular Transfer of the Second Metatarsal Phalangeal
Joint 139
Eric J. Dierks and Mark J. Buehler
The ideal means of total temporomandibular joint (TMJ) replacement has
yet to be identified. The second metatarsal phalangeal joint offers numer¬
ous advantages for total joint replacement and is the only option that
allows complete replacement of the TMJ with a healthy living joint that is
encased in its own joint capsule. This article describes the technique of
microvascular transfer of the second metatarsal phalangeal joint to replace
the entire TMJ and provides an overview of the authors experience with
this procedure.
CONTENTS i*
Role of Biomimetics in Reconstruction of the
Temporomandibular Joint 149
Stephen E. Feinberg, Scott J. Hollister, John W. Halloran,
T.M. Gabe Chu, and Paul H. Krebsbach
This article presents an image based approach to design and manufacture
of a biomimetic tissue engineered temporomandibular joint (TMJ) condylar
prosthesis. Our vision of a tissue engineered TMJ prosthesis uses a three
dimensional designed and manufactured biodegradable scaffold shaped
similarly to a condylar head and neck, (i.e., a condyle ramus unit [CRU]).
The fabricated CRU scaffold can be constructed such that it will impart
biologic cues to implanted cells placed within its interstices. These biologic
cues should influence scaffold implanted mesenchymal stem cells or bone
marrow stromal cells to form a fibrocartilaginous joint surface or cap, on
top of a bony strut, similar to a costochondral rib graft, which could be
fixated to the mandibular ramus. This new approach to tissue engineering
a TMJ would be advantageous because of its site specific anatomic config¬
uration as well as its potential ability to adapt to the functional forces
placed on it during function.
Index 161
Subscription Information Inside back cover
X CONTENTS
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spelling | Total temporomandibular joint reconstruction William C. Donlon, guest ed. Philadelphia [u.a.] Saunders 2000 XII, 163 S. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Oral and maxillofacial surgery clinics of North America 12,1 Articulation temporomandibulaire Dent prothétique Troubles de l'articulation temporomandibulaire Dental Prosthesis Temporomandibular Joint Disorders therapy Temporomandibular Joint anatomy & histology Temporomandibular Joint surgery Kiefergelenk (DE-588)4114168-4 gnd rswk-swf Endoprothese (DE-588)4014667-4 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Kiefergelenk (DE-588)4114168-4 s Endoprothese (DE-588)4014667-4 s DE-604 Donlon, William C. Sonstige oth Oral and maxillofacial surgery clinics of North America 12,1 (DE-604)BV002758944 12,1 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008893189&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
spellingShingle | Total temporomandibular joint reconstruction Oral and maxillofacial surgery clinics of North America Articulation temporomandibulaire Dent prothétique Troubles de l'articulation temporomandibulaire Dental Prosthesis Temporomandibular Joint Disorders therapy Temporomandibular Joint anatomy & histology Temporomandibular Joint surgery Kiefergelenk (DE-588)4114168-4 gnd Endoprothese (DE-588)4014667-4 gnd |
subject_GND | (DE-588)4114168-4 (DE-588)4014667-4 (DE-588)4143413-4 |
title | Total temporomandibular joint reconstruction |
title_auth | Total temporomandibular joint reconstruction |
title_exact_search | Total temporomandibular joint reconstruction |
title_full | Total temporomandibular joint reconstruction William C. Donlon, guest ed. |
title_fullStr | Total temporomandibular joint reconstruction William C. Donlon, guest ed. |
title_full_unstemmed | Total temporomandibular joint reconstruction William C. Donlon, guest ed. |
title_short | Total temporomandibular joint reconstruction |
title_sort | total temporomandibular joint reconstruction |
topic | Articulation temporomandibulaire Dent prothétique Troubles de l'articulation temporomandibulaire Dental Prosthesis Temporomandibular Joint Disorders therapy Temporomandibular Joint anatomy & histology Temporomandibular Joint surgery Kiefergelenk (DE-588)4114168-4 gnd Endoprothese (DE-588)4014667-4 gnd |
topic_facet | Articulation temporomandibulaire Dent prothétique Troubles de l'articulation temporomandibulaire Dental Prosthesis Temporomandibular Joint Disorders therapy Temporomandibular Joint anatomy & histology Temporomandibular Joint surgery Kiefergelenk Endoprothese Aufsatzsammlung |
url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008893189&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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