Maxillofacial - Huntington
7 High Street, Ste 308
Huntington , NY 11743

Indications for Total Joint Replacement

Joint Failure Signs and Symptoms

  • Pain
  • Noise
  • Altered Range of Motion of the Lower Jaw
  • Severe Bony Changes on CT Scan, MRI or X-ray

Joint Replacement Is Indicated When The Signs and Symptoms Of Joint Failure
Interfere With The Patient's Daily Activities Or Affect The Quality Of Life

Total TMJ Replacement

Patient Specific Devices Are Constructed On Stereolithgraphic Anatomic Models
The Models Are Generated From A CT Scan Of The Patient

Devices Are Initially Made Of Wax Then Cast In Titanium & Chrome Cobalt

Case Presentation of Total Joint Replacement

A Patient With Idiopathic Condylar Resorption, A Condition of Unknown Cause, in Which Both TM Joints Have Resorbed or Melted Away


  • Pain in both joints
  • Grating noise in both joints
  • Both joints resorbed (melted away) on CT scan and x-ray
  • Retruded jaw due to loss of joints
  • Altered bite due to lack of functional joints

Retruded Lower Jaw Due to Loss of Joints

Altered Bite Due to Jaw Retrusion

Ball of Joints (Yellow) Have Resorbed Leaving Only Stump (Black)


Joint Resorption Has Resulted in Open Bite

Jaw Repositioned On SLA Model And Devices Constructed

To Correct Bite and Replace Joints


Before Joint Replacement Surgery

After Joint Replacement Surgery


Well Healed Incisions In Front of Ear and Under Angle of Jaw

1 Year After Joint Replacement Surgery

X-ray Appearance of Devices After Surgery



6 Years After Total Joint Replacement Surgery