Treatment of protracted bilateral mandibular dislocation with Proplast-Vitallium prostheses.
A case of bilateral protracted mandibular dislocation complicated by the presence of unusual degenerative changes in the temporomandibular joints is presented. A synopsis of treatment modalities that have been used previously to treat similar conditions is given. Our treatment consisted of bilateral condylectomies, eminectomies, and insertion of Proplast-coated Vitallium condylar prostheses. These procedures resulted in the re-establishment of normal TMJ anatomy, the maintenance of proper posterior mandibular vertical dimension, correction of malocclusion, and relief of the patient's symptoms.
D000328:Adult; D002858:Chromium Alloys; D006801:Humans; D004204:Joint Dislocations / Q000534:rehabilitation*; D007595:Joint Prosthesis; D008297:Male; D008335:Mandibular Condyle / Q000293:injuries* / Q000601:surgery; D010027:Osteotomy; D011138:Polytetrafluoroethylene; D011428:Proplast; D013704:Temporomandibular Joint / Q000473:pathology; D014800:Vitallium
D002858:Chromium Alloys; D011428:Proplast; D014800:Vitallium; D011138:Polytetrafluoroethylene