title: Coordinated reconstruction with bilateral condylar replacement and dental implant rehabilitation: a clinical report.
abstract: The evaluation of complex facial-cranial trauma and subsequent restoration requires multidisciplinary treatment planning for optimal success and patient satisfaction. Patients with bilateral subcondylar fractures and facial-dental trauma are invariably challenging. Consideration of total joint replacement, along with the comprehensive evaluation of facial-dental esthetics and occlusion is critical for an optimal long-term outcome and for patient comfort. This patient treatment illustrates team cooperation and an optimal patient treatment outcome with long-term follow-up in the reconstruction of a complex cranial-facial injury from an unrestrained motor vehicle accident. The treatment included bilateral temporomandibular joint replacement with computer-aided design and computer-aided manufacturing fitted total temporomandibular joint reconstruction, grafting of a deficient anterior maxillary alveolar ridge, and dental implant placement and subsequent restoration with a partial fixed dental prosthesis.
authors.affiliation: Professor, Division Director Maxillofacial Prosthodontics, University of Iowa Hospitals and Clinics, Hospital Dentistry Institute, Iowa City, Iowa. Electronic address: robert-schneider@uiowa.edu.
authors.forename: Robert
authors.initials: R
authors.lastname: Schneider
authors.affiliation: Professor, Vice Chair, Oral and Maxillofacial Surgery, University of Iowa Hospitals and Clinics, Hospital Dentistry Institute, Iowa City, Iowa.
authors.forename: Richard
authors.initials: R
authors.lastname: Burton
mesh_terms: D000540:Alveolar Ridge Augmentation / Q000379:methods; D019643:Arthroplasty, Replacement; D015921:Dental Implants; D003779:Denture Design; D003830:Denture, Partial, Fixed; D005260:Female; D006801:Humans; D007595:Joint Prosthesis; D008335:Mandibular Condyle / Q000293:injuries* / Q000601:surgery; D008337:Mandibular Fractures / Q000601:surgery*; D008437:Maxilla / Q000293:injuries / Q000601:surgery; D008446:Maxillofacial Injuries / Q000601:surgery; D008875:Middle Aged; D010347:Patient Care Planning; D010348:Patient Care Team; D011474:Prosthesis Design; D019651:Plastic Surgery Procedures / Q000379:methods*; D012887:Skull Fractures / Q000601:surgery; D013701:Temporal Bone / Q000293:injuries; D014084:Tooth Avulsion / Q000601:surgery*; D016388:Tooth Loss / Q000534:rehabilitation
chemical_list: D015921:Dental Implants