title: Treatment of a class 2 skeletal malocclusion with degenerative arthritis of the condyles using custom-made temporomandibular joint replacements and genioplasty.
abstract: This case report presents the use of custom-made temporomandibular joint prostheses in the treatment of a class 2 malocclusion secondary to juvenile idiopathic arthritis. The patient had degeneration of the mandibular condyles with associated arthropathy and dentofacial deformity. Conventional orthognathic treatment was considered, but would not address the arthropathy. The orthognathic movements were accounted for in the design of the prosthesis and the patient's arthralgia, functional limitations and aesthetics were addressed.
authors.affiliation: a Oral and Maxillofacial Surgery , Ninewells Hospital , Dundee , UK.
authors.forename: Kersten
authors.initials: K
authors.lastname: Webster
authors.affiliation: b Department of Orthodontics , Dundee Dental Hospital , Dundee , UK.
authors.forename: Grant
authors.initials: G
authors.lastname: McIntyre
authors.affiliation: a Oral and Maxillofacial Surgery , Ninewells Hospital , Dundee , UK.
authors.forename: Sean
authors.initials: S
authors.lastname: Laverick
authors.affiliation: a Oral and Maxillofacial Surgery , Ninewells Hospital , Dundee , UK.
authors.forename: Philip
authors.initials: P
authors.lastname: McLoughlin
authors.affiliation: b Department of Orthodontics , Dundee Dental Hospital , Dundee , UK.
authors.forename: Catherine
authors.initials: C
authors.lastname: Tothill
mesh_terms: D063172:Genioplasty; D006801:Humans; D010003:Osteoarthritis; D057887:Overbite; D013704:Temporomandibular Joint; D013705:Temporomandibular Joint Disorders
keywords: JIA; TMJ; TMJR; class 2; orthognathic; temporomandibular joint replacement