Abstract

Patients suffering from autoimmune diseases, rheumatoid arthritis (RA), idiopathic condilar resorption and those who have had more than two failed TMJ surgeries may need total joint TMJ prostheses and orthognathic surgery. Many of those patients have decreased ramus height, mandibular retrusion and respiratory disturbances due to upper airway obstruction. TMJ total joint prostheses associated with maxillo-mandibular complex advancement improve upper airway space. This study evaluated changes and stability of the oropharyngeal airway, head and cervical posture following simultaneous maxillo-mandibular surgery and TMJ reconstruction with total joint prostheses (TMJ Concepts/Techmedica Custom-made total joint prostheses).

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