Abstract
Well-designed studies and sound data in support of surgeon advocated procedures are often missing in the literature which can lead to poor clinical outcomes. Examples include the temporomandibular joint (TMJ) proplast-teflon debacle of the 1980s and overuse of distraction osteogenesis after its introduction in the early 1990s. A review of current literature reveals an apparent increase in use of custom prosthetic TMJ replacements as a primary treatment for a spectrum of dentofacial deformities with condylar abnormalities.
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