CMF Clinical Database


Case ID:1039
19 y.o. Female



TMJ Disorders : Cranium

Physician: Richard Harper, Baylor College of Dentistry

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Pre-treatment profile showing downward and back rotation of the mandible secondary to degenerative condylar changes with loss of posterior vertical support.

Left TMJ showing degenerative joint disease. Cine MRI shows no condylar translation on the left side and restricted translation on the right side.

Pre-treatment lateral ceph shows down and back rotation of the mandible with open bite tendency.

Post-surgical profile showing improved facial balance, preauricular and submandibular incision lines.

Post surgical lateral ceph showing improved facial balance with posterior vertical support.

PA cephalometric x-ray shows balanced frontal symmetry after mandibular sagittal split lengthening, chin advancement and left total TMJ reconstruction with a Christensen fossa and full metal condylar prosthesis.



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