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Tmj Replacement Therapy in Dallas

Depending upon age, the extent of temporomandibular joint (TMJ) damage, and prior surgical interventions, partial or complete replacement of the TMJ structure may become necessary. Total joint replacement surgery is indicated in various circumstances:

  • Severe TMJ degenerative arthritis: When degenerative changes significantly impair joint function and cause debilitating pain.
  • Inflammatory arthritis unresponsive to other therapies: Total joint replacement may be considered for cases of inflammatory arthritis resistant to conservative treatments.
  • Facial appearance or bite alterations due to TMJ resorption: Replacement surgery can address structural changes impacting bite alignment and facial aesthetics.
  • Ankylosis leading to joint immobility: Surgical intervention becomes necessary when joint fusion restricts movement.
  • Failed previous joint surgeries: Total joint replacement might be recommended if previous attempts at joint surgery have been unsuccessful in resolving TMJ issues.
  • Loss of normal joint anatomy from trauma or TMJ pathology: Structural deformities resulting from trauma or underlying TMJ conditions may necessitate joint replacement to restore function and alleviate symptoms effectively. 

Call us today at (972) 914-3660 to set up an evaluation with our friendly team!

Types of Joint Replacements

Depending on patients age and condition this form of TMJ replacement in Dallas, TX can be performed with either autogenous (natural) or artificial materials. For an actively growing patient, the use of a patient’s own rib is considered. For an adult, we prefer the use of a metallic joint replacement, which has been shown to have long lasting success in many patients. Joint replacements can be used of standard (stock) sizes or customized (patient specific) to fit each individual patient.

The Custom Joint Replacement Process

After a thorough consultation and work-up with Dr. Sanovich, which includes all necessary imaging and tests, a treatment plan is established. In some cases, an orthodontist is involved to help align the teeth appropriately prior to surgery.

3D CT Reconstruction

When you are ready for surgery with Dr. Sanovich, A specially formatted CT scan is taken of the facial bones, and CT data is sent to the joint manufacturer, typically TMJ Concepts. An extremely accurate anatomic model is manufactured from the computerized data that is used to design the implants.

Once the design process is approved by both the surgeon and the manufacturer, the joint is manufactured. Joint prostheses is designed by computer (CAD CAM), or by a direct wax, which is then cast as a metal joint.

3D CT Reconstruction- Slide 1 3D CT Reconstruction- Slide 2Jaw Diagram- Slide 1 Jaw Diagram- Slide 2Jaw Diagram- Slide 3 Jaw Diagram- Slide 4

The TMJ implant mandibular component is comprised of a condylar head fabricated from cobalt-chromium-molybdenum alloy and a mandibular body fabricated from titanium alloy.

The TMJ implant glenoid fossa component is comprised of a fossa bearing fabricated from ultra-high-molecular-weight polyethylene and a mesh backing fabricated from unalloyed titanium.

Jaw Diagram- Slide 5

The Surgical Procedure

Although each replacement is unique for each patient’s condition, most patients can expect a 2 to 3 day stay in the hospital for any TMJ replacement treatment in Dallas. Surgical braces, or standard orthodontic appliances, are applied to line up the teeth during the procedure, and then are removed postoperatively. Patients that also have a jaw deformity or bite discrepancy may also undergo jaw repositioning at the same time.

There are two incisions that are hidden along the lines of the face. One is made in front of the ear similar to a facelift incision and a second is made in the crease of the neck. These heal very well and are very hard to identify after a few months. The jaws are not wired shut after the surgery, and physical therapy is required as soon after the procedure as possible. This involves at home jaw exercises. A non-chew diet can be expected for the first 6 weeks following surgery.

  • Patient Focused
    Your comfort and care is at the top of our list. Our team makes it a point to provide each patient with top notch care.
  • Comprehensive Approach
    Specializing in oral maxillofacial surgery as well as reconstructive surgery allows us to accomplish your overall goals.
  • Individualized Care
    We treat each of our patients as an individual, and provide care according to their specific needs.
  • Innovative Technology
    We are cutting-edge and use the most advanced technology and techniques.
Real patients. Real Reviews.
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  • “The experience could not have gone more smoothly.”

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  • “We would for sure be back for any other needs and are so thankful for Dr. Sanovich and his staff!”

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