Terletskyi R. O., Chepurnyi Yu. V., Kopchak A. V.

TEMPOROMANDIBULAR JOINT REPLACEMENT WITH TWO-COMPONENT “PEEK-TITANIUM” PATIENT-SPECIFIC ENDOPROSTHESIS

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Terletskyi R. O., Chepurnyi Yu. V., Kopchak A. V.

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DENTISTRY

Type of article:

Scientific article

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Despite significant advancements in recent years, the treatment of degenerative diseases of the temporomandibular joint (TMJ) remains a critical challenge in maxillofacial surgery. In the advanced stages of these conditions, one of the primary treatment methods is total joint replacement with an artificial structure, or endoprosthesis. The advent of digital technologies, particularly CAD/CAM, has increasingly shifted clinical practice toward individualized solutions, such as navigation templates, patient-specific implants (PSI), and custom endoprosthesis, rather than relying on standardized structures. This article presents a study involving a clinical and radiological evaluation of the long-term outcomes in patients with degenerative TMJ diseases who underwent joint replacement using patient-specific two-component endoprosthesis. 44 patients who underwent surgical interventions and replaced 51 PSI endoprosthesis. Mandible endoprosthesis with TMJ component were performed in 17 cases. TMJ endoprosthesis were performed in 34 cases. The findings of this clinical series highlight the potential benefits of CAD/CAM technology, especially in the context of patient-specific TMJ endoprostheses. However, the widespread adoption of these solutions in clinical practice requires further investigation. Additional clinical and biomechanical research, grounded in evidence-based medicine, is necessary to establish their efficacy and long-term reliability.

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Bibliography:

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Publication of the article:

«Bulletin of problems biology and medicine», 2024 Issue 4, 175, 680-691 pages, index UDC 616.314:616.724-089.843-77

DOI:

10.29254/2077-4214-2024-4-175-680-691