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Although the initial management of temporomandibular joint disorders is almost always conservative in nature, surgery plays an important part in the treatment of temporomandibular dysfunction. In this lecture, the full spectrum of surgical options will be discussed, ranging from the minimally invasive techniques of arthrocentesis and arthroscopy, to open joint procedures, including the contemporary management of end stage disease utilizing total joint replacement prostheses. The versatility of joint replacement surgery as it applies to a range of challenging dentofacial deformity cases will be demonstrated by examples of patients treated by a combination of this approach and virtual surgical planning.
Learning Objectives:
Discuss the surgical management of TMJ disorders.
Describe the techniques of TMJ arthrocentesis, arthroscopy and total joint replacement.
Outline the fundamental principles of virtual surgical planning as it relates to TMJ and orthognathic surgery.