Hybrid Technique in Temporomandibular Joint Ankylosis Arthroplasty Using Surgical Cement and Screw Fixation with Three-Dimensional Printing Planning

Temporomandibular joint (TMJ) ankylosis compromises essential functions such as chewing, phonation, and breathing. Surgical treatment aims to restore mandibular mobility and prevent the recurrence of joint fusion. This article describes a technical variation based on Puricelli biconvex arthroplasty,...

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Main Authors: Guilherme Pivatto Louzada, Bianca de Fatima Borim Pulino, Camila Cerantula, Gustavo Câmara, Ana Beatriz Goettnauer de Cerqueira, Gines Alves, Guilherme Zanovelli Silva, Thiago Nunes Palhares, Wendell Fernando Uguetto, Raphael Capelli Guerra
Format: Article
Language:English
Published: MDPI AG 2025-04-01
Series:Craniomaxillofacial Trauma & Reconstruction
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Online Access:https://www.mdpi.com/1943-3883/18/2/26
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author Guilherme Pivatto Louzada
Bianca de Fatima Borim Pulino
Camila Cerantula
Gustavo Câmara
Ana Beatriz Goettnauer de Cerqueira
Gines Alves
Guilherme Zanovelli Silva
Thiago Nunes Palhares
Wendell Fernando Uguetto
Raphael Capelli Guerra
author_facet Guilherme Pivatto Louzada
Bianca de Fatima Borim Pulino
Camila Cerantula
Gustavo Câmara
Ana Beatriz Goettnauer de Cerqueira
Gines Alves
Guilherme Zanovelli Silva
Thiago Nunes Palhares
Wendell Fernando Uguetto
Raphael Capelli Guerra
author_sort Guilherme Pivatto Louzada
collection DOAJ
description Temporomandibular joint (TMJ) ankylosis compromises essential functions such as chewing, phonation, and breathing. Surgical treatment aims to restore mandibular mobility and prevent the recurrence of joint fusion. This article describes a technical variation based on Puricelli biconvex arthroplasty, using surgical cement, screw fixation, and 3D-printed cutting guides based on virtual planning, allowing for greater precision in joint reconstruction. In this work, we present the step-by-step process used in the customization of cutting guides, virtual planning, and the production of the interposition material with PMMA associated with fixation with titanium screws as a hybrid method for the treatment of recurrent TMJ ankylosis. This reported technique is demonstrated to be reproducible, low-cost, and effective.
format Article
id doaj-art-ddae0ea503be44a39c92d7e734270e3c
institution Kabale University
issn 1943-3883
language English
publishDate 2025-04-01
publisher MDPI AG
record_format Article
series Craniomaxillofacial Trauma & Reconstruction
spelling doaj-art-ddae0ea503be44a39c92d7e734270e3c2025-08-20T03:27:01ZengMDPI AGCraniomaxillofacial Trauma & Reconstruction1943-38832025-04-011822610.3390/cmtr18020026Hybrid Technique in Temporomandibular Joint Ankylosis Arthroplasty Using Surgical Cement and Screw Fixation with Three-Dimensional Printing PlanningGuilherme Pivatto Louzada0Bianca de Fatima Borim Pulino1Camila Cerantula2Gustavo Câmara3Ana Beatriz Goettnauer de Cerqueira4Gines Alves5Guilherme Zanovelli Silva6Thiago Nunes Palhares7Wendell Fernando Uguetto8Raphael Capelli Guerra9Hospital Sírio-Libanês, Instituto de Ensino e Pesquisa, Sao Paulo 01308-060, BrazilHospital Sírio-Libanês, Instituto de Ensino e Pesquisa, Sao Paulo 01308-060, BrazilDepartment of Diagnosis and Surgery, Araçatuba School of Dentistry, Sao Paulo State University (UNESP), Sao Paulo 16018-805, BrazilHospital Sírio-Libanês, Instituto de Ensino e Pesquisa, Sao Paulo 01308-060, BrazilHospital Municipalizado Adão Pereira Nunes, Rio de Janeiro 25213-020, BrazilHospital Municipalizado Adão Pereira Nunes, Rio de Janeiro 25213-020, BrazilHospital Municipalizado Adão Pereira Nunes, Rio de Janeiro 25213-020, BrazilCentro de Tecnologia da Informação Renato Archer, Campinas 13069-901, BrazilHospital Sírio-Libanês, Instituto de Ensino e Pesquisa, Sao Paulo 01308-060, BrazilHospital Sírio-Libanês, Instituto de Ensino e Pesquisa, Sao Paulo 01308-060, BrazilTemporomandibular joint (TMJ) ankylosis compromises essential functions such as chewing, phonation, and breathing. Surgical treatment aims to restore mandibular mobility and prevent the recurrence of joint fusion. This article describes a technical variation based on Puricelli biconvex arthroplasty, using surgical cement, screw fixation, and 3D-printed cutting guides based on virtual planning, allowing for greater precision in joint reconstruction. In this work, we present the step-by-step process used in the customization of cutting guides, virtual planning, and the production of the interposition material with PMMA associated with fixation with titanium screws as a hybrid method for the treatment of recurrent TMJ ankylosis. This reported technique is demonstrated to be reproducible, low-cost, and effective.https://www.mdpi.com/1943-3883/18/2/26TMJ ankylosishybrid techniquevirtual planning3D printingsurgical cementbiconvex arthroplasty
spellingShingle Guilherme Pivatto Louzada
Bianca de Fatima Borim Pulino
Camila Cerantula
Gustavo Câmara
Ana Beatriz Goettnauer de Cerqueira
Gines Alves
Guilherme Zanovelli Silva
Thiago Nunes Palhares
Wendell Fernando Uguetto
Raphael Capelli Guerra
Hybrid Technique in Temporomandibular Joint Ankylosis Arthroplasty Using Surgical Cement and Screw Fixation with Three-Dimensional Printing Planning
Craniomaxillofacial Trauma & Reconstruction
TMJ ankylosis
hybrid technique
virtual planning
3D printing
surgical cement
biconvex arthroplasty
title Hybrid Technique in Temporomandibular Joint Ankylosis Arthroplasty Using Surgical Cement and Screw Fixation with Three-Dimensional Printing Planning
title_full Hybrid Technique in Temporomandibular Joint Ankylosis Arthroplasty Using Surgical Cement and Screw Fixation with Three-Dimensional Printing Planning
title_fullStr Hybrid Technique in Temporomandibular Joint Ankylosis Arthroplasty Using Surgical Cement and Screw Fixation with Three-Dimensional Printing Planning
title_full_unstemmed Hybrid Technique in Temporomandibular Joint Ankylosis Arthroplasty Using Surgical Cement and Screw Fixation with Three-Dimensional Printing Planning
title_short Hybrid Technique in Temporomandibular Joint Ankylosis Arthroplasty Using Surgical Cement and Screw Fixation with Three-Dimensional Printing Planning
title_sort hybrid technique in temporomandibular joint ankylosis arthroplasty using surgical cement and screw fixation with three dimensional printing planning
topic TMJ ankylosis
hybrid technique
virtual planning
3D printing
surgical cement
biconvex arthroplasty
url https://www.mdpi.com/1943-3883/18/2/26
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