Indications for Temporomandibular Joint Replacement – Reza Movahed, DMD

Reza Movahed, DMD

Indications for application of total temporomandibular joint replacement (TJR) and maxillomandibular advancement (MMA) are multifaceted and vary from case to case, and it is imperative for the clinician to understand all the contemporary approaches and literature when considering the appropriate treatment for airway disorders, obstructive sleep apnea (OSA) , TMD, craniofacial deformities and trauma. The proper diagnosis must be supported by the necessary studies, including TMJ MRI, CBCT, polysomnography, and clinical findings. The correct option and timing of surgery is paramount to the long-term success of each case. Tailored treatment planning will be discussed in conjunction with cutting edge digital workflow to increase success and predictability of surgical and stable orthodontic outcomes.

Upon completion of this presentation, participants should be able to:
1) Explain the various TMJ pathologies requiring TJR.
2) Describe when to use TJR to ensure the most stable biomechanical outcomes.
3) Recognize the available methodologies including clinical assessment, CT scan, and MRI for utilizing TJR as part of the ortho-surgical treatment.

Recorded on May 1st, 2025