Protocol for Concomitant Temporomandibular Joint Custom-Fitted
Total Joint Reconstruction and Orthognathic Surgery Utilizing
Computer-Assisted Surgical Simulation
Reza Movahed, DMD, Marcus Teschke, DMD, MD, and Larry M. Wolford, DMD
Clinicians who address temporomandibular joint (TMJ) pathology and dentofacial deformities surgically can performthe surgery in 1 stage or 2 separate stages. The 2-stage approach requires the patient to undergo 2 separate operations and anesthesia, significantly prolonging the overall treatment. However, performing
concomitant TMJ and orthognathic surgery (CTOS) in these cases requires careful treatment planning and surgical proficiency in the 2 surgical areas. This article presents a new treatment protocol for the application of computer-assisted surgical simulation in CTOS cases requiring reconstruction with patient-fitted
total joint prostheses. The traditional and new CTOS protocols are described and compared. The new CTOS protocol helps decrease Q3 the preoperative workup time and increase the accuracy of model surgery.
2013 American Association of Oral and Maxillofacial Surgeons J Oral Maxillofac Surg-:1-6, 2013