Authors
Yepifanov S.A., Shtempel M.S., Mironyuk Yu.D.
Pirogov National Medical and Surgical Center, Moscow
Abstract
Total endoprosthetics of the temporomandibular joint (TMJ) is an important area in the treatment of patients with severe joint pathologies, including ankylosis, arthritis, arthrosis, injuries and congenital anomalies. The article examines the historical aspects of the development of this technique, starting with the first mentions of TMJ pathologies in ancient times and ending with modern prosthetics technologies such as CAD/CAM.
The authors describe the evolution of approaches to the treatment of joint dysfunctions, including the use of various materials such as metals, silicone, Teflon and polymers. Special attention is paid to their advantages and disadvantages, including biocompatibility, durability and side effects.
The paper presents the key stages of the development of endoprosthetics methods: from the removal of the affected joint to the development of modular implants. The results of using materials such as Silastic, Proplast and Teflon, as well as the impact of these technologies on the state of bone structures and the overall function of the joint are considered.
Keywords: temporomandibular joint (TMJ), ankylosis, implant, total arthroplasty, CAD/CAM.
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