Temporomandibular joint prostheses

Prosthesis (i.e. – artificial body members) – parts thereof – or ai – Implantable prosthesis – Bone

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623 18, A61F 228

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active

049177010

ABSTRACT:
A total TMJ replacement system comprises a temporal implant component and a mandibular implant component.
The temporal component comprises a thin, rigid plate of Vitallium.RTM. which is contoured to generally conform to and overlay at least the articular eminence and mandibular fossa portions of the glenoid fossa, but not the petro-tympanic fissure. A layer of Silastic.RTM. is securely attached to the superior surface of the plate and is disposed to reside between the plate and the floor of the mandibular fossa to act as both a filler and a means for adjusting the vertical position of the plate relative to the floor of the natural fossa. The plate includes a lateral flange which is screwed to the zygion to hold the plate securely in place.
A preferred form of the mandibular component comprises a rigid, thin-walled, generally upright channel having a J-shaped cross-section with open upper and lower ends, which is formed of Vitallium, to slip over and generally conform to the posterior border of a natural ramus from which the condyle has been removed. The channel is secured to the ramus with screws. An artificial condyle, comprising an anatomically-correct, laterally elongated and tapered head disposed above a narrowed neck and shoulders, is molded onto the upper end of the channel from a hard, smooth, acrylic such that it fairs smoothly onto, and serves as a closure for, the upper end of the channel.

REFERENCES:
patent: 4726808 (1988-02-01), Collins
patent: 4778472 (1988-10-01), Homsy et al.

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