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CASE REPORT
Year : 2019  |  Volume : 4  |  Issue : 1  |  Page : 34-36

Gap arthroplasty with custom-made acrylic mouth opener


1 Department of Pedodontics and Preventive Dentistry, Chhattisgarh Dental College and Research Institute, Rajnandgaon, Chhattisgarh, India
2 Department of Oral and Maxillofacial Surgery, Chhattisgarh Dental College and Research Institute, Rajnandgaon, Chhattisgarh, India

Correspondence Address:
Dr. Dimple Tirale
Department of Pedodontics and Preventive Dentistry, Chhattisgarh Dental College and Research Institute, Rajnandgaon, Chhattisgarh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijpr.ijpr_11_18

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Ankylosis of temporomandibular joint (TMJ) involves the fusion of mandibular condyle to the base of the skull. When it occurs in a child, it can have devastating effects on the future growth, development of jaws and teeth, and also has a negative influence on the psychosocial development of the patient because of the obvious facial deformity, which worsens with growth. Impairment of speech and mastication, poor oral hygiene, caries, and compromise airway pose a severe psychological burden on the tender minds of children. Hereby, we present a case of 10-year-old female who reported with inability to open mouth, diagnosed with right bony TMJ ankylosis. The surgical approach consisted of gap arthroplasty followed by vigorous physiotherapy by custom-made acrylic mouth opener. The treatment of TMJ ankylosis poses a significant challenge because of technical difficulties and a high incidence of recurrence. It includes a team of oral and maxillofacial surgeons, pediatric dentist, and anesthetist.


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