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Volume 18
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10.3390/cmtr18020026
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Article

Hybrid Technique in Temporomandibular Joint Ankylosis Arthroplasty Using Surgical Cement and Screw Fixation with Three-Dimensional Printing Planning

by
Guilherme Pivatto Louzada
1,2,3,
Bianca de Fatima Borim Pulino
1,4,5,
Camila Cerantula
6,
Gustavo Câmara
1,7,
Ana Beatriz Goettnauer de Cerqueira
3,
Gines Alves
3,
Guilherme Zanovelli Silva
3,
Thiago Nunes Palhares
8,
Wendell Fernando Uguetto
1,5 and
Raphael Capelli Guerra
1,4,5,*
1
Hospital Sírio-Libanês, Instituto de Ensino e Pesquisa, Sao Paulo 01308-060, Brazil
2
Brazilian Navy, Odontoclínica Central Rio de Janeiro, Rio de Janeiro 20091-000, Brazil
3
Hospital Municipalizado Adão Pereira Nunes, Rio de Janeiro 25213-020, Brazil
4
Department of Oral and Maxillofacial Surgery, Hospital Leforte, Rede Américas, Sao Paulo 01507-000, Brazil
5
Department of Oral and Maxillofacial Surgery, Hospital Israelita Albert Einstein, Sao Paulo 05652-900, Brazil
6
Department of Diagnosis and Surgery, Araçatuba School of Dentistry, Sao Paulo State University (UNESP), Sao Paulo 16018-805, Brazil
7
Hospital Santa Teresa, Petropolis 25680-003, Brazil
8
Centro de Tecnologia da Informação Renato Archer, Campinas 13069-901, Brazil
*
Author to whom correspondence should be addressed.
Craniomaxillofac. Trauma Reconstr. 2025, 18(2), 26; https://doi.org/10.3390/cmtr18020026
Submission received: 17 March 2025 / Revised: 8 April 2025 / Accepted: 15 April 2025 / Published: 24 April 2025
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Abstract

Temporomandibular joint (TMJ) ankylosis compromises essential functions such as chewing, phonation, and breathing. Surgical treatment aims to restore mandibular mobility and prevent the recurrence of joint fusion. This article describes a technical variation based on Puricelli biconvex arthroplasty, using surgical cement, screw fixation, and 3D-printed cutting guides based on virtual planning, allowing for greater precision in joint reconstruction. In this work, we present the step-by-step process used in the customization of cutting guides, virtual planning, and the production of the interposition material with PMMA associated with fixation with titanium screws as a hybrid method for the treatment of recurrent TMJ ankylosis. This reported technique is demonstrated to be reproducible, low-cost, and effective.
Keywords: TMJ ankylosis; hybrid technique; virtual planning; 3D printing; surgical cement; biconvex arthroplasty; PMMA; computed tomographic angiography TMJ ankylosis; hybrid technique; virtual planning; 3D printing; surgical cement; biconvex arthroplasty; PMMA; computed tomographic angiography

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MDPI and ACS Style

Louzada, G.P.; Pulino, B.d.F.B.; Cerantula, C.; Câmara, G.; de Cerqueira, A.B.G.; Alves, G.; Silva, G.Z.; Palhares, T.N.; Uguetto, W.F.; Guerra, R.C. Hybrid Technique in Temporomandibular Joint Ankylosis Arthroplasty Using Surgical Cement and Screw Fixation with Three-Dimensional Printing Planning. Craniomaxillofac. Trauma Reconstr. 2025, 18, 26. https://doi.org/10.3390/cmtr18020026

AMA Style

Louzada GP, Pulino BdFB, Cerantula C, Câmara G, de Cerqueira ABG, Alves G, Silva GZ, Palhares TN, Uguetto WF, Guerra RC. Hybrid Technique in Temporomandibular Joint Ankylosis Arthroplasty Using Surgical Cement and Screw Fixation with Three-Dimensional Printing Planning. Craniomaxillofacial Trauma & Reconstruction. 2025; 18(2):26. https://doi.org/10.3390/cmtr18020026

Chicago/Turabian Style

Louzada, Guilherme Pivatto, Bianca de Fatima Borim Pulino, Camila Cerantula, Gustavo Câmara, Ana Beatriz Goettnauer de Cerqueira, Gines Alves, Guilherme Zanovelli Silva, Thiago Nunes Palhares, Wendell Fernando Uguetto, and Raphael Capelli Guerra. 2025. "Hybrid Technique in Temporomandibular Joint Ankylosis Arthroplasty Using Surgical Cement and Screw Fixation with Three-Dimensional Printing Planning" Craniomaxillofacial Trauma & Reconstruction 18, no. 2: 26. https://doi.org/10.3390/cmtr18020026

APA Style

Louzada, G. P., Pulino, B. d. F. B., Cerantula, C., Câmara, G., de Cerqueira, A. B. G., Alves, G., Silva, G. Z., Palhares, T. N., Uguetto, W. F., & Guerra, R. C. (2025). Hybrid Technique in Temporomandibular Joint Ankylosis Arthroplasty Using Surgical Cement and Screw Fixation with Three-Dimensional Printing Planning. Craniomaxillofacial Trauma & Reconstruction, 18(2), 26. https://doi.org/10.3390/cmtr18020026

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