01/02/2026
Complex TMJ Reconstruction | Case Highlight
This patient presented with severely degenerative TMJ disease and a shortened mandible, evident on the lateral X-ray with a pronounced severe overbite.
The OPG (Orthopantomogram – a panoramic dental X-ray) showed no normal joint anatomy on either side, with loss of the usual rounded condylar shape and significant flattening. She had also lost multiple teeth.
We initially undertook TMJ arthroscopy for temporary pain relief, diagnostic assessment, record collection, and to improve joint function.
As part of her long-term treatment plan, her mandible was advanced. Due to the lack of teeth, this was carefully planned without orthodontics, with dental rehabilitation scheduled for a later stage.
We proceeded with customised total TMJ joint replacement, advanced the mandible, and restored occlusion using dentures.
✨ The outcome: pain-free, functional, and restored quality of life.
Dr Christopher Lim
Oral & Maxillofacial Surgeon
TMJ Surgery | Facial Trauma | Jaw Joint Pain Specialist
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