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American Journal of Roentgenology, Vol 151, Issue 2, 337-339
Copyright © 1988 by American Roentgen Ray Society

Articles

Erosive arthritis of the temporomandibular joint caused by Teflon-Proplast implants: plain film features

PA Kaplan, JD Ruskin, HK Tu, and MA Knibbe

Department of Radiology, University of Nebraska Medical Center, Omaha 68105.

Six patients had osseous destructive changes of the temporomandibular joint after placement of Teflon-Proplast implants for treatment of internal derangements. The implants were surgically removed from all six joints, and foreign-body reactions were found to account for the radiographic appearance. The plain film radiographic features included single or multiple osseous erosions of the mandibular condyle in all cases and the temporal bone of the glenoid fossa in two cases. Some erosions were poorly defined, whereas others were well defined, either with or without sclerotic margins. Radiologists must be aware of this possible complication of alloplastic temporomandibular joint implants in order to suggest the diagnosis in the appropriate clinical setting.
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Copyright © 1988 by the American Roentgen Ray Society.