PMID- 24780351 OWN - NLM STAT- MEDLINE DCOM- 20151123 LR - 20161125 IS - 1878-4119 (Electronic) IS - 1010-5182 (Linking) VI - 42 IP - 7 DP - 2014 Oct TI - Stability study of total temporomandibular joint replacement on sheep. PG - 1265-70 LID - S1010-5182(14)00088-2 [pii] LID - 10.1016/j.jcms.2014.03.008 [doi] AB - OBJECTIVE: To evaluate the stability of our custom-made prosthesis by establishing the model of sheep total temporomandibular joint (TMJ) replacement. METHODS: Six sheep were included in our study. Spiral computed tomography (CT) data of all sheep was obtained and transformed into 3-dimensional model by surgicase5.0 software preoperatively. Total TMJ prostheses were made based on the skull model. Ultra-high molecular weight polyethylene was used to make glenoid fossa lining, while titanium alloy to prefabricate mandibular retention handle and titanium plate over glenoid fossa. Cobalt-chromium-molybdenum alloy was also used to prefabricate the condyle. The right sides of all sheep, as the experimental group, were carried out total TMJ replacement, while the left sides were as the control group. The bone in both experimental and control side were excised after 3 and 6 months. Scanning electron microscope (SEM) was used to observe the interface between bone and prosthesis. Van Gieson staining and immunohistochemical staining (IHC) were used respectively to observe the interface of titanium screw and bone and the expression of alkaline phosphatase (ALP). RESULTS: SEM and Van Gieson staining showed that there was immature bone and osteoid formed in the interface of prosthesis and bone after 3 months. While after 6 months, there was osseointegration between them. IHC showed that the expression of ALP in the experimental side was much higher than in the control side after 3 months and its expression decreased after 6 months with no difference from the control side. CONCLUSION: The custom-made TMJ prosthesis which was designed and manufactured by ourselves has good stability after total TMJ replacement. CI - Copyright (c) 2014 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved. FAU - Shen, Pei AU - Shen P AD - Department of Oral Surgery, Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, No. 639, ZhiZaoJu Rd, 200011 Shanghai, People's Republic of China. FAU - Zhang, Shan Yong AU - Zhang SY AD - Department of Oral Surgery, Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, No. 639, ZhiZaoJu Rd, 200011 Shanghai, People's Republic of China. Electronic address: zhangshanyong@126.com. FAU - Yang, Chi AU - Yang C AD - Department of Oral Surgery, Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, No. 639, ZhiZaoJu Rd, 200011 Shanghai, People's Republic of China. FAU - Yun, Bai AU - Yun B AD - Department of Oral Surgery, Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, No. 639, ZhiZaoJu Rd, 200011 Shanghai, People's Republic of China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140402 PL - Scotland TA - J Craniomaxillofac Surg JT - Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery JID - 8704309 RN - 0 (Alloys) RN - 0 (Biocompatible Materials) RN - 0 (Coloring Agents) RN - 0 (Polyethylenes) RN - 0 (ultra-high molecular weight polyethylene) RN - 12629-02-6 (Vitallium) RN - D1JT611TNE (Titanium) RN - EC 3.1.3.1 (Alkaline Phosphatase) SB - IM MH - Alkaline Phosphatase/analysis MH - Alloys/chemistry MH - Animals MH - Arthroplasty, Replacement/*methods MH - Biocompatible Materials/chemistry MH - Bone Matrix/pathology MH - Bone-Implant Interface/pathology MH - Coloring Agents MH - Computer Simulation MH - Imaging, Three-Dimensional/methods MH - *Joint Prosthesis MH - Mandible/pathology MH - Microscopy, Electron, Scanning MH - Models, Animal MH - Osseointegration/physiology MH - Osteogenesis/physiology MH - Polyethylenes/chemistry MH - *Prosthesis Design MH - Sheep MH - Temporal Bone/pathology MH - Temporomandibular Joint/diagnostic imaging/pathology/*surgery MH - Titanium/chemistry MH - Tomography, Spiral Computed/methods MH - User-Computer Interface MH - Vitallium/chemistry OTO - NOTNLM OT - Osseointegration OT - Sheep OT - Stability OT - Total temporomandibular joint replacement EDAT- 2014/05/02 06:00 MHDA- 2015/12/15 06:00 CRDT- 2014/05/01 06:00 PHST- 2013/07/25 00:00 [received] PHST- 2014/01/11 00:00 [revised] PHST- 2014/03/10 00:00 [accepted] PHST- 2014/05/01 06:00 [entrez] PHST- 2014/05/02 06:00 [pubmed] PHST- 2015/12/15 06:00 [medline] AID - S1010-5182(14)00088-2 [pii] AID - 10.1016/j.jcms.2014.03.008 [doi] PST - ppublish SO - J Craniomaxillofac Surg. 2014 Oct;42(7):1265-70. doi: 10.1016/j.jcms.2014.03.008. Epub 2014 Apr 2.