Treatment of a class 2 skeletal malocclusion with degenerative arthritis of the condyles using custom-made temporomandibular joint replacements and genioplasty

This case report presents the use of custom-made temporomandibular joint prostheses in the treatment of a class 2 malocclusion secondary to juvenile idiopathic arthritis. The patient had degeneration of the mandibular condyles with associated arthropathy and dentofacial deformity. Conventional orthognathic treatment was considered, but would not address the arthropathy. The orthognathic movements were accounted for in the design of the prosthesis and the patient's arthralgia, functional limitations and aesthetics were addressed.