Clinical Research Directory

Inclusion Criteria: * patients with recurrent dislocation with their maximum inter incisal opening over 55mm * longstanding dislocation of the TMJ involving both fixation for more than 3weeks and the failure of manual reduction * failure of conservative strategies such as orientation to self-limiting jaw movement and the use of chin-cap or bandage Exclusion Criteria: * patients with post-menopausal females with osteoporosis * Patient with uncontrolled systemic disease * pregnancy * psychological disorders, drug or alcohol dependency * Known allergies or sensitivities to dental materials, including Zirconia, Titanium or general anesthetic agents * Inability to return for follow up visits. * Refusal of participation from the patient