TITLE
Rebeka Silva: Total Joint Replacement - Our Experience with 250 Cases
TALK INFO
“Total Joint Replacement — Our Experience with 250 Cases” was a specialized clinical session focused on total temporomandibular joint (TMJ) replacement surgery, presenting a large-series surgical experience and outcomes. The talk detailed the indications, surgical planning, prosthetic options, perioperative challenges, and long-term functional results from treating 250 cases of advanced TMJ pathology with total joint arthroplasty. It emphasized patient selection, technique refinement, complication management, and evidence-based strategies that optimize outcomes in complex joint reconstruction for degenerative disease, ankylosis, trauma and other severe joint conditions. The session combined clinical insights with data-driven reflections to guide surgeons in both routine and challenging TMJ replacement cases.
THIS EVENT IS ACCREDITED
CLINICAL PATHWAY
TMJ and Facial Pain, Reconstruction
SPEAKER
DATE
29/01/24
LEARNING OBJECTIVES
By the end of this session, participants were expected to be able to:
Understand the clinical indications for total TMJ replacement, including end-stage degenerative disease, severe ankylosis, trauma, and failed prior surgeries, and how to identify appropriate candidates for surgery.
Describe the surgical planning process, including preoperative imaging, prosthetic design considerations, and the use of emerging technologies (e.g., virtual surgical planning and customized implants) that enhance precision and fit.
Discuss technical aspects of the procedure, such as access approaches, component placement, soft-tissue management, and intraoperative decision-making to maximize function and minimize complications.
Interpret outcomes and complications from a large clinical cohort (250 cases), including functional results, pain relief, mandibular mobility gains, postoperative care, and strategies for preventing and managing adverse events based on long-term experience.
Integrate evidence-based principles into practice, linking current literature on TMJ total joint replacement with real-world surgical experience to improve patient care and surgical success in complex reconstructive cases.
ABOUT THE SPEAKER
Dr. Silva is a Professor of Oral and Maxillofacial Surgery at the University of California, San Francisco (UCSF), and serves as Chief of Dental Service and full-time Oral and Maxillofacial Surgeon at the San Francisco Veterans Administration Health Care System, where she leads management of complex maxillofacial cases. She has co-authored and co-edited multiple textbooks and publications on TMJ disorders and reconstruction, including comprehensive surgical approaches and the role of total joint replacement in advanced cases. Her clinical and academic work focuses on TMJ reconstruction, surgical simulation, virtual planning, and multidisciplinary care, and she has presented extensively at national and international meetings
CE ACCREDITATION
surgeOn is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. surgeOn designates this activity for 1 credit hour of continuing education credits.
This event may also be accredited by the European Accreditation Council for Continuing Medical Education (EACCME®) for a maximum of 1 European CME credits (ECMEC®s). Each medical specialist should claim only those hours of credit that he/she actually spent in the educational activity. If you are a learner based in the U.S. or Canada EACCME credits are recognized by the American Medical Association (AMA) and the Royal College of Physicians and Surgeons of Canada.
DECLARATION
In accordance with criterion 13 of document UEMS 2023.07.rev “EACCME® Criteria for the Accreditation of Live Educational Events (LEEs)” and the Standard v. Commercial or Promotional Conflict of Interest, published by the American Dental Association Continuing Education Recognition Program (ADA CERP), all surgeON presenters sign a Conflict of Interest form to document all perceived or actual conflicts of interest for the last 3 years, whether due to a financial or other relationship. This document can be viewed at the beginning of the event or on request by emailing info@surgeon-events.org No fee, honorarium or arrangement for re-imbursement of expenses in relation to the this event has been provided to the speaker.
