%0 Journal Article %T Treatment of Chronic Temporomandibular Joint Pain and Sleep Disordered Breathing by Teledontic and Telegnathic Protocol Utilizing Total Joint Replacement %A Joseph Yousefian %A Michael N. Brown %A Samuel L. Bobek %A Norman C. Chiang %A Ryan Y. Chiang %J Open Journal of Orthopedics %P 308-319 %@ 2164-3016 %D 2017 %I Scientific Research Publishing %R 10.4236/ojo.2017.710031 %X Orthopedic clinicians frequently encounter patients with temporomandibular joint (TMJ) pain and associated sleep disordered breathing (SDB) that coexists with the patient¡¯s orthopedic conditions. The systemic effects and associated comorbidities caused by TMJ and associated SDB are commonly not recognized as potential contributors to the patient¡¯s long-term orthopedic outcome. This article describes a comprehensive and interdisciplinary medical dental treatment, which was able to successfully address patient¡¯s severe chronic TMJ, head, neck and shoulder pain as well as other health concerns including SDB. Moreover, a new teledontic and telegnathic treatment protocol and principles utilizing total joint replacement for care of patients with chronic TMJ pain and SDB will be introduced describing a completed case. %K Sleep Disordered Breathing %K Upper Airway Resistance Syndrome %K Temporomandibular Joint %K Pharyngorofacial Disorders %K Teledontics %K Telegnathic Surgery %K Total Joint Replacement %U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=79629