The Division of Oral and Maxillofacial Surgery, Depart-ment of Dental Surgery and Oral Health Sciences, Armed Forces Medical College, Pune, has performed the first ever Total Joint Replacement of the Temporo-mandibular Joint. This is the first such procedure carried out by any hospital in Maharashtra. An official release issued on Wednesday said that the surgery was performed by a maxillofacial surgery team headed by Brig SK Roy Chowdhury, Professor and HoD, Department of Dental Surgery and Oral Health Sciences, AFMC, Pune. [related-post] According to Roy Chow-dhury, Total Joint Replacement has emerged as a viable solution for functional rehabilitation of patients with end-stage Tempo-romandibular Joint disease of the jaws. The surgery was conducted on a 50-year-old woman who had undergone multiple procedures for the disease. The recipient of the joint is recovering well and all the functions and activities of the jaws, including mouth opening and chewing, are returning to a normal state. The problems of facial jaw joints are characterised by pain, joint noises as clicks, restricted motion of the jaws, radiating pain in the face and neck region and associated headache. Replacement of the jaw joint has emerged as the standard of care in management of the terminal stage of Temporo-mandibular Joint disease. Lt Gen AK Nagpal, VSM Director and Commandant, AFMC, said that the Department of Dental Surgery and Oral Health Sciences had acquired state-of-the-art equipment and capabilities to deliver high-quality basic dental and high-end maxillofacial surgical care including advanced specialist treatment in other specialties of oral healthcare to their patients.