ABSTRACT Patients with ankylosis, post-traumatic condylar destruction, advanced degenerative disease and multioperated patients are those who require joint replacement. Rise in development of biocompatible materials, improved designs for patient-fitted prostheses have been made with emerging advances. These devices can be used to treat internal derangement cases with history of multiple surgical and nonsurgical treatment failures, as well as restoring form and function following the removal of failed Vitek ProplastTeflon containing temporomandibular joint implants. This paper will provide an insight related to treatment modality in debilitated, functionless temporomandibular joint (TMJ) patients.