Repositorio
Institucional

Olate, Sergio

Ravelo, Victor

Huentequeo, Claudio

Parra, Marcelo

Unibazo, Alejandro

An Overview of Clinical Conditions and a Systematic Review of Personalized TMJ Replacement

MDPI

JOURNAL OF PERSONALIZED MEDICINE

en

The temporomandibular joint (TMJ) is a complex structure in the cranio-maxillomandibular region. The pathological changes of the joint cause deficiencies at different levels, making its replacement necessary in some cases. The aim of this article is to analyze the current indications, treatment and criteria, and follow-up using a systematic review and case series. A systematic review was carried out, identifying the indications for the use of a customized TMJ prosthesis and evaluating criteria and validation in the international literature. After review and exclusion, 8 articles were included with a minimum follow-up of 12 months. The age of the subjects was between 18 and 47 years old. In 226 patients, 310 TMJ prostheses were installed, 168 bilaterally and 142 unilaterally. In most of the articles, a good condition in the follow-up was observed, with a reduction in pain and better conditions of mandibular movement and function. TMJ prosthesis and replacement is a protocolized, defined, stable, and predictable procedure. Indications and criteria must be evaluated by specialists and patients related to the pathology involved in TMJ deformity or degeneration. Randomized research with an accurate diagnosis and follow-up is necessary to obtain the best indication for this treatment.

2023

artículo de revisión

10.3390/jpm13030533

PDF

TMJ

TMJ prosthesis

TMJ replacement

orthognathic surgery

Ciencias y servicios de atención médica

Medicina general e interna

ATM

Prótesis de ATM

Reemplazo de ATM

cirugía ortognática

artículo de revisión

versión publicada

CC BY 4.0

CC BY 4.0

acceso abierto

acceso abierto

WOS:000957979700001

verde# dorado

Ciencias y servicios de atención médica

Medicina general e interna