Can growing patients with end-stage TMJ pathology be successfully treated with alloplastic temporomandibular joint reconstruction? – A systematic review

Khattak, Yasir Rehman; Ghaffar, Nabila; Gulzar, Muhammad Assad; Rahim, Sundas; Rafique, Faisal; Jan, Zainab; Iqbal, Shaheen; Ahmad, Iftikhar

doi:10.1007/s10006-023-01180-4

Cited by 3 publications

(3 citation statements)

References 63 publications

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“…Due to its surgical complexity, TMJR surgery in growing patients is technically challenging and requires specialized training and expertise [3,15]. Also, implantation of TMJ prostheses may interfere with mandibular growth and development, leading to skeletal discrepancies [9,11,12]. Along with this, there are risks of complications such as infection, implant failure, and malocclusion may occur following TMJ replacement surgery, necessitating careful patient monitoring and management [4,15].…”

Section: Resultsmentioning

confidence: 99%

“…The short-term outcomes of TMJ prostheses demonstrate favorable in terms of pain relief, restoration of function, and patient satisfaction [11,15]. The long-term predictability of TMJ prostheses in growing patients remains uncertain, highlighting the need for further research and long-term follow-up studies, [9] but certainly it has proved to have a long-term stability in skeletally mature subjects [12,13].…”

Section: Resultsmentioning

confidence: 99%

“…In addition to clinical studies and case reports, systematic reviews have synthesized existing evidence on the use of TMJR in growing patients with endstage TMJ pathology. Khattak et al [9] conducted a systematic review to evaluate the success rates and outcomes of TMJR in this population.…”

Section: Introductionmentioning

confidence: 99%

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Use of Alloplastic Total Joint Replacement of the Temporomandibular Joint of Growing Patients: A Scoping Review

Correia Lima,

Grillo,

Alvarez Quinta Reis

et al. 2024

Eur J Ther

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Temporomandibular joint (TMJ) disorders pose unique challenges in pediatric patients undergoing craniofacial growth. Alloplastic total temporomandibular joint reconstruction (ATJR) techniques have emerged as promising solutions, offering immediate joint function and symptom relief. However, the efficacy and safety of ATJR in this population remain under scrutiny. This scoping review aims to comprehensively summarize the evolving literature on ATJR in growing patients with end-stage TMJ pathology. Our methodology adhered to PRISMA-ScR guidelines, identifying 9 relevant articles. The discussion emphasizes preoperative considerations, treatment selection criteria, and potential complications. While ATJR offers short-term benefits, concerns regarding long-term outcomes persist, necessitating further research. Collaboration among multidisciplinary teams is crucial for optimal patient care. Future research should focus on comparative efficacy and safety, refining treatment algorithms, and long-term follow-up to enhance outcomes and minimize complications in pediatric TMJ pathology.

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