Temporomandibular joint and complications in the dental implant: a systematic review

Abstract

Introduction: Surgical procedures in the oral cavity and maxillofacial complex are used to remove pathologies and infections, restore function, optimize occlusal relationships, and prosthetically replace teeth and temporomandibular joints. Objective: It was to present, through a systematic review, the main clinical outcomes of the treatment of the temporomandibular joint in the scenario of dental implants and complications. Methods: The systematic review rules of the PRISMA Platform were followed. The search was carried out from February to May 2023 in the Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases, using articles from 2018 to 2023. Results and Conclusion: A total of 107 articles were found, 37 articles were evaluated and 19 were included and developed in this systematic review study. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 25 studies with a high risk of bias and 24 studies that did not meet GRADE. It was concluded that for the entire gear of the temporomandibular joint to work efficiently, occlusion, joint, musculature, ligaments, and psychological factors must be in complete harmony. Clinical studies have shown that factors associated with implant placement, such as the long duration of surgical procedures, may represent risk factors for temporomandibular disorders.