De Meurechy N, Braem A, Mommaerts M Y
European Face Centre, Universitair Ziekenhuis Brussel, Brussels, Belgium.
KU Leuven Department of Materials Engineering (MTM), Heverlee, Belgium.
Int J Oral Maxillofac Surg. 2018 Apr;47(4):518-533. doi: 10.1016/j.ijom.2017.10.001. Epub 2017 Nov 7.
The alloplastic total temporomandibular joint (TMJ) prosthesis has a long history, with many different materials and designs used. While several of these materials have proven valuable over time, many others have not been suitable for implantation, resulting in failure and the need for explantation of the implant. Because of the failure of several of these systems, the use of alloplastic prostheses has reduced dramatically, despite their advantages over autogenous restoration. The aim of this narrative review is to discuss the criteria that must be met by a biomaterial in order for it to be considered suitable for implantation, as well as the common complications that can occur. Currently used materials are highlighted, as well as potential future materials that might prove better suitable for implantation. Several surface modification techniques are proposed as an alternative to the materials used in current TMJ prosthesis systems.
人工全颞下颌关节（TMJ）假体有着悠久的历史，使用过许多不同的材料和设计。随着时间的推移，其中一些材料已被证明具有价值，但许多其他材料并不适合植入，导致失败以及需要取出植入物。由于这些系统中的几种出现了失败情况，尽管人工假体相对于自体修复有优势，但其使用量已大幅减少。本叙述性综述的目的是讨论一种生物材料要被认为适合植入必须满足的标准，以及可能出现的常见并发症。重点介绍了目前使用的材料，以及可能被证明更适合植入的潜在未来材料。提出了几种表面改性技术，作为当前TMJ假体系统所用材料的替代方案。
