Trento G, Parize H, Bohner L, Oelerich O, Jung S, Kleinheinz J
Department of Craniomaxillofacial Surgery, University Hospital of Münster, Münster, Germany.
Department of Craniomaxillofacial Surgery, University Hospital of Münster, Münster, Germany; Department of Prosthodontics, University of São Paulo, São Paulo, Brazil.
Int J Oral Maxillofac Surg. 2025 Jan;54(1):65-73. doi: 10.1016/j.ijom.2024.10.001. Epub 2024 Oct 11.
Temporomandibular joint (TMJ) prostheses are considered an important alternative for the treatment of severe end-stage TMJ disorders. However, unilateral TMJ replacement may affect the healthy contralateral TMJ. The purpose of this study was to systematically review the literature on the effects of unilateral total TMJ prosthesis placement on the contralateral healthy TMJ. The PubMed, Scopus, Web of Science, and Cochrane Library databases were searched for English-language articles published up to December 2023. Inclusion criteria encompassed clinical studies (randomized, prospective, retrospective, observational) that evaluated clinical and patient-reported outcomes after total unilateral TMJ prosthesis placement (both glenoid and mandibular components). The initial search identified 141 non-duplicate studies, of which eight remained after title and abstract reading. Four studies included only unilateral prostheses; the other four included bilateral interventions and/or control groups without any TMJ intervention. The studies reported on stock and custom prostheses, with custom prostheses being the most used. As the studies had different specific objectives, no pattern of data reporting was found and the research question could not be answered. Randomized clinical trials with standardized variables are required to achieve reliable conclusions. Furthermore, long-term follow-up is necessary to determine whether the function of the healthy TMJ is compromised.
颞下颌关节（TMJ）假体被认为是治疗严重终末期颞下颌关节疾病的重要替代方法。然而，单侧颞下颌关节置换可能会影响对侧健康的颞下颌关节。本研究的目的是系统回顾关于单侧全颞下颌关节假体植入对侧健康颞下颌关节影响的文献。检索了PubMed、Scopus、科学网和Cochrane图书馆数据库，以查找截至2023年12月发表的英文文章。纳入标准包括评估单侧全颞下颌关节假体植入（关节窝和下颌部件）后临床和患者报告结局的临床研究（随机、前瞻性、回顾性、观察性）。初步检索识别出141项非重复研究，经标题和摘要阅读后，剩下8项。4项研究仅包括单侧假体；另外4项包括双侧干预和/或无任何颞下颌关节干预的对照组。这些研究报告了库存假体和定制假体，其中定制假体使用最为广泛。由于这些研究有不同的具体目标，未发现数据报告模式，研究问题无法得到解答。需要进行具有标准化变量的随机临床试验以得出可靠结论。此外，有必要进行长期随访以确定健康颞下颌关节的功能是否受到损害。
