Evaluation of The Effectiveness of Alloplastic Prostheses for Atm Reconstruction: A Systematic Review

Abstract

Objective: To evaluate the efficacy of total reconstruction of temporomandibular joint with alloplastic prostheses through a systematic literature review, focusing on pain, mouth opening and postoperative complications.Method: This is a systematic review of the scientific production of the PubMed indexer. A combination of the terms "tmj reconstruction" and / or "temporomandibular joint prosthesis" and / or "tmj replacement" and / or "alloplastic prostheses" was used. We excluded studies with follow-up time of less than 2 years, studies published outside the current decade, case reports, animal studies and reviews. Clinical trials and prospective and retrospective observational studies that had preoperative and postoperative information on mouth openness, pain, incidence of complications and recurrence were included.Results: We analyzed nine studies, all of them in the English. The mean follow-up ranged from 2 to 21 years. In total, 438 patients were evaluated, the majority being female. sssss Conclusion: All articles presented positive data regarding improvements in pain and mouth opening in the postoperative period. The most frequent post-surgical complications were facial nerve injuries. ResumeAlloplastic TMJ prostheses are considered viable alternatives for the reconstruction of compromised Temporomandibular Joints and can bring important benefits to patients with advanced TMJ diseases. However, it has been observed that it is very difficult to predict many of the interactions between prosthesis and patient, and only with the results of clinical experiments and research is it possible to assess the success and failures in the use of these devices. Goal:To evaluate the effectiveness of total reconstruction of the temporomandibular joint with alloplastic prostheses through a systematic literature review, focusing on the variables pain, mouth opening and post-surgical complications.Method: This is a systematic bibliographic review of the scientific production of the PubMed index. A combination of the terms: "tmj reconstruction" and / or