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

Bernardo Correia Lima; Ricardo Grillo; Bruno Alvarez Quinta Reis; Leonardo Augustus Peral Ferreira Pinto; Fernando Melhem-Elias

doi:10.58600/eurjther2152

Authors

Bernardo Correia Lima Oral Diagnosis, Dental Radiology and Imaging Post Graduate Program, School of Dentistry, University of São Paulo, São Paulo – SP, Brazil. https://orcid.org/0000-0003-4784-3120
Ricardo Grillo Departament of Oral and Maxillofacial Surgery, Faculdade Patos de Minas, Brasília - DF, Brazil. https://orcid.org/0000-0002-8096-738X
Bruno Alvarez Quinta Reis Private Practice in Oral and Maxillofacial Surgery, São Paulo - SP, Brazil. https://orcid.org/0000-0002-0554-8505
Leonardo Augustus Peral Ferreira Pinto Department of Oral and Maxillofacial Surgery, Clementino Fraga Filho University Hospital, Federal University of Rio de Janeiro - RJ, Brazil https://orcid.org/0000-0002-2994-0288
Fernando Melhem-Elias Department of Oral and Maxillofacial Surgery, Traumatology and Prosthesis, Dental School of University of São Paulo, São Paulo - SP, Brazil. https://orcid.org/0000-0003-0861-9919

DOI:

https://doi.org/10.58600/eurjther2152

Keywords:

temporomandibular joint disorders, pediatric, temporomandibular disease

Abstract

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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