Abstract

Introduction: The temporomandibular joint (TMJ) can be affected by end-stage pathologies such as arthritic disease, trauma, and ankylosis. The main debilitating symptoms result in limited mouth opening and pain. The TMJ prosthesis is indicated for diseases that result in anatomical changes and aims to restore joint function with pain relief. Prosthetic replacement for terminal TMJ disease is gradually becoming a common procedure due to good functional results and low morbidity. Objective: A concise systematic review was carried out to present the main considerations about the temporomandibular joint, as well as the main clinical results of the treatment of temporomandibular disorders (TMD). Methods: The systematic review rules of the PRISMA Platform were followed. The search was carried out from October to December 2022 in the Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases, using articles from 2013 to 2022. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: A total of 240 articles were found, 65 articles were evaluated in full and 26 were included and developed in this systematic review study. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 45 studies with a high risk of bias and 94 studies that did not meet GRADE. It was concluded that the etiology of temporomandibular disorder is multifactorial, with muscle disorders, joint disorders, and muscle disorders affecting mastication muscles. As a treatment, each CAD/CAM component is manufactured using the patient's data. This system is designed for the specific patient situation and should provide a perfect fit. However, the communication of the fossa and condyle articular surfaces of the implant are standardized, as in the stock system. The treatment of TMD is diverse and depends on the type of disease, as well as the duration and subjective level of pain. Alloplastic reconstruction can be advantageous in obtaining a rapid improvement in symptoms and rapid rehabilitation of masticatory function.

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