Temporomandibular Joint (TMJ) Replacement Affects Quality of Life: A Systematic Review and Synthesis of Clinical Trials
Source abstract
Abstract
This systematic review aims to determine the impact of temporomandibular joint (TMJ) replacement on health-related quality of life. The review was reported following the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) guidelines. An electronic search using the Bielefeld Academic Search Engine was performed to identify primary studies reported in English and published up until November 2023. Ten reports fulfilled the inclusion criteria and were assessed according to the Critical Appraisal Skills Programme (CASP): Qualitative Studies Checklist. The overall research value of the studies ranged from high (dominant) to moderate. The synthesis of the results concerning TMJ replacement in severe degenerative disease showed an improvement in (1) quality of life, (2) pain intensity, (3) mastication efficiency, and (4) mandibular mobility. One study presented favorable outcomes for patients suffering from ankylosis.
Source: crossref · Quality: baseline
Research context
OpenAlex topics: Temporomandibular Joint Disorders · Osteoarthritis Treatment and Mechanisms · Total Knee Arthroplasty Outcomes
SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.
Affiliations
Department of Oral Surgery, Preventive Medicine Center, Komorowskiego 12, 30-106 Kraków, Poland
Department of Glass Technology and Amorphous Coatings, Faculty of Materials Science and Ceramics, AGH University of Science and Technology, Mickiewicza 30, 30-059 Kraków, Poland
Non-Public Healthcare Center for Dentistry, Maxillofacial Surgery and Implantology “Ars Medica”, Zagórska 20/15-16, 25-355 Kielce, Poland
Chair of Oral Surgery, Medical College, Jagiellonian University, Montelupich 4, 31-155 Kraków, Poland
Department of Maxillofacial Surgery, Medical University of Gdansk, Mariana Smoluchowskiego 17, 80-214 Gdańsk, Poland
Department of Biochemistry and Medical Chemistry, Pomeranian Medical University, Powstańców Wielkopolskich 72, 70-111 Szczecin, Poland
Department of Maxillofacial Surgery, Hospital of the Ministry of Interior, Wojska Polskiego 51, 25-375 Kielce, Poland
References (55)
Show source-provided references
1. Patient Perception Following Alloplastic Total Temporomandibular Joint Replacement10.4103/ams.ams_182_17 ↗
2. Clinical Outcomes and Functional Recovery after Temporomandibular Joint Replacement: A Six-Month Follow-up Study10.1080/10255842.2020.1815327 ↗
3. Quality of Life: Patient-Reported Outcomes after Total Replacement of the Temporomandibular Joint10.1016/j.bjoms.2016.04.022 ↗
4. One Stage Treatment of Temporomandibular Joint Complete Bony Ankylosis Using Total Joint Replacement10.1016/j.jcms.2016.01.003 ↗
5. Patient-Centered Quality of Life Measures after Alloplastic Temporomandibular Joint Replacement Surgery10.1016/j.ijom.2016.11.002 ↗
6. Extended Total Temporomandibular Joint Replacements: A Classification System10.1016/j.bjoms.2018.06.002 ↗
7. Evaluation of Temporomandibular Joint Total Replacement with Alloplastic Prosthesis: Observational Study of 27 Patients10.1055/s-0033-1343779 ↗
8. Quality of Life, Chronic Pain, Insomnia, and Jaw Malfunction in Patients after Alloplastic Temporomandibular Joint Replacement: A Questionnaire-Based Pilot Study10.1016/j.ijom.2020.09.022 ↗
9. Quality of Life Outcomes One Year after Replacement of the Temporomandibular Joint Using a Modified SF36 Questionnaire10.1016/j.bjoms.2019.12.003 ↗
10. Pressure Pain Threshold and Oral Health-Related Quality of Life Implications of Patients with Alloplastic Temporomandibular Joint Replacement—A Prospective Study10.1016/j.joms.2012.06.193 ↗
11. Finite Element Analysis of a Condylar Support Prosthesis to Replace the Temporomandibular Joint10.1016/j.bjoms.2015.01.016 ↗
12. Biomechanical Evaluation of a Standard Temporomandibular Joint Prosthesis and Screw Arrangement Optimization: A Finite Element Analysis10.1097/SCS.0000000000009471 ↗
13. Biomechanical Analysis of a Temporomandibular Joint Prosthesis for Lateral Pterygoid Muscle Reattachment10.1016/j.oooo.2022.03.004 ↗
14. 3D-Printed Porous Condylar Prosthesis for Temporomandibular Joint Replacement: Design and Biomechanical Analysis10.3233/THC-213534 ↗
15. Biomechanical Analysis of a Temporomandibular Joint Condylar Prosthesis during Various Clenching Tasks10.1016/j.jcms.2015.04.016 ↗
16. Ingawale, S.M., and Goswami, T. (2022). Design and Finite Element Analysis of Patient-Specific Total Temporomandibular Joint Implants. Materials, 15.10.3390/ma15124342 ↗
17. Biomechanical Simulation of Temporomandibular Joint Replacement (TMJR) Devices: A Scoping Review of the Finite Element Method10.1016/j.ijom.2018.02.005 ↗
18. Two Different Techniques of Manufacturing TMJ Replacements—A Technical Report10.1016/j.jcms.2017.06.003 ↗
19. Ângelo, D.F., Maffia, F., Teschke, M., Sanz, D., Galrito, M., Cardoso, H., Marques, R., and Nabuco, C. (2023). Considerations for the Use of Alloplastic Temporomandibular Joint Replacement in Irradiated Patients: Report of an Off-Label Indication. J. Clin. Med., 12.10.3390/jcm12206612 ↗
20. Tranexamic Acid Use Intra-Operatively Decreases the Need for Blood Transfusions and Post-Operative Edema in Temporomandibular Joint Surgeries
21. Complications of Total Temporomandibular Joint Replacement: A Systematic Review and Meta-Analysis10.1016/j.ijom.2022.10.009 ↗
22. Management of Intraoperative Contamination of the Custom Total Temporomandibular Joint Prosthesis10.1016/j.joms.2022.09.012 ↗
23. Sikora, M., Chęciński, M., Nowak, Z., and Chlubek, D. (2021). Variants and Modifications of the Retroauricular Approach Using in Temporomandibular Joint Surgery: A Systematic Review. J. Clin. Med., 10.10.3390/jcm10102049 ↗
24. Dowgierd, K., Pokrowiecki, R., Kulesa Mrowiecka, M., Dowgierd, M., Woś, J., Szymor, P., Kozakiewicz, M., Lipowicz, A., Roman, M., and Myśliwiec, A. (2022). Protocol for Multi-Stage Treatment of Temporomandibular Joint Ankylosis in Children and Adolescents. J. Clin. Med., 11.10.3390/jcm11020428 ↗
25. Chęciński, M., Chęcińska, K., Turosz, N., Brzozowska, A., Chlubek, D., and Sikora, M. (2023). Current Clinical Research Directions on Temporomandibular Joint Intra-Articular Injections: A Mapping Review. J. Clin. Med., 12.10.3390/jcm12144655 ↗
26. Are Rib Grafts Still Used for Temporomandibular Joint Reconstruction?10.1016/j.joms.2019.09.003 ↗
27. Sielski, M., Chęcińska, K., Chęciński, M., and Sikora, M. (2023). Injectable Platelet-Rich Fibrin (I-PRF) Administered to Temporomandibular Joint Cavities: A Scoping Review. J. Clin. Med., 12.10.3390/jcm12093326 ↗
28. Total Temporomandibular Joint Replacement: Stick to Stock or Optimization by Customization?10.1177/1943387520904874 ↗
29. Chęciński, M., Chęcińska, K., Turosz, N., Kamińska, M., Nowak, Z., Sikora, M., and Chlubek, D. (2022). Autologous Stem Cells Transplants in the Treatment of Temporomandibular Joints Disorders: A Systematic Review and Meta-Analysis of Clinical Trials. Cells, 11.10.3390/cells11172709 ↗
30. Alloplastic Total Temporomandibular Joint Reconstruction: A 10-Year Experience of the University of the Witwatersrand, Johannesburg10.1097/SCS.0000000000007227 ↗
31. Sikora, M., Sielski, M., Chęciński, M., Nowak, Z., Czerwińska-Niezabitowska, B., and Chlubek, D. (2022). Repeated Intra-Articular Administration of Platelet-Rich Plasma (PRP) in Temporomandibular Disorders: A Clinical Case Series. J. Clin. Med., 11.10.3390/jcm11154281 ↗
32. Olate, S., Ravelo, V., Huentequeo, C., Parra, M., and Unibazo, A. (2023). An Overview of Clinical Conditions and a Systematic Review of Personalized TMJ Replacement. J. Pers. Med., 13.10.3390/jpm13030533 ↗
33. Total Temporomandibular Joint Replacement Prostheses: A Systematic Review and Bias-Adjusted Meta-Analysis10.1016/j.ijom.2016.08.022 ↗
34. Tong, A., Flemming, K., McInnes, E., Oliver, S., and Craig, J. (2012). Enhancing Transparency in Reporting the Synthesis of Qualitative Research: ENTREQ. BMC Med. Res. Methodol., 12.10.1186/1471-2288-12-181 ↗
35. Meta-Aggregation: Just What Is It?10.1177/0894318418807933 ↗
36. (2023, November 30). BASE—Bielefeld Academic Search Engine|Indexed Content Providers by Date. Available online: https://www.base-search.net/about/en/about_sources_date.php.
37. (2023, November 30). CASP Checklists—Critical Appraisal Skills Programme. Available online: https://casp-uk.net/casp-tools-checklists/.
38. Temporomandibular Joint Discectomy Followed by Disc Replacement Using Viable Osteochondral and Umbilical Cord Allografts Results in Improved Patient Outcomes10.1016/j.joms.2019.05.024 ↗
39. Sikora, M., Sielski, M., Chęciński, M., Chęcińska, K., Czerwińska-Niezabitowska, B., and Chlubek, D. (2022). Patient-Reported Quality of Life versus Physical Examination in Treating Temporomandibular Disorders with Intra-Articular Platelet-Rich Plasma Injections: An Open-Label Clinical Trial. Int. J. Environ. Res. Public Health, 19.10.3390/ijerph192013299 ↗
40. Campos, L.A., Peltomäki, T., Marôco, J., and Campos, J.A.D.B. (2021). Use of Oral Health Impact Profile-14 (OHIP-14) in Different Contexts. What Is Being Measured?. Int. J. Environ. Res. Public Health, 18.10.3390/ijerph182413412 ↗
41. Associations between Screening for Functional Jaw Disturbances and Patient Reported Outcomes on Jaw Limitations and Oral Behaviors10.1016/j.jebdp.2023.101888 ↗
42. Diagnóstico Pela Anamnese da Disfunção Craniomandibular
43. Measures of Adult Pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP)10.1002/acr.20543 ↗
44. The Validity of Pain Intensity Measures: What Do the NRS, VAS, VRS, and FPS-R Measure?10.1515/sjpain-2018-0012 ↗
45. Studies Comparing Numerical Rating Scales, Verbal Rating Scales, and Visual Analogue Scales for Assessment of Pain Intensity in Adults: A Systematic Literature Review10.1016/j.jpainsymman.2010.08.016 ↗
46. Gębska, M., Dalewski, B., Pałka, Ł., Kiczmer, P., and Kołodziej, Ł. (2023). Effect of Physiotherapeutic Procedures on the Bioelectric Activity of the Masseter Muscle and the Range of Motion of the Temporomandibular Joints in the Female Population with Chronic Pain: A Randomized Controlled Trial. BMC Oral Health, 23.10.1186/s12903-023-03601-y ↗
47. Chęciński, M., Chęcińska, K., Turosz, N., Sikora, M., and Chlubek, D. (2023). Intra-Articular Injections into the Inferior versus Superior Compartment of the Temporomandibular Joint: A Systematic Review and Meta-Analysis. J. Clin. Med., 12.10.3390/jcm12041664 ↗
48. Woodford, S.C., Robinson, D.L., Abduo, J., Lee, P.V.S., and Ackland, D.C. (2023). Kinematics of the Jaw Following Total Temporomandibular Joint Replacement Surgery. J. Biomech., 159.10.1016/j.jbiomech.2023.111741 ↗
49. Chęciński, M., Sikora, M., Chęcińska, K., Nowak, Z., and Chlubek, D. (2022). The Administration of Hyaluronic Acid into the Temporomandibular Joints’ Cavities Increases the Mandible’s Mobility: A Systematic Review and Meta-Analysis. J. Clin. Med., 11.10.3390/jcm11071901 ↗
50. Comparative Analysis of Mandibular and Cervical Mobility in Young Adults with Temporomandibular Joint Disorders: A Case-Control Study
51. Chęciński, M., Chęcińska, K., Nowak, Z., Sikora, M., and Chlubek, D. (2022). Treatment of Mandibular Hypomobility by Injections into the Temporomandibular Joints: A Systematic Review of the Substances Used. J. Clin. Med., 11.10.3390/jcm11092305 ↗
52. Ke, S., Cheng, K., Wang, R., Jiang, X., and Liu, Y. (2023). Experimental Validation of a New Model for Mandibular Motions. Int. J. Numer. Methods Biomed. Eng., 39.10.1002/cnm.3716 ↗
53. Sikora, M., Chęciński, M., and Chlubek, D. (2021). Retro-Auricular Approach to the Fractures of the Mandibular Condyle: A Systematic Review. J. Clin. Med., 10.10.3390/jcm10020230 ↗
54. Effect of Two Fascial Incision Options for Access to the Temporomandibular Joint on Facial Nerve Function: Objective Investigation10.1016/j.ijom.2021.12.010 ↗
55. Zigzag Temporal Incision With Preauricular Incision Extension as a Variant Approach to the Temporomandibular Joint10.1097/SCS.0000000000002920 ↗