Burgess, Michael, Bowler, Michael, Jones, Robert, Hase, Michael, and Murdoch, Bruce (2014) Improved outcomes after alloplastic TMJ replacement: analysis of a multicenter study from Australia and New Zealand. Journal of Oral and Maxillofacial Surgery, 72 (7). pp. 1251-1257.

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Abstract

Purpose: the aim of the present study was to assess pain, function, diet, and quality of life (QOL) in subjects undergoing alloplastic temporomandibular joint (TMJ) reconstruction.

Materials and methods: a total of 72 subjects were sent a questionnaire an average of 4 years after undergoing either unilateral or bilateral total joint replacement with a custom TMJ Concepts or stock Biomet total joint replacement device. The changes in pain, function, diet, and quality of life were assessed.

Results: of the 72 subjects, 52 returned the questionnaire. Pain, function, diet, and QOL were all significantly improved at a mean follow-up of 46.3 months. The complications reported included an altered facial sensation and facial weakness. No implant failures were reported.

Conclusions: the placement of an alloplastic TMJ total joint replacement can provide benefits for patients in the areas of pain, function, diet, and QOL. Additional research is required in this area.

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