Temporomandibular joint prosthesis as treatment option for mandibular condyle fractures: a systematic review and meta-analysis. Issue 1 (January 2023)

• Record Type: Journal Article
• Authors: Niezen, E.T.; van Minnen, B.; Bos, R.R.M.; Dijkstra, P.U.
• Is Part Of: International journal of oral & maxillofacial surgery. Volume 52:Issue 1(2023)
• Page Start: 88
• Page End: 97
• Publication Date: 2023-01
• Subjects: Mandibular condyle -- Bone fractures -- Temporomandibular joint -- Systematic review -- Meta-analysis -- Joint prosthesis -- Arthroplasty -- Mandibular fractures; Mouth -- Surgery -- Periodicals; Maxilla -- Surgery -- Periodicals; Dentistry -- Periodicals; Dentistry, Operative; Oral Surgical Procedures; Surgery, Oral; Dentistry; Maxilla -- Surgery; Mouth -- Surgery; Electronic journals; Periodicals; 617.52059
• DOI: 10.1016/j.ijom.2022.05.014
• Languages: English
• ISSNs: 0901-5027

Abstract

Abstract: The aim of this study was to perform a systematic review of the literature on the temporomandibular joint (TMJ) prosthesis as a treatment option after mandibular condyle fracture. Three databases were searched (PubMed, Embase, Cochrane Library) and 2670 unique papers were identified. A total of 337 studies were included (121 case reports, 89 case series, and 127 cohort/clinical studies). In total 14, 396 patients and 21, 560 prostheses were described. Of the 127 cohort or clinical studies, 100 (79%) reported inclusion criteria, 54 (43%) reported exclusion criteria, and 96 (76%) reported the inclusion period. The base population from which patients were recruited was reported in 57 studies (45%). The reason for TMJ prosthesis implantation was reported for 4177 patients (29.0%). A history of condylar fracture was present in 83 patients (2.0%); a history of mandibular trauma was present in 580 patients (13.9%). The meta-analysis showed a pooled prevalence of condylar fracture of 1.6% (95% confidence interval 0.9–2.4%) and a pooled prevalence of trauma or condylar fracture of 11.3% (95% confidence interval 7.1–16.0%). Heterogeneity was highly significant ( P < 0.001). The TMJ prosthesis appears to be reserved for patients with persistent pain, bony or fibrous ankylosis, or osteomyelitis after primary closed or open treatment of fractures of the mandibular condyle.