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UK temporomandibular joint replacement database: report on baseline data.

Matthew R Idle1, Derek Lowe2, Simon N Rogers2

  • 1Maxillofacial Unit, Royal Shrewsbury Hospital, Shrewsbury SY3 8XQ, UK.

The British Journal of Oral & Maxillofacial Surgery
|January 7, 2014
PubMed
Summary

This study establishes a UK-wide registry for temporomandibular joint replacement data, reporting on 402 patients and 577 joint replacements. Long-term data collection will assess patient outcomes and objective measurements.

Keywords:
Outcome dataSurgeryTMJ replacementTemporomandibular joint

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Orthopedic Surgery
  • Biomaterials Science

Background:

  • Temporomandibular joint (TMJ) replacement is a complex procedure with varying outcomes.
  • A centralized, long-term data collection system is needed to track TMJ replacement procedures in the UK.
  • Understanding patient demographics and pre-operative conditions is crucial for improving surgical success.

Purpose of the Study:

  • To establish a national registry for long-term data collection on temporomandibular joint replacement in the UK.
  • To report initial findings on patient demographics, diagnoses, and pre-operative status for TMJ replacements performed between 1994 and 2012.
  • To lay the groundwork for future analysis of patient-recorded outcome measures (PROM) and objective performance of TMJ replacements.

Main Methods:

  • Data collected online via Snap Survey from UK TMJ replacement centers.
  • Analysis of data from 402 patients who underwent 577 TMJ replacements between 1994 and 2012.
  • Identification of primary diagnoses, pre-operative maximal incisal opening, pain scores, dietary status, and prior surgical history.

Main Results:

  • 402 patients (83% female) received 577 TMJ replacements; common diagnoses included osteoarthritis, failed previous operations, ankylosis, and seronegative arthritis.
  • Pre-operative median maximal incisal opening was 20mm, median pain score (VAS) was 8, and median dietary score was 4.
  • 173 patients (43%) had prior open procedures; TMJ Concepts, Biomet, and Christensen systems were primarily used.

Conclusions:

  • The UK TMJ replacement registry has been established, collecting valuable baseline data.
  • Initial findings highlight patient demographics and pre-operative conditions, providing a foundation for future outcome analysis.
  • Ongoing data collection will enable comprehensive assessment of patient-recorded outcome measures (PROM) and objective performance of TMJ replacements.