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Published on: August 4, 2020
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[Temporomandibular joint replacement: old ideas and new concepts]
V I Ermolin1, T Z Chkadua1, M A Romanovsky1
1Central Research Institute of Dentisty and Maxillofacial Surgery, Moscow, Russia.
Summary
This review details temporomandibular joint (TMJ) reconstruction history, explaining challenges and negative public perception of TMJ prostheses. Understanding TMJ prosthesis evolution clarifies limited commercial system variability.
Area of Science:
- Biomaterials Science
- Surgical Innovation
- Medical Device Engineering
Background:
- The temporomandibular joint (TMJ) is crucial for mastication and speech.
- TMJ disorders can significantly impair quality of life.
- Reconstruction of the TMJ presents unique biomechanical challenges.
Purpose of the Study:
- To systematically review the historical development of temporomandibular joint reconstruction.
- To elucidate the origins of negative public opinion regarding TMJ prostheses.
- To analyze the evolution of TMJ prostheses design and biomaterials used.
Main Methods:
- Systematic literature review of historical and contemporary publications.
- Analysis of engineering and surgical challenges in TMJ reconstruction.
- Review of biomaterial advancements and their impact on prosthesis design.
Main Results:
- Historical development reveals persistent engineering and surgical difficulties.
- Understanding prosthesis evolution explains negative public perception.
- Limited variability in current TMJ reconstruction systems is linked to design and biomaterial history.
Conclusions:
- A comprehensive understanding of TMJ reconstruction history is essential.
- Addressing historical challenges can improve future TMJ prostheses.
- Further innovation is needed to enhance TMJ reconstruction system variability and efficacy.

