Total alloplastic TMJ replacement (guideline, excerpt, german)

Motivation for choosing the guideline topic
The most important reasons for establishing the guideline are
– The introduction of improved joint prostheses, which are increasingly being used in earlier phases for diagnostic and diseases of the temporomandibular joint and the increased life expectancy, combined with the desire for a higher quality of life and more active lifestyles, has led to the fact that the indication for total temporomandibular joint replacement has been continuously increased..
– The limited data situation (small number of studies, mostly low evidence levels, lack of long-term study data and often involved surgeons and prosthesis manufacturers) makes it difficult so far, to rate success and long-term survival rates of total
temporomandibular joint prostheses.
Target of the guideline
In view of the growing interest in total alloplastic TMJ replacement and the
limited data situation, there is a need to develop a new method for the treatment of
post-operative therapy phases as standardised and literature-based procedure.
The use of “metal-on-metal temporomandibular joint prostheses” should be carefully considered due to indications of increased rrate of wear must be considered.
All modern treatment approaches to total alloplastic TMJ replacement have in common that they are integrative. An interdisciplinary approach is therefore required with regard to both pre-treatment with diagnostics and aftercare.
Neff A, Ahlers MO, Eger T et al.AWMF-Registry Nr. 007-106, 01.04.2020 (german)
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