Functioning of the Masticatory System in Patients with an Alloplastic Total Temporomandibular Joint Prostheses Compared with Healthy Individuals: A Pilot Study

Functioning of the Masticatory System in Patients with an Alloplastic Total Temporomandibular Joint Prostheses Compared with Healthy Individuals: A Pilot Study

Most patients with temporomandibular joint (TMJ) issues are successfully treated with nonsurgical methods. However, when end-stage TMJ pathologies occur, invasive management can be required, such as a total TMJ replacement. This cross-sectional pilot study aimed to provide insight into the functioni...

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Bibliographic Details
Published in:Life (Basel, Switzerland) Vol. 12; no. 12; p. 2073
Main Authors: Speksnijder, Caroline M, Mutsaers, Nadiya E A, Walji, Sajjad
Format: Journal Article
Language:English
Published: Switzerland MDPI AG 01-12-2022
MDPI
Subjects:
Ability tests
alloplastic total joint replacement
bite force
Care and treatment
Comparative analysis
Diet
Evaluation
Gender
Health aspects
Hospitals
Implants, Artificial
Joint replacement
Mastication
Medical ethics
Medical research
Medicine, Experimental
Pain
Patient outcomes
Patient satisfaction
Patients
Prostheses
Prosthesis
Prosthetics
Temporomandibular joint
Temporomandibular joint disorders
Netherlands
United States > US
alloplastic total joint replacement
bite force
mastication
temporomandibular joint
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Summary:Most patients with temporomandibular joint (TMJ) issues are successfully treated with nonsurgical methods. However, when end-stage TMJ pathologies occur, invasive management can be required, such as a total TMJ replacement. This cross-sectional pilot study aimed to provide insight into the functioning of the masticatory system, pain, and patient satisfaction in patients treated with a total joint replacement (TJR). A cross-sectional pilot study was conducted to determine the postoperative clinical results of an alloplastic TJR TMJ. Masticatory performance and also insight into maximum voluntary bite force (MVBF), active and passive maximum mouth opening (aMMO/pMMO), pain, and patient satisfaction were measured. Masticatory performance, MVBF, and aMMO of patients with a TJR TMJ were compared with healthy individuals. Masticatory performance is equal between patients with a TJR TMJ and healthy individuals, but both MVBF and aMMO were significantly smaller in patients with a TJR TMJ. However, patients had almost no pain and were very satisfied with the TJR TMJ treatment. This study revealed that most patients with an alloplastic TJR TMJ were able to function without pain, showed good masticatory performance, and were highly satisfied with their alloplastic TJR TMJ. However, MVBF and aMMO were lower than in healthy individuals.
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ISSN:2075-1729
2075-1729
DOI:10.3390/life12122073