Clinical guidelines for total temporomandibular joint replacement

Tetsuya Yoda; Nobumi Ogi; Hiroyuki Yoshitake; Tetsuji Kawakami; Ritsuo Takagi; Kenichiro Murakami; Hidemichi Yuasa; Toshirou Kondoh; Kanchu Tei; Kenichi Kurita

doi:10.1016/j.jdsr.2020.03.001

Clinical guidelines for total temporomandibular joint replacement

Jpn Dent Sci Rev. 2020 Nov;56(1):77-83. doi: 10.1016/j.jdsr.2020.03.001. Epub 2020 Apr 15.

Authors

Tetsuya Yoda^{1

2}, Nobumi Ogi^{1

3}, Hiroyuki Yoshitake^{1

2}, Tetsuji Kawakami^{1

4}, Ritsuo Takagi^{1

5}, Kenichiro Murakami^{1

6}, Hidemichi Yuasa^{1

7}, Toshirou Kondoh⁸, Kanchu Tei⁹, Kenichi Kurita³

Affiliations

¹ Joint Committee of Japanese Society of Oral and Maxillofacial Surgeons and the Japanese Society for the Temporomandibular Joint for Clinical Guidelines for Total Temporomandibular Joint Replacement, Japan.
² Department of Maxillofacial Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Japan.
³ Department of Oral and Maxillofacial Surgery, School of Dentistry, Aichi Gakuin University, Japan.
⁴ Department of Oral and Maxillofacial Surgery, Nara Medical University, Japan.
⁵ Division of Oral and Maxillofacial Surgery, Niigata University, Graduate School of Medical and Dental Sciences, Japan.
⁶ Department of Oral and Maxillofacial Surgery, Ako City Hospital, Japan.
⁷ Department of Oral and Maxillofacial Surgery, National Hospital Organization Toyohashi Medical Center, Japan.
⁸ Department of Maxillofacial Surgery, Nihon University School of Dentistry at Matsudo, Japan.
⁹ Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine and Graduate, School of Dental Medicine, Hokkaido University, Japan.

Abstract

Total joint replacement (TJR) of the temporomandibular joint (TMJ) is a promising surgical procedure and device for treating end-stage diseases of the TMJ. For the functional and aesthetic reconstruction of the oral and maxillofacial head and neck region, TMJ TJR significantly helps maintain the patient's quality of life in terms of a better diet, mastication, speech and social interaction. TMJ TJR was approved by regulatory authorities in 2019 in Japan, thus enabling the clinical application of the TJR system. However, the surgery demands particularly difficult and high-risk procedures, necessitating the prudent selection of indicated patients. The joint committee of the Japanese Society of Oral and Maxillofacial Surgeons and Japanese Society for Temporomandibular Joint is working together to develop an appropriate clinical guideline for TMJ TJR.

Keywords: Clinical guideline; Temporomandibular joint; Total joint replacement.

Publication types

Review