Evidence map›Paper›PMID 40391766›Full record

SynthesisActa odontologica Scandinavica2025

Effects of total temporomandibular joint replacement with alloplastic prosthesis - a systematic review.

Pär Morin, Jani Talvilahti, Mattias Ulmner, Per Alstergren, Eva Nordendahl, Aron Naimi-Akbar

Abstract readSystematic Review
In one paragraph

Synthesis in Acta odontologica Scandinavica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Pär MorinHealth Technology Assessment-Odontology (HTA-O), Faculty of Odontology, Malmö University, Malmö, Sweden; Region Dalarna, Department of Oral and Maxillofacial Surgery, Falun, Sweden. par.morin@mau.se.
Jani TalvilahtiRegion Dalarna, Department of Oral and Maxillofacial Surgery, Falun, Sweden.
Mattias UlmnerMedical Unit for Reconstructive Plastic- and Craniofacial Surgery, Karolinska University Hospital, Stockholm, Sweden; Division of Oral Diagnostics and Rehabilitation, Department of Dental Medicine, Karolinska Institute, Stockholm, Sweden.
Per AlstergrenFaculty of Odontology, Malmö University, Malmö, Sweden.
Eva NordendahlDivision of Oral Diagnostics and Rehabilitation, Department of Dental Medicine, Karolinska Institute, Stockholm, Sweden; Department of Periodontology, Eastman Institute, Folktandvården Stockholm AB, Stockholm, Sweden.
Aron Naimi-AkbarHealth Technology Assessment-Odontology (HTA-O), Faculty of Odontology, Malmö University, Malmö, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis paper studies the treatment effect of total joint replacement (TJR) of the temporomandibular joint (TMJ) with alloplastic joint prosthesis regarding function, symptoms and health-related quality of life compared to other surgical and non-surgical treatments in patients with TMJ disorders.

methodsThree databases (PubMed, Cochrane Library and Web of Science) were searched up to 11 March 2025. Studies in which TJR was compared with other surgical or non-surgical methods were searched and analyzed. Data extraction and quality assessments were performed by at least two investigators independently. Risk of bias was assessed with the ROBINS-I-tool. Certainty of evidence was assessed with GRADE.

resultsA total of 2,891 studies were identified in the search. One study met the criteria with comparison of TJR with a control group consisting of patients treated with another surgical method, namely, interpositional arthroplasty. The study investigated the outcome variables such as pain reduction and improvement in mouth opening and had a moderate risk of bias. No significant difference between the groups was found after regression analysis. Quality of life assessment was not the objective of this study. No meta-analysis could be performed from this literature search, for obvious reasons.

conclusionTMJ reconstruction with alloplastic prostheses is rapidly evolving, with new systems continually entering the market. This review highlights the urgent need for further scientific efforts, including well-designed trials capable of demonstrating the comparative effectiveness of alloplastic TJR against other treatment modalities, ideally randomized trials with controls.

Indexed as

Arthroplasty, ReplacementJoint ProsthesisTemporomandibular JointTemporomandibular Joint DisordersHumansQuality of Life

Identifiers

PMID40391766
PMCPMC12186440

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.