Major clinical approaches of prefabricated and customized prostheses for the temporomandibular joint: a systematic review

Introduction: The temporomandibular joint (TMJ) is composed of dense fibrocartilage formed between the mandibular condyle and temporal bone. high collagen content this disc provides great rigidity durability. Osteoarthritis-like degenerative disease belonging to disorder (TMD) a destruction bone cartilage with consequent inflammation that enhances tissue destruction. As treatment, implantation total alloplastic TMJ prosthesis an innovative approach treatment TMD. There are two types prefabricated (stock) custom computer-aided design/computer-aided manufacturing (CAD/CAM) systems. Objective: present study aimed carry out concise systematic review major clinical approaches customized prostheses for joint. Methods: rules PRISMA Platform were followed. search was carried from February May 2023 in Scopus, PubMed, Science Direct, Scielo, Google Scholar databases, using articles 2018 2023. Results Conclusion: A 107 found, 34 evaluated 19 included developed study. Considering Cochrane tool risk bias, overall assessment resulted 21 studies bias 15 did not meet GRADE. It concluded results stock CAD/CAM suggested improvements mouth opening reduced pain as result rehabilitation function. showed comparable data design at 6 months postoperatively. Thus, both implants work well despite additional advantages prostheses, along increasing access digital technology, which may devices dominating market replacement