title: Groningen temporomandibular total joint prosthesis: an 8-year longitudinal follow-up on function and pain.
abstract: Total temporomandibular joint replacement is a surgical procedure for patients with severe temporomandibular joint afflictions affecting quality of life, which have not responded beneficially to previous conventional surgery. The aim of this study was to assess the long-term outcome of the Groningen temporomandibular joint (TMJ) prosthesis in patients with chronic pain and mutilated temporomandibular joints following multiple surgical procedures, with respect to prosthesis failure, the patient's postoperative level of satisfaction and longitudinal changes in maximum mouth opening, functional mandibular impairment and pain. Eight female patients were studied in whom Groningen TMJ prostheses were inserted, two unilaterally and six bilaterally. The Groningen TMJ prosthesis was mechanically successful during 8 years of follow-up in seven out of eight patients with a disc dislocation being seen in one patient (7%). Patients were satisfied, despite the limited improvement of the maximum mouth opening, and pain scores. Although the decline of MFIQ scores during 8 years of follow-up was significant compared to baseline (p=0.027), the effects of the prosthesis on maximum mouth opening, function and pain were limited. This may be due to persistent chronic pain and the adverse effects of multiple previous surgical procedures.
authors.affiliation: Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
authors.forename: Jennifer M
authors.initials: JM
authors.lastname: Schuurhuis
authors.forename: Pieter U
authors.initials: PU
authors.lastname: Dijkstra
authors.forename: Boudewijn
authors.initials: B
authors.lastname: Stegenga
authors.forename: Lambert G M
authors.initials: LG
authors.lastname: de Bont
authors.forename: Fred K L
authors.initials: FK
authors.lastname: Spijkervet
mesh_terms: D000328:Adult; D019643:Arthroplasty, Replacement / Q000379:methods; D005157:Facial Pain / Q000209:etiology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery; D007595:Joint Prosthesis; D008137:Longitudinal Studies; D008875:Middle Aged; D061646:Operative Time; D010147:Pain Measurement; D010149:Postoperative Pain / Q000209:etiology*; D017060:Patient Satisfaction; D011474:Prosthesis Design; D011475:Prosthesis Failure; D016059:Range of Motion, Articular / Q000502:physiology*; D019224:Temporomandibular Joint Disc / Q000473:pathology; D013705:Temporomandibular Joint Disorders / Q000601:surgery*; D016896:Treatment Outcome