Contemporary Surgical Approaches to Temporomandibular Joint Osteoarthritis: A Narrative Review

Authors

  • Тurakhanov S. V. PhD, Senior Lecturer, Department of Maxillofacial Surgery, Tashkent State Medical University

DOI:

https://doi.org/10.31149/ijimm.v4i5.2897

Keywords:

Temporomandibular Joint Osteoarthritis, TMJ Surgery, Arthrocentesis, Arthroscopy, Total Joint Replacement, Narrative Review

Abstract

Temporomandibular joint osteoarthritis (TMJ OA) is a progressive degenerative disorder associated with pain, limited mandibular mobility, and functional impairment. In patients with unsuccessful conservative treatment, surgical management is increasingly based on disease stage and joint reconstructability. This narrative review summarizes current evidence regarding arthrocentesis, arthroscopy, open joint surgery, and total joint replacement (TJR) in TMJ osteoarthritis.

References

[1] Y. H. Tang, N. van Bakelen, B. Gareb, and F. Spijkervet, “Arthrocentesis versus conservative treatments for temporomandibular joint disorders: A systematic review with meta-analyses and trial sequential analyses.” Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery, Dec. 2024, doi: 10.1016/j.jcms.2024.12.006.

[2] L. Guarda-Nardini, A. M. de Almeida, and D. Manfredini, “Arthrocentesis of the Temporomandibular Joint: Systematic Review and Clinical Implications of Research Findings.” Journal of oral & facial pain and headache, vol. 35 1, pp. 17–29, Feb. 2021, doi: 10.11607/ofph.2606.

[3] S. Bergstrand, H. K. Ingstad, A. Møystad, and T. Bjørnland, “Long-term effectiveness of arthrocentesis with and without hyaluronic acid injection for treatment of temporomandibular joint osteoarthritis.” Journal of oral science, vol. 61 1, pp. 82–88, Mar. 2019, doi: 10.2334/josnusd.17-0423.

[4] Y. H. Tang, N. van Bakelen, B. Gareb, and F. Spijkervet, “Arthroscopy versus arthrocentesis and versus conservative treatments for temporomandibular joint disorders: a systematic review with meta-analysis and trial sequential analysis.” International journal of oral and maxillofacial surgery, Jan. 2024, doi: 10.1016/j.ijom.2024.01.006.

[5] K. Murakami, “Current role of arthrocentesis, arthroscopy and open surgery for temporomandibular joint internal derangement with inflammatory/degenerative disease; -pitfalls and pearls-,” Aug. 01, 2021. doi: 10.1016/j.ajoms.2021.06.009.

[6] A. Sidebottom, “Current thinking in open temporomandibular joint surgery. Is this still indicated in the management of articular temporomandibular joint disorder?” The British journal of oral & maxillofacial surgery, Jan. 2024, doi: 10.1016/j.bjoms.2024.01.006.

[7] A. Sidebottom, “Open Temporomandibular Joint Surgery: Discectomy with or Without Interpositional Reconstruction?” Atlas of the oral and maxillofacial surgery clinics of North America, vol. 30 2, pp. 199–204, Sep. 2022, doi: 10.1016/j.cxom.2022.05.001.

[8] V. S. Nguyen, T. Kofod, E. Nisja, M. Hosseini, and N. Worsaae, “Interpositional arthroplasty using cartilage allografts for treating temporomandibular joint arthrosis: A 3- and 5-year retrospective clinical follow-up study.” Oral surgery, oral medicine, oral pathology and oral radiology, Feb. 2024, doi: 10.1016/j.oooo.2024.02.002.

[9] F. G. G. P. Lima, L. Rios, L. Paranhos, W. Vieira, and D. Zanetta-Barbosa, “Survival of temporomandibular total joint replacement: A systematic review and meta-analysis.” Journal of oral rehabilitation, Dec. 2023, doi: 10.1111/joor.13635.

[10] A. Rajkumar and A. Sidebottom, “Prospective study of the long-term outcomes and complications after total temporomandibular joint replacement: analysis at 10 years.” International journal of oral and maxillofacial surgery, Sep. 2021, doi: 10.1016/j.ijom.2021.07.021.

[11] V. Ravelo, E. Vargas, H. G. Guevara, R. Sacco, P. Navarro, and S. Olate, “TMJ Replacement in Degenerative Disease: A Systematic Review,” Journal of Clinical Medicine, vol. 14, Jan. 2025, doi: 10.3390/jcm14020580.

[12] S. Renapurkar, “Surgical Versus Nonsurgical Management of Degenerative Joint Disease.” Oral and maxillofacial surgery clinics of North America, vol. 30 3, pp. 291–297, Jul. 2018, doi: 10.1016/j.coms.2018.04.005.

[13] G. Dimitroulis, “A guide for temporomandibular joint surgery using a simple surgical classification - A narrative-style review.” Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery, Jun. 2024, doi: 10.1016/j.jcms.2024.06.012.

[14] G. Dimitroulis, “THE RATIONALE FOR TEMPOROMANDIBULAR JOINT SURGERY: A Review Based on a TMJ Surgical Classification,” Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology, Nov. 2023, doi: 10.1016/j.ajoms.2023.10.012.

[15] T. Yoda et al., “Clinical guidelines for total temporomandibular joint replacement,” The Japanese Dental Science Review, vol. 56, pp. 77–83, Apr. 2020, doi: 10.1016/j.jdsr.2020.03.001.

[16] F. M. Gil et al., “Consensus Report and Recommendations on the Management of Late-stage Internal Derangement of the Temporomandibular Joint,” Journal of Clinical Medicine, vol. 13, Jun. 2024, doi: 10.3390/jcm13113319.

[17] M. Mian, M. Woliansky, A. Sklavos, S. Sreedharan, and R. Kumar, “What indication criteria are applied to patients receiving total temporomandibular joint replacement? A systematic review,” The Australasian Journal of Oral and Maxillofacial Surgery, Nov. 2025, doi: 10.63717/2025.ms0048.

[18] M. Siewert-Gutowska, R. Pokrowiecki, A. Kamiński, P. J. Zawadzki, and Z. Stopa, “State of the Art in Temporomandibular Joint Arthrocentesis—A Systematic Review,” Journal of Clinical Medicine, vol. 12, Jun. 2023, doi: 10.3390/jcm12134439.

[19] M. Derwich, M. Mitus-Kenig, and E. Pawłowska, “Mechanisms of Action and Efficacy of Hyaluronic Acid, Corticosteroids and Platelet-Rich Plasma in the Treatment of Temporomandibular Joint Osteoarthritis—A Systematic Review,” International Journal of Molecular Sciences, vol. 22, Jul. 2021, doi: 10.3390/ijms22147405.

[20] S. Nagori, V. Gopalakrishnan, H. Rangarajan, V. Kulkarni, and A. Roychoudhury, “Does intra-articular injection of platelet-rich plasma/platelet-rich fibrin improve outcomes after temporomandibular joint arthrocentesis? A systematic review and meta-analysis.” The British journal of oral & maxillofacial surgery, Jun. 2024, doi: 10.1016/j.bjoms.2024.06.007.

[21] J. Li and H. Chen, “Intra-articular injection of platelet-rich plasma vs hyaluronic acid as an adjunct to TMJ arthrocentesis: A systematic review and meta-analysis.” Journal of stomatology, oral and maxillofacial surgery, pp. 101676, Nov. 2023, doi: 10.1016/j.jormas.2023.101676.

[22] J. Cheung, S. Aronovich, J. P. Troost, and M. Hakim, “Is Advanced Arthroscopic Debridement in Patients With End-Stage Temporomandibular Joint Degenerative Joint Disease Associated With Improved Quality of Life and Pain Reduction?” Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, Nov. 2024, doi: 10.1016/j.joms.2024.11.003.

[23] H. Askar, S. Aronovich, B. Christensen, J. McCain, and M. Hakim, “Is Arthroscopic Disk Repositioning Equally Efficacious to Open Disk Repositioning? A Systematic Review.” Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, Feb. 2021, doi: 10.1016/j.joms.2021.02.007.

[24] O. Ellis, S. Tocaciu, D. McKenzie, M. McCullough, and G. Dimitroulis, “Risk Factors Associated With Poor Outcomes Following Temporomandibular Joint Discectomy and Fat Graft.” Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, May 2021, doi: 10.1016/j.joms.2021.05.018.

[25] C. Hol, P. Mork-Knutsen, T. A. Larheim, T. Bjørnland, and L. Z. Arvidsson, “Temporomandibular Joint Discectomy in Patients With Disc Displacement: Assessment of Osteoarthritis at 10- and 30-Year Follow-Up.” Journal of oral rehabilitation, Sep. 2024, doi: 10.1111/joor.13854.

[26] L. González-Pérez et al., “Prospective study of five-year outcomes and postoperative complications after total temporomandibular joint replacement with two stock prosthetic systems.” The British journal of oral & maxillofacial surgery, Nov. 2019, doi: 10.1016/j.bjoms.2019.10.312.

[27] E. Bach, N. Sigaux, M. Fauvernier, and A. Cousin, “Reasons for failure of total temporomandibular joint replacement: a systematic review and meta-analysis.” International journal of oral and maxillofacial surgery, Jan. 2022, doi: 10.1016/j.ijom.2021.12.012.

[28] F. P. P. Lima et al., “Complications of total temporomandibular joint replacement: a systematic review and meta-analysis.” International journal of oral and maxillofacial surgery, Dec. 2022, doi: 10.1016/j.ijom.2022.10.009.

[29] S. Gerber, M. Woliansky, M. Neiva-Sousa, T. Visholm, A. Limacher, and A. Sidebottom, “Complications of temporomandibular joint replacement surgery in adult patients: A systematic review and meta-analysis.” Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery, Apr. 2025, doi: 10.1016/j.jcms.2025.03.016.

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Published

2026-05-13

How to Cite

Тurakhanov S. V. (2026). Contemporary Surgical Approaches to Temporomandibular Joint Osteoarthritis: A Narrative Review. International Journal of Integrative and Modern Medicine, 4(5), 42–47. https://doi.org/10.31149/ijimm.v4i5.2897

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