Anquilose da ATM – tratamento por prótese de ATM associada à cirurgia ortognática: revisão de literatura

Abstract

The temporomandibular joint (TMJ) is a synovial joint, is complex and differentiated by acting during mastication, swallowing and vocalization. This region can be affected by alterations, disorders of the temporomandibular joint (TMD) leading to the emergence of pathologies such as temporomandibular ankylosis (TMJ), whose etiology is associated with infection, trauma or disease. This condition is characterized by fusion of the mandibular condyle and skull base, resulting in limited mandibular movement and mouth opening. The diagnosis of these cases requires well-conducted anamnesis, clinical examination and radiological examination, with computed tomography (CT) being the gold standard. Solving these cases satisfactorily and preventing recurrence is a challenge. The objective of this work is to review and analyze, through a literature review, studies that address the topic of AATM treated through the use of TMJ prosthesis, associated with orthognathic surgery, also highlighting the importance of a multidisciplinary approach to provide aesthetic and functional improvement. of patients. Having as an inclusion criterion, studies published between the years 2011 to 2022. And as an exclusion criterion, studies and theses that did not address the subject and that were outside the determined timeline were discarded. For this purpose, the databases used were: Google Scholar, VHL, Scielo, Pubmed. In view of the study, it is concluded that the association of the TMJ prosthesis with orthognathic surgery provides aesthetic and functional benefits in the treatment of ankylosis, but that even today there is no consensus on a treatment that is considered the gold standard.