graduate student
Moscow, Moscow, Russian Federation
Moscow, Moscow, Russian Federation
employee
Moscow, Moscow, Russian Federation
from 01.01.2021 until now
Moscow, Moscow, Russian Federation
Moscow, Moscow, Russian Federation
UDC 616.31
Relevance. Internal derangements of the temporomandibular joint (TMJ) are common functional disorders of the stomatognathic system and are characterized by a multifactorial nature. In the context of the widespread use of dental implantation, there is an ongoing debate about the possible influence of implant-supported prosthetic rehabilitation on the functional state of the TMJ. Objective. To analyze the impact of dental implant-supported prosthetics on the functional state of the TMJ and to identify risk factors for the development of articular manifestations. Materials and Methods. A systematized review of clinical studies and scientific publications devoted to the biomechanical and functional aspects of prosthetic rehabilitation supported by dental implants was conducted. The literature search was performed in international and national databases (PubMed, Scopus, eLIBRARY) using keywords related to the temporomandibular joint (TMJ), dental implantation, and occlusal relationships. The analysis included original clinical studies, prospective and retrospective observations, as well as systematic reviews. Parameters of TMJ functional status, occlusal characteristics, changes in dimension, and types of prosthetic constructions were evaluated. Results. With functionally justified planning, dental implant-supported prosthetics in most cases is not accompanied by a deterioration in the TMJ condition and may contribute to its stabilization. New articular complaints are registered relatively rarely and more often reflect the processes of functional adaptation of the stomatognathic system. Risk factors include changes in the vertical dimension of occlusion, instability of occlusal contacts, biomechanical features of the prosthetic design, parafunctions, and pre-existing dysfunction. Conclusions. Implant-supported prosthetic rehabilitation is accompanied by a functional adaptation of the stomatognathic system and cannot be considered a completely neutral intervention in relation to the TMJ. Further prospective studies with unified diagnostic criteria are necessary.
temporomandibular joint (TMJ), TMJ disorders, dental implants, occlusion, biomechanics
1. Kazaryan G.G., Bekreev V.V., Kladnichkin I.D. i dr. Optimizaciya lecheniya pacientov s vnutrennimi narusheniyami visochno-nizhnechelyustnogo sustava. Medicinskiy alfavit. 2024;(18):85-90. [Kazarian G.G., Bekreev V.V., Kladnichkin I.D., Salekh K.M., Degtyarev N.E. Optimizing the treatment of patients with intrinsic temporomandibular joint disorders. Medical alphabet. 2024;(18):85-90. (In Russ.)]. https://doi.org/10.33667/2078-5631-2024-18-85-90
2. Yarygina E.N., Shkarin V.V., Makedonova Yu.A., Kirpichnikov M.V., Muhaev H.H. Sovremennyy vzglyad na problemu diagnostiki i lecheniya visochno-nizhnechelyustnyh rasstroystv. Glavnyy vrach Yuga Rossii. 2024;(3):12-16. [Yarygina E.N., Shkarin V.V., Makedonova Yu.A., Kirpichnikov M.V., Mukhaev Kh.Kh. A modern view on the problem of diagnosis and treatment of temporomandibular disorders. Glavnyj vrač Ûga Rossii. 2024;(3):12-16. (In Russ.)]. https://elibrary.ru/item.asp?id=67857454
3. Patel K., Eley K.A., Cascarini L., Watt-Smith S., Larkin M., Lloyd T. et al. Temporomandibular disorders-review of evidence-based management and a proposed multidisciplinary care pathway. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. 2023;136(1):54–69. https://doi.org/10.1016/j.oooo.2023.02.001
4. Alqutaibi A.Y., Alhammadi M.S., Hamadallah H.H., Altarjami A.A., Malosh O.T., Aloufi A.M. et al. Global prevalence of temporomandibular disorders: a systematic review and meta-analysis. Journal of Oral & Facial Pain and Headache. 2025;39(2):48–65. https://doi.org/10.22514/jofph.2025.025
5. Yap A.U., Ho H.C.W., Lai Y.C. Analysing the psychosocial construct of temporomandibular disorders: implications for orthodontics. Seminars in Orthodontics. 2024;30(3):250-258. https://doi.org/10.1053/j.sodo.2023.11.006
6. Warzocha J., Gadomska-Krasny J., Mrowiec J. Etiologic factors of temporomandibular disorders: a systematic review of literature containing diagnostic criteria for temporomandibular disorders (DC/TMD) and research diagnostic criteria for temporomandibular disorders (RDC/TMD) from 2018 to 2022. Healthcare. 2024;12(5):575. https://doi.org/10.3390/healthcare12050575
7. Abdunazarova G.Zh., Shosaidova N.R., Zokirov D.M., Ahmedova A. Nekotorye aspekty razvitiya disfunkcii vnchs, svyazannye s defektami zubnyh ryadov. In eurasian journal of academic research. 2025;5(4):206-213. https://doi.org/10.5281/zenodo.15341652
8. Peshkov M.V., Tishkina L.N., Uspenskaya I.V. Ortopedicheskaya reabilitaciya s ispol'zovaniem dental'noy implantacii v gosudarstvennoy sisteme zdravoohraneniya. Nauka molodyh (Eruditio Juvenium). 2023;11(2):281-288. [Peshkov M.V., Tishkina L.N., Uspenskaya I.V. Orthopedic Rehabilitation by Dental Implantation in Public Healthcare System. Nauka molodykh (Eruditio Juvenium). 2023;11(2):281-288. (In Russ.)]. https://doi.org/10.23888/HMJ2023112281-288
9. Tsolianos I., Haidich A.B., Goulis D.G., Kotsiomiti E. The effect of mandibular implant overdentures on masticatory performance: a systematic review and meta-analysis. Dentistry Review. 2023;3(4):100072. https://doi.org/10.1016/j.dentre.2023.100072
10. Sagheb K., Wentaschek S., Bjelopavlovic M., Berres M., Díaz L., Fan S. et al. Evaluation of masticatory efficiency and OHRQoL in implant-retained overdenture with different numbers of implant in the edentulous mandible: a one-year follow-up prospective study. International Journal of Implant Dentistry. 2024;10(1):12. https://doi.org/10.1186/s40729-024-00519-0
11. Minervini G., Fiorillo L., Russo D., Lanza A., D’Amico C., Cervino G. et al. Prosthodontic treatment in patients with temporomandibular disorders and orofacial pain and/or bruxism: a review of the literature. Prosthesis. 2022;4(2):253-262. https://doi.org/10.3390/prosthesis4020025
12. Zhang Y., Yin C., Chen F., Zhang G., Hao P., Pu Y., et al. The effect of dental implant restoration on the biomechanics of the temporomandibular joint in patients with posterior tooth loss: a pilot study. Bioengineering. 2025;12(4):419. https://doi.org/10.3390/bioengineering12040419
13. Carlsson G.E. Occlusion and temporomandibular disorders: past and present opinions on management. Journal of Pakistan Prosthodontics Association. 2013;1(2):81-86. https://jppa.pk/jppa/article/view/18
14. D’Albis G., Forte M., Alrashadah A.O., Marini L., Corsalini M., Pilloni A. et al. Immediate loading of implants-supported fixed partial prostheses in posterior regions: a systematic review. Dentistry Journal. 2025;13(5):213. https://doi.org/10.3390/dj13050213
15. Chen J., Cai M., Yang J., Aldhohrah T., Wang Y. Immediate versus early or conventional loading dental implants with fixed prostheses: a systematic review and meta-analysis of randomized controlled clinical trials. The Journal of Prosthetic Dentistry. 2019;122(6):516-536. https://doi.org/10.1016/j.prosdent.2019.05.013
16. Manfredini D., Poggio C.E. Prosthodontic planning in patients with temporomandibular disorders and/or bruxism: a systematic review. The Journal of Prosthetic Dentistry. 2017;117(5):606-613. https://doi.org/10.1016/j.prosdent.2016.09.012
17. Zhang R., Ge Z., Lang X., Qiao B., Chen J., Ye B. et al. A CBCT study of changes in temporomandibular joint morphology with immediate implant placement and immediate loaded full-arch fixed dental prostheses. BMC Oral Health. 2024;24(1):1392. https://doi.org/10.1186/s12903-024-05187-5
18. Berzaghi A., Testori T., Scaini R., Bortolini S. Occlusion and biomechanical risk factors in implant-supported full-arch fixed dental prostheses—narrative review. Journal of Personalized Medicine. 2025;15(2):65. https://doi.org/10.3390/jpm15020065
19. Shkarin V.V., Makedonova Yu.A., Yarygina E.N., Devyatchenko L.A., Chizhikova T.V., Pavlova-Adamovich A.G. Antropometricheskie osobennosti sostoyaniya proteznogo lozha i zhevatel'noy muskulatury u pacientov s polnoy vtorichnoy adentiey po dannym ul'trazvukovogo issledovaniya. Saratovskiy nauchno-medicinskiy zhurnal. 2025;21(1):24-29. [Shkarin V.V., Makedonova Yu.A., larygina E.N., Devyatchenko L.A., Chizhikova T.V., Pavlova-Adamovich A.G. Anthropometric features of the prosthetic bed and masticatory musculature in patients with complete secondary adentia based on ultrasound data. Saratov Journal of Medical Scientific Research. 2025;21(1):24-29. (In Russ.)]. https://doi.org/10.15275/ssmj2101024
20. Fayad M.I. A literature review of vertical dimension in prosthodontics theory and practice—part 1: theoretical foundations. Cureus. 2024;16(6):e61903. https://doi.org/10.7759/cureus.61903
21. Yadfout A., El Aoud J., Merzouk N., Slaoui Hasnaoui J. Increasing vertical dimension of occlusion (VDO). Clinical, Cosmetic and Investigational Dentistry. 2024;16:135-142. https://doi.org/10.2147/CCIDE.S453704
22. Shafiee E., Nourizadeh A. Bruxism in implant-supported rehabilitations: a narrative review of clinical complications and management strategies. BMC Oral Health. 2025;25(1):1586. https://doi.org/10.1186/s12903-025-07005-y
23. Ryahovskiy A.N. Planirovanie zhevatel'noy nagruzki pri proektirovanii okklyuzionnoy poverhnosti bokovyh zubov na osnove 3D-analiza. Stomatologiya. 2024;103(6):35-47. [Ryakhovsky A.N. Planning of occlusal load in designing the occlusal surface of posterior teeth based on 3D analysis. Stomatology. 2024;103(6):35‑47. (In Russ.)]. https://doi.org/10.17116/stomat202410306135
24. Yoon D., Pannu D., Hunt M., Londono J. Occlusal considerations for full-arch implant-supported prostheses: a guideline. Dentistry Review. 2022;2(2):100042. https://doi.org/10.1016/j.dentre.2022.100042
25. Caggiano M., D’Ambrosio F., Acerra A., Giudice D., Giordano F. Biomechanical implications of mandibular flexion on implant-supported full-arch rehabilitations: a systematic literature review. Journal of Clinical Medicine. 2023;12(16):5302. https://doi.org/10.3390/jcm12165302
26. Gonzalez I.B., Montero J., Polo C.G., Pelaez B.P. Evaluation of the relationship between bruxism and/or temporomandibular disorders and stress, anxiety, depression in adults: a systematic review and qualitative analysis. Journal of Dentistry. 2025;156:105707. https://doi.org/10.1016/j.jdent.2025.105707
27. Ohrbach R., Dworkin S.F. The evolution of TMD diagnosis: past, present, future. Journal of Dental Research. 2016;95(10):1093-1101. https://doi.org/10.1177/00220345166539
28. Jian Z.S., Cao L.J., Ren J., Yan Y., Xia Z.B. A review of temporal changes in the temporomandibular joint associated with the restorative treatment of dentition defects. Bratislava Medical Journal. 2025;126(7):1207-1220. https://doi.org/10.1007/s44411-025-00161-1
29. Ebrahim M., Strel'nikov V.N., Moiseev D.A., Sallum A., Pulatova R.S., Vohidov U.G. i dr. Analiz oslozhneniy stomatologicheskogo lecheniya s primeneniem ortopedicheskih konstrukciy s raznym tipom fiksacii na dental'nye implantaty. Rossiyskaya stomatologiya. 2025;18(1):23-29. [Ebrakhim M., Strelnikov V.N., Moiseev D.A., Salloum A., Pulatova R.S., Vokhidov U.G. et al. Analysis of complications of dental treatment using orthopedic structures with different types of fixation on dental implants. Russian Journal of Stomatology. 2025;18(1):23‑29. (In Russ.)]. https://doi.org/10.17116/rosstomat20251801123
30. Petrikas I.V., Nikanorov V.I., Petrikas E.O., Ataeva D.M., Krupin N.I. Disfunkciya VNChS (visochno-nizhnechelyustnogo sustava). Etiologicheskie aspekty. Sciences of Europe. 2018;(26-1):53-58. [Petrikas I.V., Nikonorov V.I., Petrikas E.O., Ataeva D.M., Krupin N.I. Temporomandibular joint (TMJ) dysfunctoin. Etiological aspects. Sciences of Europe. 2018;(26-1):53-58. (In Russ.)]. https://elibrary.ru/item.asp?id=34905320
31. Kucevlyak V.I., Boyan A.M. Sistematizaciya etiopatogeneticheskih faktorov razvitiya myshechno-sustavnoy disfunkcii visochno-nizhnechelyustnogo sustava. ScienceRise: medical science. 2018;(6):62-67. [Kutsevlyak V.I., Boyan A.M. Systematization of etiopathogenetic factors in the development of musculoskeletal dysfunction of the temporomandibular joint. ScienceRise: medical Science. 2018;(6):62-67. (In Russ.)]. https://doi.org/10.15587/2519-4798.2018.143171
32. Agadzhani I.I., Yakimova Yu.Yu. Disfunkciya VNChS. Funkcional'nye metody issledovaniya. Lechenie disfunkcii VNChS. Vestnik nauki. 2025;1(1):333-340. [Agadzhani I.I., Yakimova Yu.Yu. TMJ dysfunction. Functional research methods. Treatment of TMJ dysfunction. Vestnik nauki. 2025;1(1):333-340. (In Russ.)]. https://elibrary.ru/item.asp?id=78509341
33. Sorokina N.D., Percov S.S., Shahalieva L.R., Selickiy G.V., Pol'ma L.V. Neyrofiziologicheskie i fiziologicheskie korrelyaty narusheniy visochno-nizhnechelyustnogo sustava i bolevogo sindroma v chelyustno-licevoy oblasti. Rossiyskiy zhurnal boli. 2019;17(1):60-67. [Sorokina N.D., Pertsov S.S., Shakhalieva L.R., Selitsky G.V., Polma L.V. Neurophysiological and physiological correlates of temporomandibular joint dysfunction and pain syndrome in the maxillofacial region. Russian Journal of Pain. 2019;17(1):60-67. (In Russ.)]. https://doi.org/10.25731/RASP.2019.01.11
34. Tran C., Ghahreman K., Huppa C., Gallagher J.E. Management of temporomandibular disorders: a rapid review of systematic reviews and guidelines. International Journal of Oral and Maxillofacial Surgery. 2022;51(9):1211-1225. https://doi.org/10.1016/j.ijom.2021.11.009
35. Horev O.Yu., Mayboroda Yu.N. Okklyuzionnye interferencii i neyromyshechnaya disfunkciya. Kubanskiy nauchnyy medicinskiy vestnik. 2017;(6):161-167. [Khorev O.Yu., Mayboroda Yu.N. Occlusal interferences and neuromuscular dysfunction. Kuban Scientific Medical Bulletin. 2017;(6):161-167. (In Russ.)]. https://doi.org/10.25207/1608-6228-2017-24-6-161-167
36. Latysheva N.V., Filatova E.G., Danilov A.B., Parsamyan R.R., Salina E.A. Disfunkciya visochno-nizhnechelyustnogo sustava i drugie prichiny boli v lice: pervaya mezhdunarodnaya klassifikaciya i novye podhody k terapii. Medicinskiy alfavit. 2019;4(35):40-46. [Latysheva N.V., Filatova E.G., Danilov A.B., Parsamyan R.R., Salina E.A. Temporomandibular disorder and other causes of orofacial pain: first international classification and new treatment perspectives. Medical alphabet. 2019;4(35):40-46. (In Russ.)]. https://doi.org/10.33667/2078-5631-2019-4-35(410)-40-46
37. Novosel'cev S.V., Reshetnikov A.G., Nefedova A.M., Ryl'skiy A.V., Abakumova M.A. Obzor konservativnyh nefarmakologicheskih metodov lecheniya disfunkcii visochno-nizhnechelyustnogo sustava. Manual'naya terapiya. 2025;(1-4):57-67. [Novoseltsev S.V., Reshetnikov A.G., Nefedova A.M., Ryl'skiy A.V., Abakumova M.A. A review of conservative non-pharmacological methods in the treatment of temporomandibular joint dysfunction. Manual Therapy. 2025;(1-4):57-67. (In Russ.)]. https://doi.org/10.54504/1684-6753-2025-1-4-57-67
38. Parhomenko A.N., Sorokina O.N., Zhukov I.A., Gacenko S.M., Shemonaev V.I. Klinicheskiy sluchay lecheniya pacienta nes'emnymi ortopedicheskimi konstrukciyami s oporoy na dental'nye implantaty, vnedrennye v neadekvatnoy pozicii. Sovremennye problemy nauki i obrazovaniya. 2020;(3). [A.N. Parkhomenko, O.N. Sorokina, I.A. Zhukov et al. Clinical case of treatment of a patient with fixed orthopedic constructions supported by dental implants placed in an inadequate position. Modern Problems of Science and Education. 2020;(3). (In Russ.)]. https://doi.org/10.17513/spno.29915
39. Arutyunov S.D., Panin A.M., Antonik M.M., Yun T.E., Adamyan R.A., Shirokov I.Yu. Osobennosti formirovaniya okklyuzii iskusstvennyh zubnyh ryadov, opirayuschihsya na dental'nye implantaty. Stomatologiya. 2012;91(1):54‑58. [Arutiunov S.D., Panin A.M., Antonik M.M., Iun T.E., Adamian R.A., Shirokov I.Ju. Occlusion patterns of dental arches containing implant-supported restoration. Stomatology. 2012;91(1):54‑58. (In Russ.)]. https://www.mediasphera.ru/issues/stomatologiya/2012/1/downloads/ru/030039-17352012113
40. Arhipov A.V., Arhipov V.D., Arhipov V.Ya., Maruk S.I. Skrining sindroma bolevoy disfunkcii VNChS pri provedenii dental'noy implantacii. Sovremennaya nauka: aktual'nye problemy teorii i praktiki. Seriya: Estestvennye i tehnicheskie nauki. 2017;(11):63-66. [Arkhipov A.V., Arkhipov V.D., Arkhipov V.Y., Maruk S.I. Screening of syndrome of pain dysfunction TMJ when carrying out dental implantation. Modern Science: actual problems of theory and practice. Series: Natural and Technical Sciences. 2017;(11):63-66. (In Russ.)]. http://www.nauteh-journal.ru/index.php/----etn17-11/3947-a
41. Krasnoperov I. Lechenie disfunkcii VNChS s vosstanovleniem okklyuzii s oporoy na zuby i implantaty v neyromyshechnoy koncepcii. Opisanie klinicheskogo sluchaya. Dental Market. 2020;(1):48-54. [I. Krasnoperov. Treatment of temporomandibular joint dysfunction with restoration of occlusion supported by teeth and implants within the neuromuscular concept. Dental Market. 2020;(1):48-54. (In Russ.)]. https://bostoninst.ru/wp-content/uploads/2022/08/dental-market-1-2020.pdf
42. Slesarev O.V. Zabolevaniya visochno-nizhnechelyustnogo sustava: mezhdisciplinarnyy podhod k diagnostike i lecheniyu. Sankt-Peterburg: Izdatel'stvo Chelovek; 2022. 284 s. [Slesarev O.V. Diseases of the temporomandibular joint: an interdisciplinary approach to diagnosis and treatment. St. Petersburg: Chelovek; 2022. 284 p. (In Russ.)]. https://www.elibrary.ru/item.asp?id=47672231
43. Tekucheva S.V., Bazikyan E.A., Afanas'eva Ya.I., Postnikov M.A. Kompleksnaya ocenka sostoyaniya zubochelyustnoy sistemy u pacientov s zabolevaniyami visochno-nizhnechelyustnogo sustava s ispol'zovaniem avtorskogo protokola issledovaniya: klinicheskie sluchai. Kubanskiy nauchnyy medicinskiy vestnik. 2023;30(4):110-136. [Tekucheva S.V., Bazikyan E.A., Afanasyeva Ya.I., Postnikov M.A. Copyright Research Protocol for Comprehensive Assessment of the Dento-Alveolar Complex in Patients with Temporomandibular Joint Disorders: Clinical Cases. Kuban Scientific Medical Bulletin. 2023;30(4):110-136. (In Russ.)]. https://doi.org/10.25207/1608-6228-2023-30-4-110-136
44. Kazaryan G.G., Bekreev V.V., Bykova M.V., Dzhumaniyazova E.D. Instrumental'nye metody diagnostiki patologiy visochno-nizhnechelyustnogo sustava. Stomatologiya dlya vseh. 2024;(1):52-60. [Kazarian G.G., Bekreev V.V., Bykova M.V., Jumaniyazova E.D. Instrumental methods of diagnostics of temporomandibular joint disorders. Stomatology for All / Int. Dental Review. 2024;(1):52-60. (In Russ.)]. https://doi.org/10.35556/idr-2024-1(106)52-60
45. Tereschuk S.V., Kapralova V.V., Kolomeycev L.S., Nabahat H. Ocenka rezul'tatov ortopedicheskogo lecheniya pacientov s nefiksirovannym prikusom. Obzor. Vestnik Medicinskogo instituta nepreryvnogo obrazovaniya. 2021;(1):54-66. [Tereshchuk S.V., Kapralova V.V., Kolomeicev L.S., Nabahat H. The rationale for evaluating the results of orthopedic treatment of patients with an unstable bite. Overview. Bulletin of the Medical Institute of Continuing Education. 2021;(1):54-66. (In Russ.)]. https://doi.org/10.46393/2782-1714_2021_1_54_66
