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Chapter 394ConclusionWhile hip and knee TJR systems have widely been accepted as standard end-stage treatment options in orthopedic surgery, the TMJ TJR system is still seen as an obscurity in the field of maxillofacial surgery, partially due to previous negative experiences with systems using unsuitable materials or suffering from flawed biomechanical design. Nevertheless, a slow yet certain increased demand for TMJ TJR systems can be seen, urging for the development of more suitable and durable materials. The authors of this article believe that with the development of newer materials such as ZTA and surface modification techniques, as well as 3D-printing, allowing for customization, the TJR system may very well provide a long term satisfactory treatment to end-stage TMJ pathology, although further research into these newer materials is needed. Nikolas de Meurechy NW.indd 94 05-06-2024 10:14