Impact of functional mandibular advancement appliances on the temporomandibular jointa systematic review

  1. Laura Ivorra Carbonell 1
  2. José María Montiel Company 2
  3. José Manuel Almerich Silla 3
  4. Vanessa Paredes Gallardo 2
  5. Carlos Bellot Arcís 4
  1. 1 Dentistry graduate, Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Spain
  2. 2 Teaching Assistant, Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Spain
  3. 3 Tenured Lecturer, Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Spain
  4. 4 Associate Lecturer, Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Spain
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Revista:
Medicina oral, patología oral y cirugía bucal. Ed. inglesa

ISSN: 1698-6946

Año de publicación: 2016

Volumen: 21

Número: 5

Páginas: 16

Tipo: Artículo

DOI: 10.4317/MEDORAL.21180 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Medicina oral, patología oral y cirugía bucal. Ed. inglesa

Objetivos de desarrollo sostenible

Resumen

Although many orthodontists have no doubts about the effectiveness of functional appliances for mandibular advancement, the impact on the temporomandibular joint (TMJ) is still in dispute. The objective of this systematic review is to examine the main effects on the TMJ of using functional appliances, both in healthy patients and in patients with a pre-existing disorder. A systematic review of the literature was conducted in accordance with the PRISMA guidelines. Only systematic reviews, meta-analyses, randomized clinical trials (RCTs), case-control studies and cohort studies were included. A detailed language-independent electronic search was conducted in the Pubmed, Scopus, Cochrane Library and Embase databases. All studies published between 2000 and 2015 were included. A total of 401 articles were identified. Of these, 159 were duplicates and were excluded. On reading the title and abstract, 213 articles were excluded because they did not answer the research question, leaving a total of 29 articles. These articles were read and assessed. Following critical reading of the full text, eight articles were excluded: seven because they were considered of low quality and one because it published redundant data. As a result, 21 articles were included. After treatment with functional appliances, the condyle was found to be in a more advanced position, with remodelling of the condyle and adaptation of the morphology of the glenoid fossa. No significant adverse effects on the TMJ were observed in healthy patients and the appliances could improve joints that initially presented forward dislocation of the disk.

Referencias bibliográficas

  • Aidar, LA, Dominguez, GC, Yamashita, HK, Abrahão, M. (2010). Changes in temporomandibular joint disc position and form following Herbst and fixed orthodontic treatment. Angle Orthod. 80. 843
  • Güner, D, Öztürk, Y, Sayman, HB. (2003). Evaluation of the effects of functional orthopaedic treatment on temporomandibular joint with single- proton emission computerized tomography. Eur J Orthod. 25. 9-12
  • Le Cornu, M, Cevidanes, LHS, Zhu, H, Wu, C, Larson, B, Nguyenf, T. (2013). Three-dimensional treatment outcomes in Class II patients treated with the Herbst appliance: A pilot study. Am J Orthod Dentofacial Orthop. 144. 818
  • Serbesis-Tsarudis, C, Pancherz, H. (2008). ''Effective'' TMJ and chin position changes in Class II treatment. Angle Orthod. 78. 813
  • Baltromejus, S, Ruf, S, Pancherz, H. (2002). Effective temporomandibular joint growth and chin position changes: Activator versus Herbst treatment. A cephalometric roentgenographic study. Eur J Orthod. 24. 627
  • Katsavrias, EG. (2003). The effect of mandibular protrusive (activator) appliances on articular eminence morphology. Angle Orthod. 73. 647
  • Kinzinger, G, Roth, A, Gülden, N, Bucker, A, Diedrich, P. (2006). Effects of orthodontic treatment with fixed functional orthopaedic appliances on the condyle-fossa relationship in the temporomandibular joint: a magnetic resonance imaging study (Part I). Dentomaxillofac Radiol. 35. 339
  • Kinzinger, GS, Roth, A, Gülden, N, Bücker, A, Diedrich, PR. (2006). Effects of orthodontic treatment with fixed functional orthopaedic appliances on the disc-condyle relationship in the temporomandibular joint: a magnetic resonance imaging study (Part II). Dentomaxillofac Radiol. 35. 347
  • Aidar, LAA, Dominguez, GC, Abrahao, M, Yamashita, HK, Vigorito, JW. (2009). Effects of Herbst appliance treatment on temporomandibular joint disc position and morphology: A prospective magnetic resonance imaging study. Am J Orthod Dentofacial Orthop. 136. 412
  • Liberati, A, Altman, DG, Tetzlaff, J, Mulrow, C, Gøtzsche, PC, Ioannidis, JP. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med. 6. 1000100
  • Schulz, KF, Altman, DG, Moher, D, CONSORT, Group. (2010). CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials. BMC Med. 8. 18
  • Mattos, CT, Vilani, GNL, Sant'Anna, EF, Ruellas, ACO, Maia, LC. (2011). Effects of orthognathic surgery on oropharyngeal airway: a meta-analysis. Int J Oral Maxillofac Surg. 40. 1347
  • Fernández-Ferrer, L, Montiel-Company, JM, Pinho, T, Almerich-Silla, JM, Bellot-Arcís, C. (2015). Effects of mandibular setback surgery on upper airway dimensions and their influence on obstructive sleep apnoea - a systematic review. J Craniomaxillofac Surg. 43. 248
  • Serra-Torres, S, Bellot-Arcís, C, Montiel-Company, JM, Marco-Algarra, J, Almerich-Silla, JM. (2016). Effectiveness of mandibular advancement appliances in treating obstructive sleep apnea syndrome: A systematic review. Laryngoscope. 126. 507
  • Wadhawan, N, Kumar, S, Kharbanda, OP, Duggal, R, Sharma, R. (2008). Temporomandibular joint adaptations following two-phase therapy: an MRI study. Orthod Craniofac Res. 11. 235
  • Chavan, S, Bhad, W, Doshi, U. (2014). Comparison of temporomandibular joint changes in Twin Block and Bionator appliance therapy: a magnetic resonance imaging study. Prog Orthod. 15. 57
  • Franco, A, Yamashita, H, Lederman, H, Cevidanes, LHS, Proffit, W, Vigorito, JW. (2002). Fränkel appliance therapy and the temporomandibular disc: A prospective magnetic resonance imaging study. Am J Orthod Dentofacial Orthop. 121. 447
  • Popowich, KDMD, Nebbe, B. (2003). Effect of Herbst treatment on temporomandibular joint morphology: A systematic literature review. Am J Orthod Dentofacial Orthop. 123. 388
  • Chintakanon, K, Sampson, W, Wilkinson, T, Townsend, T. (2000). A prospective study of Twin-block appliance therapy assessed by magnetic resonance imaging. Am J Orthod Dentofacial Orthop. 118. 494-504
  • Kinzinger, G, Kober, C, Diedrich, P. (2007). Topography and Morphology of the Mandibular Condyle during Fixed Functional Orthopedic Treatment -a Magnetic Resonance Imaging Study. J Orofac Orthop. 68. 124
  • Pancherz, H, Fischer, S. (2003). Amount and Direction of Temporomandibular Joint Growth Changes in Herbst Treatment: A Cephalometric Long-Term Investigation. Angle Orthod. 73. 493-501
  • Pancherz, H, Michailidou, C. (2004). Temporomandibular joint growth changes in hyperdivergent and hypodivergent Herbst subjects. A long-term roentgenographic cephalometric study. Am J Orthod Dentofacial Orthop. 126. 153
  • Yildirim, E, Karacay, S, Erkan, M. (2014). Condylar response to functional therapy with Twin-Block as shown by cone-beam computed tomography. Angle Orthod. 84. 1018
  • Arici, S, Akan, H, Yakubov, K, Arici, N. (2008). Effects of fixed functional appliance treatment on the temporomandibular joint. Am J Orthod Dentofacial Orthop. 133. 809
  • Arat, Z, Gökalp, H, Erdem, D, Erden, I. (2001). Changes in the TMJ disc–condyle–fossa relationship following functional treatment of skeletal Class II Division 1 malocclusion: A magnetic resonance imaging study. Am J Orthod Dentofacial Orthop. 119. 316
  • Ruf, S, Bendeus, M, Pancherz, H, Hägg, U. (2007). Dentoskeletal Effects and ''Effective'' Temporomandibular Joint, Maxilla and Chin Changes in Good and Bad Responders to van Beek Activator Treatment. Angle Orthod. 77. 64-72
  • Watted, N, Witt, E, Kenn, W. (2001). The temporomandibular joint and the disc-condyle relationship after functional orthopaedic treatment: a magnetic resonance imaging study. Eur J Orthod. 23. 683
  • Kinzinger, G, Gülden, N, Roth, A, Diedrich, P. (2006). Disc-condyle Relationships during Class II Treatment with the Functional Mandibular Advancer (FMA). J Orofac Orthop. 67. 356
Fuente de los datos: Dialnet