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

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.

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Fuente de los datos: Dialnet