F Luther1. 1. Department of Orthodontics, Child Dental Health, Leeds Dental Institute, Clarendon Way, Leeds, UK. f.luther@leeds.ac.uk
Abstract
OBJECTIVES: To review how occlusion, facial growth, TM disc position and malocclusion may relate to TMD; to review clinical studies investigating TMD pre- and post-orthodontic treatment as well as other studies linking occlusal features with TMD highlighting their limitations; and to make suggestions for improved study designs in the future in order to provide an evidence-base for clinical practice. DESIGN: Review article. METHODS: Electronic databases (MEDLINE and the Cochrane Database of Systematic Reviews) were used to select relevant and frequently cited studies (mean: 28 citations). Citation rate was confirmed using the Web of Science. Study designs are reviewed and weaknesses discussed. RESULTS: Evidence is lacking to suggest static occlusal factors cause TMD. CONCLUSIONS: Poor study designs have led to much of the controversy over whether occlusal factors (including orthodontics) 'cause' TMD. In order to provide an evidence-base for future clinical practice, suggestions to improve study designs are made.
OBJECTIVES: To review how occlusion, facial growth, TM disc position and malocclusion may relate to TMD; to review clinical studies investigating TMD pre- and post-orthodontic treatment as well as other studies linking occlusal features with TMD highlighting their limitations; and to make suggestions for improved study designs in the future in order to provide an evidence-base for clinical practice. DESIGN: Review article. METHODS: Electronic databases (MEDLINE and the Cochrane Database of Systematic Reviews) were used to select relevant and frequently cited studies (mean: 28 citations). Citation rate was confirmed using the Web of Science. Study designs are reviewed and weaknesses discussed. RESULTS: Evidence is lacking to suggest static occlusal factors cause TMD. CONCLUSIONS: Poor study designs have led to much of the controversy over whether occlusal factors (including orthodontics) 'cause' TMD. In order to provide an evidence-base for future clinical practice, suggestions to improve study designs are made.
Authors: Felipe J Fernández-González; Aránzazu Cañigral; José L López-Caballo; Aritza Brizuela; Isabel Moreno-Hay; Jaime Del Río-Highsmith; José A Vega Journal: J Clin Exp Dent Date: 2015-04-01
Authors: Doria Tolevski Meshkova; Paola Di Giacomo; Fabrizio Panti; Anna D'Urso; Emanuela Serritella; Carlo Di Paolo Journal: J Int Soc Prev Community Dent Date: 2019-08-06