Literature DB >> 21494396

Comments to the paper "occlusal interferences: how can this concept influence the clinical practice?".

Reynaldo Leite Martins1.   

Abstract

Entities:  

Year:  2011        PMID: 21494396      PMCID: PMC3076001     

Source DB:  PubMed          Journal:  Eur J Dent


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In the aforementioned paper1 the authors performed a brief review about “the role of occlusal interferences on the development and progression of temporomandibular dysfunction (TMD) and postural disorders”. This review shows a clear bias with several articles favoring the cited relationships (Dental Occlusion, Temporomandibular Disorders and Postural Dysfunction), whereas relevant papers that question these same relationships2–17 were ignored. Because of this bias the statements that “occlusal interferences can play an important role in the development of TMDs” and “the relevance of the occlusal adjustment on the treatment of TMDs should be reevaluated”, seem not based in actual scientific literature, but rather only reflect the authors' personal point of view. First, we would like to thank the comments regarding our manuscript. We feel that this type of discussion is helpful in scientific setting. However, we have several points to argue. One of them is the studies mentioned by the commentaries. Some manuscripts are not related to the occlusal interferences as a main problem, but instead, linked to a malocclusion in specific population or jaw muscle pain, points that are related to the Temporo-Mandibular Dysfunctions (TMDs).1,2 Another mentioned study made conclusions using few patients in its evaluation, which can restrict the results obtained by the manuscript.3 Additionally, we excluded from our review comments respect to others studies4 because, this information represents personal point of view, and could not be cited as scientific data. We, at any moment, assure the fact that the occlusal interferences are the main etiologic factor of the TMDs, but as shown by scientific data, which the occlusal interferences can be involved in some TMDs cases. As the commentary’s authors cited, and the brief review conclude “the relevance of the occlusal adjustment on the treatment of TMDs should be reevaluated”. With this, the authors would lead the readers to evaluate all factors related to TMDs, including the occlusal interferences. One fact that should be considered is that several articles were presented,5–18 showed through accurate scientific methods, that occlusal interferences can be involved in the TMD, at least, as a risk factor, clearly demonstrating that our conclusions are based on actual scientific literature, not only reflecting the authors' personal point of view. Finally, the article “Occlusal Interferences: How Can This Concept Influence the Clinical Practice?” was presented as a brief review and not as a systematic review, and it is true that several reports were omitted, since the literature about Temporo-Mandibular Dysfunctions is extensive and, like cited in the manuscript, a controversial issue.
  33 in total

1.  Occlusal variables are only moderately useful in the diagnosis of temporomandibular disorder.

Authors:  P Kirveskari; P Alanen
Journal:  J Prosthet Dent       Date:  2000-07       Impact factor: 3.426

2.  The relationship between the occlusal interference side and the symptomatic side in temporomandibular disorders.

Authors:  T Fujii
Journal:  J Oral Rehabil       Date:  2003-03       Impact factor: 3.837

3.  Effect of artificial occlusal interferences depends on previous experience of temporomandibular disorders.

Authors:  Yrsa Le Bell; Tapio Jämsä; Suvi Korri; Päivi M Niemi; Pentti Alanen
Journal:  Acta Odontol Scand       Date:  2002-08       Impact factor: 2.331

4.  Taking stock: from chasing occlusal contacts to vulnerability alleles.

Authors:  Christian S Stohler
Journal:  Orthod Craniofac Res       Date:  2004-08       Impact factor: 1.826

5.  Effects of different jaw relations on postural stability in human subjects.

Authors:  P Bracco; A Deregibus; R Piscetta
Journal:  Neurosci Lett       Date:  2004-02-19       Impact factor: 3.046

Review 6.  Application of principles of evidence-based medicine to occlusal treatment for temporomandibular disorders: are there lessons to be learned?

Authors:  Heli Forssell; Eija Kalso
Journal:  J Orofac Pain       Date:  2004

7.  An evidence-based assessment of occlusal adjustment as a treatment for temporomandibular disorders.

Authors:  Y Tsukiyama; K Baba; G T Clark
Journal:  J Prosthet Dent       Date:  2001-07       Impact factor: 3.426

Review 8.  Occlusal adjustment for treating and preventing temporomandibular joint disorders.

Authors:  H Koh; P G Robinson
Journal:  Cochrane Database Syst Rev       Date:  2003

9.  Occlusal interferences: how can this concept influence the clinical practice?

Authors:  Adriano Fonseca Lima; Andrea Nóbrega Cavalcanti; Luis Roberto Marcondes Martins; Giselle Maria Marchi
Journal:  Eur J Dent       Date:  2010-10

10.  Malocclusions and clinical signs or subjective symptoms of temporomandibular disorders (TMD) in adults. Results of the population-based Study of Health in Pomerania (SHIP).

Authors:  Dietmar Gesch; Olaf Bernhardt; Dietrich Alte; Thomas Kocher; Ulrich John; Elke Hensel
Journal:  J Orofac Orthop       Date:  2004-03       Impact factor: 1.938

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