Cochrane · intervention · CD006541

Orthodontics for treating temporomandibular joint (TMJ) disorders

Cochrane Database of Systematic Reviews · 2010 · Cochrane Library

Full textEvery question was extracted from the full review (methods and results), not only its Summary of Findings table.
Questions
5
current version
GRADE rated
0
No studies
5
Included studies
0
as reported
No studies 5 · 100%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Review question

ElementPlanned (methods)Found (results)
PopulationAdults aged 18 years or older with clinically diagnosed TMD (exhibiting two or more of the listed signs and/or symptoms); no age restriction for prevention trials provided follow-up extended into adulthood; TMD required clinically absent at baseline for prevention studies; any signs/symptoms associated with pain of dental origin excludedNo studies met the inclusion criteria; four retrieved full texts were all excluded (n=0)
InterventionOrthodontic treatment with appliances that could induce stable, permanent orthodontic tooth movement; patients receiving splints for 8 to 12 weeks excluded; studies using splints prior to orthodontic appliances excluded; surgical interventions excludedNo studies met the inclusion criteria (n=0)
ComparisonControl groups receiving no treatment, placebo, or reassuranceNo studies met the inclusion criteria (n=0)
OutcomesPrimary: overall symptoms, pain and headache (relief from symptoms by global measures; frequency/severity/duration). Secondary: limitation of movement. Also adverse effects on oral health and quality of life. Outcome measurement at least 6 months after interventionNo studies met the inclusion criteria; no outcomes could be assessed (n=0)
Study designsAll randomised controlled trials (RCTs), including quasi-randomised trialsNo studies met the inclusion criteria (n=0)
TimingAt least 6 months after the intervention (prevention trials followed into adulthood)No studies met the inclusion criteria (n=0)

Search date: 2010-04. Databases: The Cochrane Oral Health Group's Trials Register; The Cochrane Central Register of Controlled Trials (CENTRAL); MEDLINE via OVID; EMBASE via OVID

Questions and results

Show all 2 versions

Orthodontic treatment with appliances inducing stable, permanent orthodontic tooth movement (splints worn 8 to 12 weeks and surgical interventions excluded) vs Control: no treatment, placebo, or reassurance

Population: Adults aged 18 years or older with clinically diagnosed TMD (exhibiting two or more of the listed signs and/or symptoms)
4 questions
OutcomeEffectEvidenceStatus / GRADE
Adverse effects on oral health
At least 6 months after the intervention
no estimate extracted0 studiesNo studies
Limitation of movement
At least 6 months after the intervention
no estimate extracted0 studiesNo studies
Patient quality of life
At least 6 months after the intervention
no estimate extracted0 studiesNo studies
Overall symptoms, pain and headache (relief from symptoms assessed by global measures)
At least 6 months after the intervention
no estimate extracted0 studiesNo studies

Orthodontic treatment with appliances inducing stable, permanent orthodontic tooth movement (splints worn 8 to 12 weeks and surgical interventions excluded) vs Control: no treatment, placebo, or reassurance

Population: People without TMD at baseline undergoing orthodontic treatment (TMD clinically absent at baseline); no age restriction provided follow-up extended into adulthood
1 question
OutcomeEffectEvidenceStatus / GRADE
Development of TMD (onset/incidence of signs and symptoms)
Follow-up period extended into adulthood
no estimate extracted0 studiesNo studies