Cochrane · intervention · CD006541
Orthodontics for treating temporomandibular joint (TMJ) disorders
Cochrane Database of Systematic Reviews · 2010 · Cochrane Library
Oral HealthOral and maxillofacial surgeryOrthodonticsTemporomandibular disorders and sleep2 versionsAMSTAR 2: not assessed
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
| Element | Planned (methods) | Found (results) |
|---|---|---|
| Population | Adults 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 excluded | No studies met the inclusion criteria; four retrieved full texts were all excluded (n=0) |
| Intervention | Orthodontic 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 excluded | No studies met the inclusion criteria (n=0) |
| Comparison | Control groups receiving no treatment, placebo, or reassurance | No studies met the inclusion criteria (n=0) |
| Outcomes | Primary: 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 intervention | No studies met the inclusion criteria; no outcomes could be assessed (n=0) |
| Study designs | All randomised controlled trials (RCTs), including quasi-randomised trials | No studies met the inclusion criteria (n=0) |
| Timing | At 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
Current version onlyOrthodontic 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)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Adverse effects on oral health At least 6 months after the intervention | no estimate extracted | 0 studies | No studies |
Limitation of movement At least 6 months after the intervention | no estimate extracted | 0 studies | No studies |
Patient quality of life At least 6 months after the intervention | no estimate extracted | 0 studies | No studies |
Overall symptoms, pain and headache (relief from symptoms assessed by global measures) At least 6 months after the intervention | no estimate extracted | 0 studies | No 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
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Development of TMD (onset/incidence of signs and symptoms) Follow-up period extended into adulthood | no estimate extracted | 0 studies | No studies |
Orthodontic treatment (any appliance moving the teeth or jaws to a permanently new position; anterior repositioning/positioning splints excluded) vs No treatment, placebo, physiotherapy, relaxing appliances, pharmacological interventions, or any other occlusal appliances (including splint therapy)
Population: Patients with temporomandibular disorders (TMD) of any severity and any age, with signs and symptoms present for longer than 1 month, diagnosed using a published index
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Area of muscle tenderness on clinical palpation At least 3 weeks after appliance placement; no upper time limit | no estimate extracted | NR | No studies |
Adverse effects (enamel marks/decalcification/decay, loss of root length, damage to gingivae and bone) At least 3 weeks after appliance placement; no upper time limit | no estimate extracted | NR | No studies |
Clinically recorded range of movement At least 3 weeks after appliance placement; no upper time limit | no estimate extracted | NR | No studies |
Joint sounds (clicking) At least 3 weeks after appliance placement; no upper time limit | no estimate extracted | NR | No studies |
Patient preference/satisfaction (e.g. quality-of-life questionnaire) At least 3 weeks after appliance placement; no upper time limit | no estimate extracted | NR | No studies |
Pain (global symptoms and signs, including headache; frequency, severity and duration) At least 3 weeks after appliance placement; no upper time limit | no estimate extracted | NR | No studies |
Orthodontic treatment (any appliance moving the teeth or jaws to a permanently new position; anterior repositioning/positioning splints excluded) vs No treatment (untreated control)
Population: Patients with no TMD signs or symptoms at the start of orthodontic treatment (to assess whether orthodontic treatment prevents or predisposes to TMD)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Development of TMD (onset/incidence of signs and symptoms) No upper time limit; long-term follow-up | no estimate extracted | NR | No studies |