The aim of this systematic review was to evaluate the effectiveness of different temporomandibular joint arthroscopic discopexy techniques. The systematic review was conducted according to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) statement and an electronic search was performed using MEDLINE (PubMed), The Cochrane Library, ScienceDirect databases using a combination of the terms ‘‘discopexy,’’ ‘‘disc recapture,’’ ‘‘disc fixation,’’ and ‘‘temporomandibular joint’’ to identify clinical trials published from 2010. In total, 493 records were screened, of which only 9 fulfilled the inclusion criteria and were included in qualitative data synthesis. The results of clinical findings evaluation showed that arthroscopic discopexy statistically significantly improved levels of pain (VAS) and maximum interincisal opening whereas magnetic resonance imaging evaluation showed disc position improvement of up to 90% to 100%. In conclusion, this review provides the evidence of the potential benefits of arthroscopic disc fixation in the treatment of patients with internal derangements : reduced pain, increased maximum interincisal opening, and improved disc position evaluated by magnetic resonance imaging, whereas disc fixation using suturing techniques seems to be the most appropriate method.
Nacionalinės valdžios institucijos turi nustatyti sveikatos tyrimų prioritetus ir priimti sprendimus dėl investicijų į sveikatos sistemas ir sveikatos priežiūros priemones. Visuomenės sveikatos intervencijomis siekiama sumažinti gyventojų ligų naštą ir pagerinti gyvenimo kokybę. DALY yra priemonė kiekybiškai įvertinti ligų naštą, išreikštą populiacijoje prarastų metų dėl ankstyvos mirties ar negalios, skaičiumi. Darbo tikslas − teoriškai pagrįsti DALY indeksą, jį interpretuoti ir pateikti apskaičiavimo bei praktinio panaudojimo pavyzdžių. Mokslinių straipsnių, publikuotų 1997–2021 m. laikotarpiu, ieškota MEDLINE, Google Scholar ir ScienceDirect mokslinių duomenų bazėse. Paieškoje naudotos raktažodžių kombinacijos anglų kalba: DALY index, disability-adjusted life year, life expectancy, quality of life. Literatūros šaltiniai atrinkti remiantis šiais kriterijais: straipsniai, kuriuose aprašomas DALY indeksas; straipsniai, pateikiantys DALY indekso pritaikymo būdus; straipsniai, kuriuose apskaičiuojami DALY indeksas. Rezultatai parodė daugybę skirtumų tarp intervencijos kainos ir sveikatos pagerėjimo. Nustatytas silpnas ryšys tarp intervencijos didesnės kainos ir patikimesnio sveikatos pagerėjimo, tačiau nerasta įrodymų, kad brangesnė intervencija sveikatą pagerintų labiau. Daromos išvados, jog DALY skaičiavimui reikalinga daugybė duomenų, kurie ne visada prieinami, o skaičiavimas sudėtingas ir brangus. Be to, DALY nevertina ligonio galimybių gyventi su negalia ir daugelio kitų veiksnių, turinčių įtakos sveikatos politikos klausimų sprendimui.
Background: Vertical bone resorption begins as soon as the tooth is extracted and, if not stopped, continues until the alveolar bone is completely atrophic. Various materials and techniques are used to rebalance the bone, which helps to restore the stable height of the alveolar bone. Three techniques are reviewed in this study: polytetrafluoroethylene membrane (PTFE), titanium mesh (Ti-mesh), and tenting pole. This systematic review aimed to evaluate the effectiveness of three different vertical augmentation techniques. Methods: A systematic review of the literature was performed according to the PRISMA guidelines in search of clinical trials published between 2017 and 2022. Electronic literature searches were conducted independently by two authors. Results: Studies indicate a vertical gain of alveolar bone from 2.36 ± 0.28 mm to 5.6 ± 2.6 mm, when using PTFE, and the mean vertical gain of alveolar bone was from 1.5 ± 1.6 mm to 6.36 mm when using Ti-mesh, and 1.72 ± 0.78 mm to 2.87 ± 0.79 mm bone gain using tenting pole technique. Conclusion: Three used techniques: polytetrafluoroethylene membrane (PTFE), titanium mesh (Ti-mesh), and tenting pole showed acceptable results in the process of vertical augmentation. However, this study did not find robust evidence of which technique is the most effective.
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