Lavage Therapy Versus Nonsurgical Therapy for the Treatment of Arthralgia of the Temporomandibular Joint: A Systematic Review of Randomized Controlled Trials

Vos, Lukas M.; Slater, J.J.R. Huddleston; Stegenga, Boudewijn

doi:10.11607/jop.1007

“…6 Therefore, both treatment modalities appear to be equally effective in the long term. 6,7.8,9 In a literature review, Vos et al 9 claim that TMJ washing can be a valuable alternative in cases where the primary symptom is exacerbated pain. The present study chose to perform arthrocentesis because patients had a history of unsuccessful conventional therapies.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness and satisfaction evaluation of patients submitted to TMJ arthrocenthesis: a case series

Gouveia

¹

,

Barbalho

²

,

Júnior

³

et al. 2015

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Effectiveness and satisfaction evaluation of patients submitted to TMJ arthrocenthesis: a case series Abstract: The aim of this study was to evaluate the effectiveness and level of satisfaction of patients who underwent TMJ arthrocentesis under local anesthesia by considering the following parameters: joint pain, mouth opening, mastication, and satisfaction. Fourteen patients (13 women and one man; mean age, 37.6 years with TMJ arthralgia were selected. The patients underwent arthrocentesis under local anesthesia, and pain intensity was measured before, during, and 1 year after treatment using a visual analog pain scale (VAS 0-100 mm). A Likert scale was used to assess patients' opinion regarding the improvement of mouth opening and mastication. After treatment, patients were questioned on levels of satisfaction provided by arthrocentesis in regard to their quality of life. At the end of 1 year, patients showed a marked improvement in their pain clinical picture (p < 0.0001). Mouth opening and mastication, evaluated separately and then correlated (R2 = 0.925, p < 0.0001), also showed a marked improvement. When questioned, all patients reported being satisfied with the treatment outcome.

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“…The strength of the present review lies on the rigorous method that was followed to select and assess the studies The Scientific World Journal that were included by using the PRISMA flowchart [10] and the criteria described by Vos et al [11]. However, many of the controlled studies included obtained "inadequate" and "unclear" scoring during the quality assessment procedure (Table 2); therefore, the lack of evidence found could also be related to the low quality of the trials.…”

Section: Discussionmentioning

confidence: 99%

“…To evaluate the quality of the studies included in the review the following items were assessed as described by Vos et al [11]:…”

Section: Quality Assessment Of the Studiesmentioning

confidence: 99%

The Role of Mandibular Third Molars on Lower Anterior Teeth Crowding and Relapse after Orthodontic Treatment : A Systematic Review

Zawawi¹,

Melis²

2014

SDJ

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Aims. To evaluate the role of third molars in the development of crowding or relapse after orthodontic treatment in the anterior segment of the dental arch. Methods. PubMed search of the literature was performed selecting all the articles relevant to the topic and limiting the studies to controlled trials on humans and written in English language. Systematic review was conducted according to the PRISMA (preferred reporting items for systematic reviews and meta-analyses) statement. Results. A total of 12 clinical studies were included in the review. A high risk of bias was found in most of the articles, either because the relative items assessed were inadequate or because they were unclearly described. The third molars were not correlated with more severe anterior tooth crowding in most of the studies. However, four of them described a different outcome. Conclusion. Definitive conclusions on the role of the third molars in the development of anterior tooth crowding cannot be drawn. A high risk of bias was found in most of the trials, and the outcomes were not consistent. However, most of the studies do not support a cause-and-effect relationship; therefore, third molar extraction to prevent anterior tooth crowding or postorthodontic relapse is not justified.

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“…The strength of the present review lies on the rigorous method that was followed to select and assess the studies that were included by using the PRISMA flowchart [10] and the criteria described by Vos et al [11]. However, many of the controlled studies included obtained “inadequate” and “unclear” scoring during the quality assessment procedure (Table 2); therefore, the lack of evidence found could also be related to the low quality of the trials.…”

Section: Discussionmentioning

confidence: 99%

“…To evaluate the quality of the studies included in the review the following items were assessed as described by Vos et al [11]:sequence generation and concealed allocation,size and composition of the studied groups,blinding of participants, clinicians, and investigators,application of inclusion and exclusion criteria for subjects,descriptions of loss to follow-up,adequacy of statistical analysis. …”

Section: Methodsmentioning

confidence: 99%

The Role of Mandibular Third Molars on Lower Anterior Teeth Crowding and Relapse after Orthodontic Treatment: A Systematic Review

Zawawi

¹

,

Melis

²

2014

The Scientific World Journal

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Aims. To evaluate the role of third molars in the development of crowding or relapse after orthodontic treatment in the anterior segment of the dental arch. Methods. PubMed search of the literature was performed selecting all the articles relevant to the topic and limiting the studies to controlled trials on humans and written in English language. Systematic review was conducted according to the PRISMA (preferred reporting items for systematic reviews and meta-analyses) statement. Results. A total of 12 clinical studies were included in the review. A high risk of bias was found in most of the articles, either because the relative items assessed were inadequate or because they were unclearly described. The third molars were not correlated with more severe anterior tooth crowding in most of the studies. However, four of them described a different outcome. Conclusion. Definitive conclusions on the role of the third molars in the development of anterior tooth crowding cannot be drawn. A high risk of bias was found in most of the trials, and the outcomes were not consistent. However, most of the studies do not support a cause-and-effect relationship; therefore, third molar extraction to prevent anterior tooth crowding or postorthodontic relapse is not justified.

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Lavage Therapy Versus Nonsurgical Therapy for the Treatment of Arthralgia of the Temporomandibular Joint: A Systematic Review of Randomized Controlled Trials

Abstract: The results suggest that lavage of the TMJ may be slightly more effective than nonsurgical treatment for pain reduction. However, this difference is not likely to be clinically relevant.

Cited by 26 publications

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Effectiveness and satisfaction evaluation of patients submitted to TMJ arthrocenthesis: a case series

Effectiveness and satisfaction evaluation of patients submitted to TMJ arthrocenthesis: a case series

The Role of Mandibular Third Molars on Lower Anterior Teeth Crowding and Relapse after Orthodontic Treatment : A Systematic Review

The Role of Mandibular Third Molars on Lower Anterior Teeth Crowding and Relapse after Orthodontic Treatment: A Systematic Review

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