Occurrence of Temporomandibular Disorders among patients undergoing treatment for Obstructive Sleep Apnoea Syndrome (OSAS) using Mandibular Advancement Device (MAD): A Systematic Review conducted according to PRISMA guidelines and the Cochrane handbook for systematic reviews of interventions

医学 阻塞性睡眠呼吸暂停 恶化 口腔矫治器 闭塞 物理疗法 疼痛 系统回顾 牙科 梅德林 内科学 政治学 法学
作者
Akshayraj Langaliya,Mohammad Khursheed Alam,Usha Hegde,Mangesh Shenoy Panakaje,Gabriele Cervino,Giuseppe Minervini
出处
期刊:Journal of Oral Rehabilitation [Wiley]
卷期号:50 (12): 1554-1563 被引量:10
标识
DOI:10.1111/joor.13574
摘要

Abstract Background Patients undergoing mandibular advancement device (MAD) therapy for obstructive sleep apnea (OSA) may experience changes in jaw position and altered occlusion. This could potentially contribute to the development or exacerbation of TMD symptoms. The literature on the long‐term impact of MAD treated for OSA on TMD is scarce. Hence, this review was undertaken to ascertain the occurrence of TMD in MAD users. Methods A comprehensive search protocol was implemented across several online databases using MeSH keywords and Boolean operators. A standardised data extraction form was developed specifically for this review. Two reviewers independently extracted the data. RoB‐2 was used to evaluate the methodological quality of the included studies. Results A total of 13 clinical studies were selected for this review. Some studies reported a significant reduction in the severity and frequency of TMD symptoms following MAD treatment. However, other studies did not observe significant changes in TMD symptoms or TMJ‐related parameters from baseline to follow‐up intervals. Temporary increases in TMJ‐related pain or symptoms at the beginning of the follow‐up period, which later subsided, were reported in some studies. Overall, MAD was not discontinued in any OSA patient due to TMDs. Conclusion The findings reveal that different outcomes associated with TMD are affected differently by MAD treatment for OSAS. According to a few studies, MAD therapy significantly reduced the severity and frequency of TMD symptoms. Other research, however, found no appreciable modifications in TMD symptoms or TMJ‐related indicators. Although the overall results point to no significant effect of MAD treatment on TMD symptoms, the disparity in results between studies highlights the need for additional studies using standardised approaches.
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