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Clinical outcomes of the discopexy using suture anchors for repositioning disc displacement in temporomandibular joints: Systematic review and meta-analysis

医学 可视模拟标度 科克伦图书馆 荟萃分析 纤维接头 流离失所(心理学) 牙科 髁突 系统回顾 颞下颌关节 纳入和排除标准 外科 梅德林 口腔正畸科 随机对照试验 内科学 替代医学 心理治疗师 法学 病理 政治学 心理学
作者
Daniel Amaral Alves Marlière,Maria Júlia Assis Vicentin Calori,Yuri de Lima Medeiros,Rodrigo César Santiago,Guilherme Strujak,Luciana Asprino
出处
期刊:Journal of Cranio-maxillofacial Surgery [Elsevier BV]
卷期号:51 (7-8): 475-484 被引量:2
标识
DOI:10.1016/j.jcms.2023.06.007
摘要

The present study evaluated the literature regarding the clinical outcomes after discopexy using suture bone anchors for repositioning disc displacement. A systematic review was conducted according to the PRISMA statement and applied for the PROSPERO platform. The database searches were performed in the PubMed, Scopus, Web of Science, EMBASE, The Cochrane Library, and LILACS for full articles published from no restrictions of the initial period time to April 2022. Selection criteria included clinical studies in humans comparing maximal inter-incisal opening (MIO), pain by visual analogue scale (VAS), and protrusive and lateral excursions before and after discopexy. The screening process was performed by two independent reviewers, and if they did not agree with each other, a third reviewer was consulted before proceeding. The meta-analysis was carried out by Comprehensive Meta-Analysis software. Eleven studies met the inclusion criteria. A total of 327 patients were diagnosed with disc displacement, and 142 patients were refractory to conservative and minimally surgical therapies. Preauricular and endaural approaches were performed to place suture bone anchors on the posterior area of the condyle. A significant difference was found in MIO, which ranged from 15.5 mm pre-opeatively to 41.6 mm post-operatively (p = 0.001). Pain scores using the VAS ranged from 7.42 to 0.28 indicating improvement post-operatively (p = 0.001). Mandibular excursions were underestimated. The available results have shown that discopexy using suture anchors seemed to decrease pain and improve mouth opening. Clinical studies are required in a larger sample and lower variability of follow-up time to predict actual benefits.
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