医学
科克伦图书馆
荟萃分析
梅德林
颞下颌关节
检查表
颞颚关节功能障碍
观察研究
面部对称
系统回顾
物理疗法
牙科
口腔正畸科
心理学
内科学
法学
认知心理学
政治学
作者
Fernanda Blaudt Carvalho Marques,Lílian Siqueira de Lima,Pedro Lima Emmerich Oliveira,Marcela Baraúna Magno,Daniele Masterson Tavares Pereira Ferreira,Amanda Cunha Regal de Castro,José Vinícius Bolognesi Maciel,Antônio Carlos de Oliveira Ruellas,Lucianne Cople Maia
摘要
To assess scientific evidence of the association between temporomandibular joint (TMJ) disorders and facial asymmetry (FA).A systematic review was performed in accordance with the PRISMA checklist. A search strategy was developed in electronic databases including MEDLINE, Scopus, Web of Science, Virtual Health Library and Cochrane Library until January 2020. Eligibility criteria included observational studies that investigated the occurrence of FA among patients with and without signs and symptoms of TMJ disorders. Risk of bias of individual studies was analysed after study selection and data collection processes according to Fowkes and Fulton guidelines. Four meta-analyses (MA) were performed to evaluate the association between TMJ disorders and linear/angular menton deviation, subgrouping the studies into unilateral and bilateral cases. The evidence was certainty-tested using the GRADE approach.The search retrieved 2371 studies, 31 of which were eligible for full-text reading. Seven cross-sectional clinical studies met the eligibility criteria and were included in the qualitative synthesis, comprising a total of 621 subjects (345 with TMJ disease and 276 in control group), four of which were classified as being methodologically sound. Five studies were eligible for quantitative synthesis. Linear and angular menton deviation was greater in individuals with unilateral TMJ disorders than controls (MD = 2.41 [0.33, 4.50] P = .02; I2 = 86% and MD = 2.68 [0.99, 4.38] P = .002; I2 = 0%, respectively).Despite the low certainty in evidence, the present study indicated that unilateral TMJ disorders are associated with FA. However, longitudinal studies with greater certainty of evidence should be conducted to achieve a stronger estimate of this association.
科研通智能强力驱动
Strongly Powered by AbleSci AI