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Temporomandibular disorders in growing patients after treatment of class II and III malocclusion with orthopaedic appliances: a systematic review

dc.contributor.authorJiménez-Silva A.
dc.contributor.authorCarnevali-Arellano R.
dc.contributor.authorVenegas-Aguilera M.
dc.contributor.authorTobar-Reyes J.
dc.contributor.authorPalomino-Montenegro H.
dc.date.accessioned2020-09-02T22:21:01Z
dc.date.available2020-09-02T22:21:01Z
dc.date.issued2018
dc.identifier10.1080/00016357.2017.1416165
dc.identifier.citation76, 4, 262-273
dc.identifier.issn00016357
dc.identifier.urihttps://hdl.handle.net/20.500.12728/4976
dc.descriptionObjective: To determine if the use of orthopaedic appliances in growing patients applied to correct Class II and III malocclusion is related to the development of temporomandibular disorders (TMD). Material and methods: A systematic review was conducted between 1960 and July 2017, based on electronic databases: PubMed, Cochrane Library, Embase, Medline, Scopus, EBSCOhost, Scielo, Lilacs and Bireme. Controlled clinical trials (CCTs) and randomized controlled trials (RCTs) were identified. The articles were selected and analyzed by two authors independently. The quality of the evidence was determined according to the guidelines of the Cochrane Risk Bias Assessment Tool and the Cochrane Quality Study Guide. Results: Seven articles were included, four CCTs and three RCTs. The studies were grouped according to malocclusion treatment in (a) class II appliances (n = 4) and (b) class III appliances (n = 3). The quality of evidence was low due to the high risk of bias, independent of the association reported. All studies concluded that the use of orthopaedic appliances would not contribute to the development of TMD. Conclusions: The quality of evidence available is insufficient to establish definitive conclusions, since the studies were very heterogeneous and presented a high risk of bias. However, it is suggested that the use of orthopaedic appliances to correct class II and III malocclusion in growing patients would not be considered as a risk factor for the development of TMD. High-quality RCTs are required to draw any definitive conclusions. © 2017 Acta Odontologica Scandinavica Society.
dc.language.isoen
dc.publisherTaylor and Francis Ltd
dc.subjectClass II
dc.subjectclass III
dc.subjectdentofacial orthopaedics
dc.subjecttemporomandibular disorders
dc.subjecttemporomandibular joint
dc.subjectcomplication
dc.subjecthuman
dc.subjectmalocclusion
dc.subjectorthodontics
dc.subjectorthopedics
dc.subjectprocedures
dc.subjectrisk assessment
dc.subjecttemporomandibular joint disorder
dc.subjecttreatment outcome
dc.subjectHumans
dc.subjectMalocclusion, Angle Class III
dc.subjectOrthodontics, Corrective
dc.subjectOrthopedics
dc.subjectRisk Assessment
dc.subjectTemporomandibular Joint Disorders
dc.subjectTreatment Outcome
dc.titleTemporomandibular disorders in growing patients after treatment of class II and III malocclusion with orthopaedic appliances: a systematic review
dc.typeReview


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