Are temporomandibular disorders associated with facial asymmetry? A systematic review and meta-analysis.
facial asymmetry
temporomandibular joint disorders
Journal
Orthodontics & craniofacial research
ISSN: 1601-6343
Titre abrégé: Orthod Craniofac Res
Pays: England
ID NLM: 101144387
Informations de publication
Date de publication:
Feb 2021
Feb 2021
Historique:
received:
19
11
2019
revised:
10
06
2020
accepted:
12
06
2020
pubmed:
2
7
2020
medline:
20
1
2021
entrez:
2
7
2020
Statut:
ppublish
Résumé
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; I 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.
Types de publication
Journal Article
Meta-Analysis
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1-16Subventions
Organisme : Coordenação de Aperfeiçoamento de Pessoal de Nível Superior-Brasil (CAPES)
Informations de copyright
© 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
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