Controversial Aspects of Diagnostics and Therapy of Idiopathic Condylar Resorption: An Analysis of Evidence- and Consensus-Based Recommendations Based on an Interdisciplinary Guideline Project.

Delphi method condylar resorptions consensus guideline idiopathic condylar resorption temporomandibular joint

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
27 Jul 2023
Historique:
received: 24 05 2023
revised: 19 07 2023
accepted: 21 07 2023
medline: 12 8 2023
pubmed: 12 8 2023
entrez: 12 8 2023
Statut: epublish

Résumé

Idiopathic condylar resorption (ICR), though a rare event, is associated with severe detrimental sequelae for the patient. To date, the etiology remains unknown, and treatment strategies are highly controversial. Therefore, the aim of this study is to present an analysis of the consensus- and evidence-based approach to ICR by a German interdisciplinary guideline project of the AWMF (Association of the Scientific Medical Societies in Germany). Following a systematic literature search, including 56 (out of an initial 97) publications, with a predominantly low level of evidence (LoE), two independent working groups (oral and maxillofacial surgery and interdisciplinary, respectively) voted on a draft comprising 25 recommendations in a standardized anonymized and blinded Delphi procedure. While the results of the votes were relatively homogeneous, the interdisciplinary phase required a significantly higher number of rounds (

Identifiants

DOI: 10.3390/jcm12154946 PMID: 37568349 PMC: PMC10419428
pubmed: 37568349
pii: jcm12154946
doi: 10.3390/jcm12154946
pmc: PMC10419428
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Merle Riechmann (M)

Department of Oral and Craniomaxillofacial Surgery, University Hospital Gießen and Marburg GmbH, University Hospital Marburg, and Faculty of Medicine, Philipps University, 35043 Marburg, Germany.

Christopher Schmidt (C)

Department of Oral and Craniomaxillofacial Surgery, University Hospital Gießen and Marburg GmbH, University Hospital Marburg, and Faculty of Medicine, Philipps University, 35043 Marburg, Germany.
Department for Radiology and Nuclear Medicine, GPR Hospital Rüsselsheim, 65428 Rüsselsheim am Main, Germany.

M Oliver Ahlers (MO)

Medical Practice, CMD-Centrum Hamburg-Eppendorf, 20251 Hamburg, Germany.
Department of Prosthetic Dentistry, Center for Dental and Oral Medicine, University Medical Center, Hamburg-Eppendorf, 20246 Hamburg, Germany.
ORCID: 0000-0001-9536-7259

Ima Feurer (I)

Physiotherapeutic Practice & Orthopedic Manual Therapy, 78315 Radolfzell-Böhringen, Germany.

Johannes Kleinheinz (J)

Department of Craniomaxillofacial Surgery, University Hospital Münster, Westfälische Wilhelms-University Münster, 48149 Münster, Germany.

Andreas Kolk (A)

Department of Oral and Maxillofacial Surgery, Medical University of Innsbruck, 6020 Innsbruck, Austria.

Christoph Pautke (C)

Medical Practice & Clinic for Oral and Craniomaxillofacial Surgery, 80333 München, Germany.

Andreas Schön (A)

Department of Oral and Craniomaxillofacial Surgery, University Hospital Bonn, Rheinische Friedrich-Wilhelms-University, 53127 Bonn, Germany.

Marcus Teschke (M)

Medical Practice for Oral and Craniomaxillofacial Surgery, 28195 Bremen, Germany.

Astrid Toferer (A)

Medical Practice for Oral and Craniomaxillofacial Surgery, 8301 Laßnitzhöhe, Austria.

Christopher J Lux (CJ)

Polyclinic for Orthodontics, University Hospital Heidelberg, 69120 Heidelberg, Germany.
ORCID: 0000-0002-6995-5572

Christian Kirschneck (C)

Polyclinic for Orthodontics, University Hospital Regensburg, 93053 Regensburg, Germany.
ORCID: 0000-0001-9473-8724

Gabriele A Krombach (GA)

Department of Diagnostic and Interventional Radiology, University Hospital Giessen, 35392 Giessen, Germany.

Peter Ottl (P)

Department of Prosthodontics and Materials Sciences, Rostock University Medical Center, 18057 Rostock, Germany.
Department of Life, Light and Matter, University of Rostock, 18059 Rostock, Germany.

Ulla Vieth (U)

Medical Practice for General Medicine, 36088 Hünfeld, Germany.

Johanna Stengel (J)

Department of Oral and Craniomaxillofacial Surgery, University Hospital Gießen and Marburg GmbH, University Hospital Marburg, and Faculty of Medicine, Philipps University, 35043 Marburg, Germany.

Caroline Völker (C)

Department of Oral and Craniomaxillofacial Surgery, University Hospital Gießen and Marburg GmbH, University Hospital Marburg, and Faculty of Medicine, Philipps University, 35043 Marburg, Germany.

Andreas Neff (A)

Department of Oral and Craniomaxillofacial Surgery, University Hospital Gießen and Marburg GmbH, University Hospital Marburg, and Faculty of Medicine, Philipps University, 35043 Marburg, Germany.
ORCID: 0000-0001-5865-0020

Classifications MeSH