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Effectiveness of Treatments for Disc Displacement Without Reduction of the Temporomandibular Joint -- An Overview of the current Evidence
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  • Carolina Chaves Gama Aires,
  • Lívia Mirelle Barbosa,
  • Davi da Silva Barbirato,
  • José Rodrigues Laureano Filho,
  • Sandra Lúcia Dantas de Moraes,
  • Eduardo Piza Pellizzer,
  • Belmiro Cavalcanti do Egito Vasconcelos
Carolina Chaves Gama Aires
Universidade de Pernambuco - Campus Santo Amaro
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Lívia Mirelle Barbosa
Universidade de Pernambuco - Campus Santo Amaro
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Davi da Silva Barbirato
Universidade de Pernambuco - Campus Santo Amaro
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José Rodrigues Laureano Filho
Universidade de Pernambuco - Campus Santo Amaro
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Sandra Lúcia Dantas de Moraes
Universidade de Pernambuco - Campus Santo Amaro
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Eduardo Piza Pellizzer
Universidade Estadual Paulista Julio de Mesquita Filho - Campus de Aracatuba
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Belmiro Cavalcanti do Egito Vasconcelos
Universidade de Pernambuco - Campus Santo Amaro

Corresponding Author:[email protected]

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Abstract

Purpose: Thus, this overview aimed to answer the focused question: “What is the evidence from systematic reviews on the treatment of patients with DDwoR of the TMJ?”. Methods: This overview was register on the Open Science Framework under osf.io/74cej. This study was performed according to The Joanna Briggs Institute Reviewers’ Manual 2014: Methodology for JBI Umbrella Reviews and Cochrane Handbook for Systematic Reviews of Interventions Version 6.2, using the following electronic databases: MEDLINE|PubMed, Web of Science, Cochrane Library, Embase, Scopus and LILACS|VHL, and other sources. Eligible articles were systematically reviewed and assessed for bias using preset criteria. The quality of evidence and the possibility of biased results from the included studies were independently assessed by two researchers using AMSTAR 2, OQAQ, CASP and ROBIS tools. Results: Five systematic reviews with meta-analyses and one qualitative review were included in this overview. Differences in pain control and improvement in mandibular function were observed between the treatments studied, especially for open surgery. However, the comparative effectiveness of conservative and invasive treatments for DDwoR remains uncertain due to the low methodological quality of the secondary studies analyzed in this overview and the risk of bias of the primary studies reported by the authors. Conclusions: Currently, it is not possible to guarantee the superiority of different DDwoR treatments to guide professionals and patients. This overview clarified the reason for the lack of consensus on which treatment is most effective for DDwoR and identified the low quality of evidence on the subject.