Effectiveness of Treatments for Disc Displacement Without Reduction of
the Temporomandibular Joint -- An Overview of the current Evidence
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.