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Influence of orthodontic treatment on temporomandibular disorders: a systematic review
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Fernández, Felipe J.; Cañigral Ortiz, María Aránzazu; López Caballo, José L.; Brizuela Velasco, Aritza; Moreno Hay, Isabel; del Río Highsmith, Jaime; Vega Álvarez, José Antonio
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This document is a artículoDate2015
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Objectives: The aim of this literature systematic review was to evaluate the possible association between malocclusions, orthodontic treatment and development of temporomandibular disorders.
Material and Methods: A search was carried out on PubMed-Medline database from January 2000 to August 2013
using the keywords “
orthodontics and temporomandibular disorders
”, “
orthodontics and facial pain
” and “
malocclusion and temporomandibular disorders
”. Human studies included in the study were those assessing signs and
symptoms of temporomandibular disorders in relation to orthodontic treatment.
Results: The search strategy resulted in 61 articles. After selection according to the inclusion/exclusion criteria 9
articles qualified for the final analysis. The articles which linked orthodontics and development of temporomandibular disorders showed very discrepant results. Some indicated that orthodontic treatment could improve signs and
symptoms of temporomandibular disorders, but none of them obtained statistically significant dif
ferences.
Conclusions: According to the authors examined, there is no evidence for a cause-effect relationship between orthodontic treatment and temporomandibular disorders, or that such treatment might improve or prevent them. More
longitudinal studies are needed to verify any possible interrelationship
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