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- Title
Prevalence of signs and symptoms related to temporomandibular disorders and orofacial pain in patients indicated for orthognathic surgery: a meta-analysis.
- Authors
Garcia, Maysa Raksa; da Silva, Rayane Délcia; Ferraz, Aline Xavier; Gonçalves, Flavio Magno; Santos, Rosane Sampaio; de Leão, Bianca Lopes Cavalcante; Nascimento, Weslania Viviane; Schroder, Angela Graciela Deliga; Zeigelboim, Bianca Simone; de Araujo, Cristiano Miranda
- Abstract
Objective: To evaluate the prevalence of signs and symptoms related to temporomandibular disorders (TMD) and orofacial pain in patients with indication for orthognathic surgery. Methods: The search was carried out in seven electronic databases and gray literature. Studies that evaluated the frequency of signs and symptoms related to TMD and orofacial pain were included. The risk of bias was assessed using the Joanna Briggs Critical Appraisal tool. A meta-analysis of proportions with a random effect model was performed and the GRADE tool judged the certainty of evidence. Results: After searching the databases, 1859 references were retrieved, 18 of which were selected for synthesis. The prevalence of individuals with at least one TMD symptom was 51% [CI95% = 44–58%], and 44% of the subjects had temporomandibular joint click/crepitus [CI95% = 37–52%]. Additionally, 28% exhibited symptoms related to muscle disorders [CI95% = 22–35%], 34% had disc displacement with or without reduction [CI95% = 25–44%], and 24% had inflammatory joint disorders [CI95% = 13–36%]. The prevalence of headache was 26% [CI95% = 8–51%]. The certainty of evidence was considered very low. Conclusion: Approximately 1 in 2 patients with dentofacial deformity presents some sign and symptom related to TMD. Myofascial pain and headache may be present in approximately a quarter of patients with dentofacial deformity. Clinical relevance: A multidisciplinary treatment is necessary for these patients, involving a professional with expertise in the management of TMD.
- Subjects
ORTHOGNATHIC surgery; OROFACIAL pain; SYMPTOMS; TEMPOROMANDIBULAR disorders; RANDOM effects model; JOINT diseases; TEMPOROMANDIBULAR joint; GREY literature
- Publication
Clinical Oral Investigations, 2023, Vol 27, Issue 7, p3307
- ISSN
1432-6981
- Publication type
Article
- DOI
10.1007/s00784-023-05110-2