TMJ

TMJ
  • 文章类型: Systematic Review
    背景:远程医疗(T-Med)一直是全球临床医生武器库中的重要工具。这种技术近年来越来越流行,特别是鉴于COVID-19大流行,这使得一些人很难获得传统的牙齿护理。本综述旨在分析远程医疗在颞下颌关节紊乱病(TMDs)的诊断和管理中的应用及其对一般健康的影响。
    方法:使用关键字对数据库进行了广泛的搜索,例如,“远程医疗,\“\”远程医疗,\"\"TMJ\"和\"颞下颌关节紊乱病,“总共有482篇论文可以从中选择合格的研究。使用观察性接触研究中的偏倚风险(ROBINS-E)工具评估纳入研究的方法学质量。
    结果:选择了两项符合资格标准的研究。所有评估的研究都表明,使用T-Med对TMD进行干预的患者具有不同程度的阳性结果。
    结论:T-Med对TMD的诊断和管理显示出可喜的结果,特别是自COVID-19大流行及其后出现以来。需要进行更大样本的长期临床试验,以进一步确定这方面的有效性。
    BACKGROUND: Telemedicine (T-Med) has always been an important tool in the arsenal of clinicians worldwide. This technique has become increasingly popular in recent years, especially in light of the COVID-19 pandemic, which has made it difficult for some people to access traditional dental care. The current review aimed to analyse the usage of telemedicine in the diagnosis and management of temporomandibular disorders (TMDs) and its impact on general health.
    METHODS: An extensive search of databases was conducted using keywords such as, \"telemedicine,\" \"teledentistry,\" \"TMJ\" and \"temporomandibular disorders,\" resulting in a total of 482 papers to be available from which eligible studies were selected. The Risk of Bias in Observational Studies of Exposures (ROBINS-E) tool was used to evaluate methodological quality of included studies.
    RESULTS: Two studies were selected which fulfilled the eligibility criteria. All assessed studies indicated varying degrees of positive outcomes for patients who were intervened for TMDs using T-Med.
    CONCLUSIONS: T-Med shows promising results for the diagnosis and management of TMDs, especially since the advent of the COVID-19 pandemic and thereafter. Long-term clinical trials with larger samples are needed to further ascertain validity in this regard.
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  • 文章类型: Journal Article
    目的:本系统综述的目的是评估口腔修复治疗与颞下颌关节紊乱病(TMD)之间的关系。
    方法:提出了两个临床问题。在四个医学数据库中进行了系统搜索,以确定可以回答这两个临床问题的临床试验(CT)和随机临床试验(RCT)。
    结果:发现任何符合纳入标准的文章。因此,关于TMD管理和病因学的最佳现有证据在一项范围审查中进行了讨论,重点是与口腔修复治疗的关系。
    结论:根据当前的科学证据,假肢康复不能作为TMD患者的治疗选择,基于其他更保守的选择的有效性以及牙齿咬合特征与TMD之间不存在关联。由于口颌系统的高神经可塑性适应技能,无法确定口腔修复是TMD的直接原因,但临床医生在进行相关咬合修改时应谨慎.
    The aim of this systematic review is to evaluate the relationship between prosthodontic treatment and temporomandibular disorders (TMD).
    Two clinical questions have been raised. Can prosthodontic treatment be used as a strategy to manage temporomandibular disorders? Is there any causal relationship between prosthodontic rehabilitation and the onset of TMD? A systematic search was performed in four medical databases to identify Clinical Trials (CT) and Randomized Clinical Trials (RCT) that could answer the two clinical questions.
    Any articles fulfilling the inclusion criteria were found. Therefore, the best available evidence on TMD management and aetiology is discussed in a scoping review with focus on the relationship with prosthodontic treatment.
    Based on current scientific evidence, prosthetic rehabilitation cannot be proposed as a treatment option for TMD patients, based on the effectiveness of other more conservative options as well as the absence of association between features of dental occlusion and TMD. Thanks to the high neuro plastic adaptation skills of the stomatognathic system, prosthodontic rehabilitation cannot be identified as a direct cause of TMD, but clinicians should pay caution when performing relevant occlusal modifications.
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