Mandibular Manipulation for the Treatment of Temporomandibular Disorder

Mandibular Manipulation for the Treatment of Temporomandibular Disorder

Author Franco Alves, Betania Mara Autor UNIFESP Google Scholar
Macedo, Cristiane Rufino de Autor UNIFESP Google Scholar
Januzzi, Eduardo Autor UNIFESP Google Scholar
Grossmann, Eduardo Google Scholar
Atallah, Álvaro Nagib Autor UNIFESP Google Scholar
Peccin, Stella Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Univ Fed Rio Grande do Sul
Abstract The aim of this study was to conduct a systematic review to identify the randomized clinical studies that had investigated the following research question: Is the mandibular manipulation technique an effective and safe technique for the treatment of the temporomandibular joint disk displacement without reduction? the systematic search was conducted in the electronic databases: PubMed (Medical Publications), LILACS (Latin American and Caribbean Literature in Health Sciences), EMBASE (Excerpta Medica Database), PEDro (Physiotherapy Evidence Database), BBO (Brazilian Library of Odontology), CENTRAL (Library Cochrane), and SciELO (Scientific Electronic Library Online). the abstracts of presentations in physical therapy meetings were manually selected, and the articles of the ones that meet the requirements were investigated. No language restrictions were considered. Only randomized and controlled clinical studies were included. Two studies of medium quality fulfilled all the inclusion criteria. There is no sufficient evidence to support the effectiveness of the mandibular manipulation therapy, and therefore its use remains questionable. Being minimally invasive, this therapy is attractive as an initial approach, especially considering the cost of the alternative approaches. the analysis of the results suggests that additional high-quality randomized clinical trials are necessary on the topic, and they should focus on methods for data randomization and allocation, on clearly defined outcomes, on a priori calculated sample size, and on an adequate follow-up strategy.
Keywords Mandibular manipulation
temporomandibular disorders
disk displacement
Language English
Date 2013-03-01
Published in Journal of Craniofacial Surgery. Philadelphia: Lippincott Williams & Wilkins, v. 24, n. 2, p. 488-493, 2013.
ISSN 1049-2275 (Sherpa/Romeo, impact factor)
Publisher Lippincott Williams & Wilkins
Extent 488-493
Access rights Closed access
Type Article
Web of Science ID WOS:000316676300080

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