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Authors
Abstract(s)
Introdução: Distúrbios temporomandibulares caracterizam-se por patologias
que afetam a articulação temporomandibular, os músculos da mastigação e suas
estruturas adjacentes, estando associados a sintomatologia dolorosa e limitação de
movimentos. O principal objetivo desta revisão sistemática é procurar evidência
científica que valide a técnica de infiltração com ácido hialurónico no tratamento de
distúrbios temporomandibulares, aferindo e protocolizando os critérios da sua
aplicação.
Material e Métodos: A investigação foi realizada de acordo com a metodologia
PRISMA e a questão de investigação foi definida através do formato PICO. Foi
elaborado um protocolo de investigação registado no PROSPERO. A estratégia de
pesquisa foi realizada nas bases de dados PubMed/MEDLINE®, Cochrane® e Web
of Science®. Os critérios de inclusão e exclusão foram definidos, e a concordância
entre os investigadores foi avaliada utilizando o coeficiente de kappa de Cohen. A
qualidade dos estudos foi avaliada com a checklist de Downs e Black.
Resultado: Foram identificados 367 estudos nas bases de dados
PubMed/MEDLINE®, Cochrane® e Web of Science®. Após a exclusão de duplicados,
restaram 230 artigos, dos quais 96 foram selecionados para leitura completa,
resultando em 12 estudos elegíveis para a análise.
Conclusão: A viscossuplementação com AH demonstrou eficácia no tratamento das
alterações inflamatórias e biomecânicas da articulação temporomandibular,
melhorando a função e reduzindo os sinais e sintomas. É um tratamento minimamente
invasivo eficaz, seguro e recomendado para distúrbios intra-articulares como
deslocamento do disco com ou sem redução, osteoartrite e osteoartrose.
Introduction: Temporomandibular disorders are characterized by pathologies that affect the temporomandibular joint, the muscles of mastication and its adjacent structures, being associated with painful symptoms and movement limitation.The main objective of this systematic review is to look for scientific evidence that validates the technique of infiltration with hyaluronic acid in the treatment of temporomandibular disorders, measuring and protocolizing the criteria for its application. Material and methods: The investigation was carried out according to the PRISMA methodology and the research question was defined using the PICO format. A research protocol registered in PROSPERO was elaborated. The search strategy was carried out in the PubMed/MEDLINE databases®, Cochrane®and Web of Science®. Inclusion and exclusion criteria were defined, and inter-investigator agreement was assessed using Cohen's kappa coefficient. Study quality was assessed using the Downs and Black checklist. Result: 367 studies were identified in the PubMed/MEDLINE databases®, Cochrane®and Web of Science®. After excluding duplicates, 230 articles remained, of which 96 were selected for full reading, resulting in 12 eligible studies for analysis. Conclusion: Viscosupplementation with HA has been shown to be effective in treating inflammatory and biomechanical changes in the temporomandibular joint, improving function and reducing signs and symptoms. It is an effective, safe and recommended minimally invasive treatment for intra-articular disorders such as disc displacement with or without reduction, osteoarthritis and osteoarthritis.
Introduction: Temporomandibular disorders are characterized by pathologies that affect the temporomandibular joint, the muscles of mastication and its adjacent structures, being associated with painful symptoms and movement limitation.The main objective of this systematic review is to look for scientific evidence that validates the technique of infiltration with hyaluronic acid in the treatment of temporomandibular disorders, measuring and protocolizing the criteria for its application. Material and methods: The investigation was carried out according to the PRISMA methodology and the research question was defined using the PICO format. A research protocol registered in PROSPERO was elaborated. The search strategy was carried out in the PubMed/MEDLINE databases®, Cochrane®and Web of Science®. Inclusion and exclusion criteria were defined, and inter-investigator agreement was assessed using Cohen's kappa coefficient. Study quality was assessed using the Downs and Black checklist. Result: 367 studies were identified in the PubMed/MEDLINE databases®, Cochrane®and Web of Science®. After excluding duplicates, 230 articles remained, of which 96 were selected for full reading, resulting in 12 eligible studies for analysis. Conclusion: Viscosupplementation with HA has been shown to be effective in treating inflammatory and biomechanical changes in the temporomandibular joint, improving function and reducing signs and symptoms. It is an effective, safe and recommended minimally invasive treatment for intra-articular disorders such as disc displacement with or without reduction, osteoarthritis and osteoarthritis.
Description
Keywords
Distúrbio temporomandibular Ácido hialurónico Osteoartrite Osteoartrose Deslocamento do disco Articulação temporomandibular Temporomandibular disorder Hyaluronic acid Osteoarthritis Osteoarthritis Disc displacement