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Review
. 2007 Jan 13;202(1):E2; discussion 38-9.
doi: 10.1038/bdj.2006.122.

TMD and occlusion part I. Damned if we do? Occlusion: the interface of dentistry and orthodontics

F Luther  1
Affiliations
Review

TMD and occlusion part I. Damned if we do? Occlusion: the interface of dentistry and orthodontics

F Luther. Br Dent J. .

Erratum in

  • Br Dent J. 2007 Apr 28;202(8):474

Abstract

Objectives: To review how occlusion, facial growth, TM disc position and malocclusion may relate to TMD; to review clinical studies investigating TMD pre- and post-orthodontic treatment as well as other studies linking occlusal features with TMD highlighting their limitations; and to make suggestions for improved study designs in the future in order to provide an evidence-base for clinical practice.

Design: Review article.

Methods: Electronic databases (MEDLINE and the Cochrane Database of Systematic Reviews) were used to select relevant and frequently cited studies (mean: 28 citations). Citation rate was confirmed using the Web of Science. Study designs are reviewed and weaknesses discussed.

Results: Evidence is lacking to suggest static occlusal factors cause TMD.

Conclusions: Poor study designs have led to much of the controversy over whether occlusal factors (including orthodontics) 'cause' TMD. In order to provide an evidence-base for future clinical practice, suggestions to improve study designs are made.

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Comment in

  • Spatial matrix hypothesis.
    Singh GD. Singh GD. Br Dent J. 2007 Mar 10;202(5):238-9. doi: 10.1038/bdj.2007.189. Br Dent J. 2007. PMID: 17351566 No abstract available.
  • A wider spectrum.
    Aggarwal VR, Zakrzewska J. Aggarwal VR, et al. Br Dent J. 2007 Mar 24;202(6):300. doi: 10.1038/bdj.2007.235. Br Dent J. 2007. PMID: 17384590 No abstract available.

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