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基于 PRISMA 指南和 Cochrane 干预系统评价手册的系统评价:远程医疗在颞下颌关节紊乱病诊断和治疗中的应用。

Telemedicine in the diagnosis and management of temporomandibular disorders: A systematic review conducted according to PRISMA guidelines and the Cochrane Handbook for Systematic Reviews of Interventions.

机构信息

Department of OMFS and Diagnostic Sciences, Faculty of Oral Pathology, Riyadh Elm University, Riyadh, Kingdom of Saudi Arabia.

Public Health Dentistry, Patna Dental College and Hospital, Patna, India.

出版信息

J Oral Rehabil. 2023 Nov;50(11):1340-1347. doi: 10.1111/joor.13546. Epub 2023 Jul 3.

Abstract

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.

CONCLUSION

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.

摘要

背景

远程医疗(T-Med)一直是全球临床医生的重要工具。近年来,由于 COVID-19 大流行,一些人难以获得传统的牙科护理,这种技术变得越来越流行。本综述旨在分析远程医疗在颞下颌关节紊乱(TMDs)的诊断和管理中的应用及其对整体健康的影响。

方法

使用“远程医疗”、“远程牙科”、“TMJ”和“颞下颌关节紊乱”等关键词对数据库进行了广泛搜索,共获得 482 篇论文,从中选择了符合条件的研究。使用观察性暴露研究的偏倚风险(ROBINS-E)工具评估纳入研究的方法学质量。

结果

选择了两项符合入选标准的研究。所有评估的研究都表明,接受 T-Med 干预的 TMD 患者的治疗效果存在不同程度的积极结果。

结论

T-Med 对 TMD 的诊断和管理显示出有希望的结果,尤其是自 COVID-19 大流行以来。需要进行长期的临床试验,以进一步确定这方面的有效性。

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