Sivirichi Karen Moscoso, Gutiérrez Tapia Roxana Gissella
División de Ortodoncia, Universidad Científica del Sur. Lima, Perú.
Rev Cient Odontol (Lima). 2023 Sep 26;11(3):e166. doi: 10.21142/2523-2754-1103-2023-166. eCollection 2023 Jul-Sep.
The study aimed to evaluate the effects of orthopedic treatment on the temporomandibular joint (TMJ) in class III patients with anterior crossbite.
Four databases were reviewed until December 2022 (Scopus, PubMed, Embase, and Science Direct). Two independent reviewers selected studies reporting TMJ changes and the presence of TMJ dysfunction in Class III patients with anterior crossbite who received orthopedic treatment. The methodological quality of the studies was analyzed using the PRISMA checklist.
Twelve articles were selected for the study after a detailed search according to the selection criteria. Post-treatment studies demonstrated a low prevalence of TMJ pain after using the Delaire face mask, chin rest, modified Jasper Jumper, and fixed reverse Twin block. After treatment with reverse Twin block, an increase in condylar volume and joint spaces (p<0.001) was observed, followed by a significant decrease in posterosuperior joint spaces (p<0.001).
Not enough evidence has been found to determine the presence of TMD or TMJ changes after using orthopedic devices for anterior crossbite correction.
本研究旨在评估正畸治疗对安氏III类前牙反合患者颞下颌关节（TMJ）的影响。
检索了截至2022年12月的四个数据库（Scopus、PubMed、Embase和Science Direct）。两名独立评审员筛选了报告接受正畸治疗的安氏III类前牙反合患者TMJ变化及TMJ功能障碍情况的研究。使用PRISMA清单分析研究的方法学质量。
根据选择标准进行详细检索后，共选出12篇文章用于本研究。治疗后研究表明，使用戴莱尔面罩、颏兜、改良贾斯珀跳跃矫治器和固定反式双阻板后，TMJ疼痛的发生率较低。使用反式双阻板治疗后，观察到髁突体积和关节间隙增加（p<0.001），随后后上关节间隙显著减小（p<0.001）。
在使用正畸装置矫正前牙反合后，尚未找到足够证据来确定是否存在颞下颌关节紊乱病（TMD）或TMJ变化。
