Evidence map›Paper›PMID 35291030›Full record

SynthesisClinical oral investigations2022

Invasive surgical procedures for the management of internal derangement of the temporomandibular joint: a systematic review and meta-analysis regarding the effects on pain and jaw mobility.

Roque Miguel Rodhen, Thiago Azario de Holanda, Fabíola Jardim Barbon, Wellington Luiz de Oliveira da Rosa, Noéli Boscato

Erratum issuedAbstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Clinical oral investigations, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Review
  7. Review
  8. Defining Effect Size Standards in Temporomandibular Joint and Masticatory Muscle Research.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Roque Miguel RodhenGraduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, Pelotas, Brazil.
Thiago Azario de HolandaGraduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, Pelotas, Brazil.ORCID http://orcid.org/0000-0002-9365-4251
Fabíola Jardim BarbonGraduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, Pelotas, Brazil.ORCID http://orcid.org/0000-0001-5572-432X
Wellington Luiz de Oliveira da RosaGraduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, Pelotas, Brazil.ORCID http://orcid.org/0000-0001-6992-3127
Noéli BoscatoGraduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, Pelotas, Brazil. noeliboscato@gmail.com.ORCID http://orcid.org/0000-0002-3817-1732

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis systematic review compared minimally and invasive surgical procedures to manage arthrogenous temporomandibular joint (TMJ). MATERIALS AND

methodsThe review included clinical trials assessing surgical procedures of arthrogenous temporomandibular disorder (TMD) management by carrying out comparisons within the same surgical procedure (pre- and post-treatment) as well as between different surgical procedures. Meta-analyses were conducted only for similar comparison reporting the same outcome measures, visual analog scale (VAS) values to evaluate pain and maximum incisal opening (MIO) values.

resultsOf the 1,015 studies identified by the search strategy, 26 were selected for full-text reading, and 19 were included in the review. Of these, 16 studies were included in the meta-analysis and 3 in the qualitative analysis. The VAS scores showed significantly lower values after discectomies (p < 0.001) and discoplasties (p < 0.001) in the within-group comparison. Moreover, significantly lower VAS scores and higher MIO values were observed after discectomy compared to arthroscopy, eminectomy, and discoplasty (p < 0.05).

conclusionThe findings of this systematic review suggest that although significantly lower VAS scores and higher MIO values were observed after discectomy, the currently available scientific evidence is unclear, and the use of invasive surgical procedures should not be implemented as an efficient first-line treatment option for arthrogenous TMD management. CLINICAL SIGNIFICANCE: VAS and MIO outcomes could be insufficient to describe the success or failure of open surgical procedures like discectomy and discoplasty.

Indexed as

Temporomandibular Joint DisordersArthroscopyHumansPainRange of Motion, ArticularRetrospective StudiesTemporomandibular JointTreatment OutcomeArthrocentesisArthroscopyDiscoplastyDisk displacementTemporomandibular joint, TMJ discectomy, Internal derangement

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.