Temporomandibular joint arthrocentesis with hyaluronic acid- evidence limited.

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This review of intra-articular injections of hyaluronic acid (HA) for temporomandibular disorder only identified 8 small studies of limited quality providing no consensus that HA injections were better than other agents.

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Temporomandibular disorders – insufficient evidence for or against impact of conservative therapies on otologic signs and symptoms

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Eight studies were included in this review of the effect of conservative temporomandibular therapies on otologic symptoms . While most suggested an improvement the quality of the available evidence is limited.

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Manual therapy for temporomandibular disorders

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This review included 8 RCTs with some evidence to show that manual therapy improves pain and maximum mouth opening in patients with TMD. However, the limited number of studies and the heterogeneity of the interventions require further studies with standardised evaluations and better study designs.

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Temporomandibular disorders: is botulinum toxin effective?

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This review of botulinum toxin (BTX) for treating temporomandibular disorders identified 5 RCTs involving a total of 117 patients. There was marked heterogeneity between the studies and the therapeutic benefits are unclear. Well reported high quality RCTs are needed.

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Ultrasonography for diagnosing temporomandibular disorders

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This diagnostic test review included 11 studies the majority from 2 research groups. The findings suggest that ultrasonography could be useful for diagnosing anterior disk displacement in patients with temporomandibular disorders.

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Temporomandibular disorders: open or arthroscopic surgery?

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This review looked at surgical approaches for the management of internal derangement of the temporomandibular joint. Seven studies were identified of which 3 were randomised trials. Benefits for some outcomes were found with both open and arthroscopic surgery. However the available evidence is limited.

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Low-level laser therapy may improve functional outcomes of patients with temporomandibular joint disorders

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This new review of low-level laser therapy (LLLT) includes more trials ( 14) that two earlier reviews of this topic. While no improvements in pain were seen with LLT functional improvements were seen. Although 14 studies were included they only 454 patients have been included in studies to date.

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Low-level laser therapy: review suggests some benefit for patients with temporomandibular disorders

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Low level laser therapy have been used of musculoskeletal problems and this review looked it is use in temporomandibular disorders. 6 small studies were included and this suggested a small statistical benefit for pain reduction.

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Chin cup treatment for class III maloclussions: little evidence to assess impact on temporomandibular joint

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This review focuses on the effect of chin cup therapy used for treating class III malocclusion on the TMJ.On 8 low quality studies could be included and they suggest suggests that chin cup therapy affects the condylar growth pattern but constitutes no risk factor for TMD.

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Temporomandibular arthoscopy may be better than arthrocentesis for temporomandibular joint disorder

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The review compares the effectiveness of arthroscopy and arthrocentesis for temporomandibular joint disorders that do not respond non-surgical approaches. Analysis suggests that arthrocentesis is slightly better but only a small number of small studies are available.

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