广泛性关节过度活动、颞下颌关节过度平移和颞下颌疾病之间的关系:一项范围综述。

IF 2.6 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Journal of Applied Oral Science Pub Date : 2025-03-21 eCollection Date: 2025-01-01 DOI:10.1590/1678-7757-2024-0302
Samilla Pontes Braga, Carolina Ortigosa Cunha, Ambrosina Michelotti, Leonardo Rigoldi Bonjardim, Paulo César Rodrigues Conti
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引用次数: 0

摘要

广泛性关节过动症(GJH)是导致颞下颌关节紊乱(TMD)的病理生理因素之一。然而,关于TMD和关节过度活动之间的潜在关系,特别是当考虑到颞下颌关节(TMJ)时,有几个对应的观点,称为TMJ过度平移。此外,对于此类疾病的临床和影像学诊断标准尚无共识。因此,本文综述了GJH、TMJ超翻译和TMD之间的关系,强调了TMJ超翻译诊断缺乏共识。入选标准包括书籍章节、临床试验、荟萃分析、多中心研究、观察性研究和1964年至2024年间发表的英文评论。在PubMed、SciELO、LILACS和Science Direct数据库中进行书目检索,使用以下医学主观标题(MeSH)术语:“颞下颌关节疾病”、“颞下颌关节”、“关节不稳定”和“关节脱位”。“TMJ hypermobility”和“TMJ半脱位”这两个非索引术语在相同的数据库中作为单独的搜索应用。通过交叉参考纳入的研究和书籍章节,在选定的作品中进行人工搜索。在灰色文献中进行了额外的搜索。所有搜索都是在2024年1月至6月进行的。经筛选,纳入54篇文献。虽然一些研究表明关节过度活动(广泛性或TMJ特异性)可能是TMD的危险因素,特别是关节内型,但其他研究排除了这种关联。由于用于定义TMJ超平移诊断的方法不同,关节过度活动与TMD之间的潜在关联尚未达成共识。需要更有力和对照的研究来建立诊断标准,从而了解其对咀嚼结构的潜在影响,以及临床表现的管理和预防。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association between generalized joint hypermobility, temporomandibular joint hypertranslation and temporomandibular disorders: a scoping review.

Generalized Joint Hypermobility (GJH) is one of the pathophysiological contributing factors for the development of temporomandibular disorders (TMD). There are, however, several counterpoints on the potential relation between TMD and joint hypermobility, especially when considering the temporomandibular joint (TMJ), event known as TMJ hypertranslation. Additionally, there is no consensus regarding the clinical and imaging diagnostic criteria for such condition. Hence, this scoping review addresses the association between GJH, TMJ hypertranslation and TMD, highlighting the lack of consensus concerning TMJ hypertranslation diagnosis. Eligibility criteria included book sections, clinical trials, meta-analyses, multicenter studies, observational studies, and reviews published in English between 1964 and 2024. Bibliographic search was conducted on the PubMed, SciELO, LILACS and Science Direct databases using the following Medical Subjective Headings (MeSH) terms: "temporomandibular joint disorders," "temporomandibular joint," "joint instability" and "joint dislocations." "TMJ hypermobility" and "TMJ subluxation," non-indexed terms, were applied as individual searches in the same databases. Manual search was performed in selected works by cross-referencing the included studies and book sections. Additional search was conducted in the grey literature. All searches were performed from January to June 2024. After selection, 54 texts were included. While some studies suggest that joint hypermobility (generalized or TMJ specific) may be a risk factor for TMD, especially of the intra-articular type, others rule out this association. No consensus on the potential association between joint hypermobility and TMD was achieved due to the diverse methodologies used to define TMJ hypertranslation diagnosis. More robust and controlled studies are needed to establish a diagnostic criteria and, consequently, understanding of its potential repercussions on masticatory structures, as well as management and prevention of the clinical manifestations.

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来源期刊
Journal of Applied Oral Science
Journal of Applied Oral Science 医学-牙科与口腔外科
CiteScore
4.80
自引率
3.70%
发文量
46
审稿时长
4-8 weeks
期刊介绍: The Journal of Applied Oral Science is committed in publishing the scientific and technologic advances achieved by the dental community, according to the quality indicators and peer reviewed material, with the objective of assuring its acceptability at the local, regional, national and international levels. The primary goal of The Journal of Applied Oral Science is to publish the outcomes of original investigations as well as invited case reports and invited reviews in the field of Dentistry and related areas.
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