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  • Title: TMD and occlusion part I. Damned if we do? Occlusion: the interface of dentistry and orthodontics.
    Author: Luther F.
    Journal: Br Dent J; 2007 Jan 13; 202(1):E2; discussion 38-9. PubMed ID: 17220827.
    Abstract:
    OBJECTIVES: To review how occlusion, facial growth, TM disc position and malocclusion may relate to TMD; to review clinical studies investigating TMD pre- and post-orthodontic treatment as well as other studies linking occlusal features with TMD highlighting their limitations; and to make suggestions for improved study designs in the future in order to provide an evidence-base for clinical practice. DESIGN: Review article. METHODS: Electronic databases (MEDLINE and the Cochrane Database of Systematic Reviews) were used to select relevant and frequently cited studies (mean: 28 citations). Citation rate was confirmed using the Web of Science. Study designs are reviewed and weaknesses discussed. RESULTS: Evidence is lacking to suggest static occlusal factors cause TMD. CONCLUSIONS: Poor study designs have led to much of the controversy over whether occlusal factors (including orthodontics) 'cause' TMD. In order to provide an evidence-base for future clinical practice, suggestions to improve study designs are made.
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