Review Article

Temporomandibular Disorders: “Occlusion” Matters!

Table 2

Web of science search in the Medline database for RCTs in the period 1977–2016 with the keyword “TMD” + “Occlusion” by the first author, characteristics of the trial number of citations, and abstracted summary of the result or effect of the trial.

AuthorYearCharacteristics of the trialCitationEffect/resultReference number

Leal de Godoy et al.2015Laser therapy–TMD diagnostic criteria0No[26]
Costa et al.2015Occlusal appliance–headache0No[6]
Cioffi et al.2015Occlusal interference–EMG muscular activity0“Little”[4]
Rampello et al.2013Universal occlusal appliance–TMD diagnostic criteria2“Favorable”[40]
Yu et al.2013Full denture lingualized occlusion–“TMD”0“Remission”[53]
Jakhar et al.2013Surgical procedure TMJ–CT evaluation3“Improvement”[18]
Michelotti et al.2012Education/occlusal appliance–musc. pain and mouth op.32“Education slightly better”[36]
Ap Biasotto-Gonzalez et al.2010Food texture–EMG activity1“Less variation”[54]
Ueda et al.2009Jaw excercises–OSA11“Help relieve”[48]
Hamata et al.20092 types of occlusal splints–TMD clinical and EMG10“Remarkable reduction”[17]
Diernberger et al.2008Prefered chewing side–epidemiologic study37Several “associations”[12]
Monaco et al.2008Osteopathic manipulative treatment–kinesiographics12“Induce changes”[37]
Toro et al.2007Surgical procedures analgesics–jaw movements6“A valid aid”[44]
Conti et al.20062 types of occlusal appliances–TMJ pain34“No differences”[5]
Le Bell et al.2006Occlusal interferences–subjective sign of TMD29“Stronger symptoms”[25]
Wolfart et al.2005Prosthetic appliance–SDA and molar occlusion37No[52]
Ueki et al.2005Surgical procedures–skeletal stability32No/“similar”[49]
Michelotti et al.2005Occlusal interference–TMD signs and symptoms47No/“adapted fairly well”[35]
Magnusson et al.20042 types of occlusal appliances–TMD signs and symptoms28“Some or significant”[31]
Fayed et al.20042 types of occlusal appliances–magnetic resonance11“Effective, one superior”[13]
Turp and Schindler2003Refer to the trial of Le Bell 2002–descriptive study7“No new data”[47]
Le Bell et al.2002Occlusal interferences–TMD signs and symptoms40“Significant”[24]
Maloney et al.2002Jaw movement devices–TMD signs and symptoms22“Effective”[32]
Bettega et al.2002Surgical procedures–correct occlusion23“Differences”[3]
Raphael and Marbach2001Occlusal appliances–widespread body pain69“Improvement”[41]
Glaros et al.2000Biofeedback–TMD pain32“Significantly higher”[15]
de Andrade et al.1998Surgical procedures–TMD signs and symptoms13Significant[11]
Kirveskari et al.1998Occlusal interferences–TMD signs and symptoms41Significant[21]
Rodrigues-Garcia et al.1998Orthodontic surgical procedures–TMD signs and symptoms45“Other factors responsible”[43]
Davies and Gray1997Occlusal appliances’ wearing time–TMD signs and symptoms19“All marked improvement”[10]
Karjalainen et al.1997Occlusal adjustment–TMD signs and symptoms14Significant[20]
Obrez and Stohler1996Muscle irritation–range of mandibular movements36Significant[38]
Vallon et al.1995Occlusal adjustment–TMD signs and symptoms16Significant[50]
Tsolka and Preiskel1993Occlusal interferences–EMG and kinesiographics20Not significant[46]
List and Helkimo1992Acupunture/occlusal appliance–TMD signs and symptoms42“No differences”[28]
Tsolka et al.1992Occlusal adjustment–TMD signs and symptoms21“No differences”[45]
Lundh et al.1992Occlusal appliances–TMD signs and symptoms77“No differences”[29]
Johansson et al.1991Acupunture/occlusal appliance–TMD signs and symptoms65“No differences”[19]
Gray et al.1991Occlusal appliances–TMD signs and symptoms12“No differences”[16]
Kirveskari et al.1989Occlusal adjustment–TMD signs and symptoms29Yes/no significant[22]
Lundh et al.1988Occlusal therapy/appliance–disk displ. with reduction55“Differences”[30]
Lipp et al.1988Intubation procedures–TMD signs and symptoms7“Temporary effect”[27]
Wenneberg et al.1988Occlusal adjustment/appliance–TMD signs and symptoms34“More effective”[51]
Puhakka and Kirveskari1988Occlusal adjustment–globus symptoms20“Significant association”[39]
Forssell et al.1986Occlusal adjustment/appliance–TMD signs and symptoms30“Effective treatment”[14]
Raustia1986Acupuncture/tomography stomatognathic treatment6Paper not available[42]
Kirveskari and Puhakka1985Occlusal adjustment–globus symptoms11“Significant association”[23]
Manns et al.1985Occlusal apliances–EMG activity30“Study suggests”[33]
Dahlstrom and Carlsson1984Biofeedback/occlusal apliance–TMD signs and symptoms25“No differences”[9]
Dahlstrom1984Biofeedback/occlusal apliance–TMD signs and symptoms3“A positive correlation”[7]
Manns et al.1983Occlusal appliances–EMG activity52“More effective”[34]
Dahlstrom et al.1982Occlusal appliance/biofeedback–TMD signs and symptoms36No significant differences[8]

Exclusively occlusion-orientated studies.