Occurrence of Temporomandibular Disorders among patients undergoing treatment for Obstructive Sleep Apnoea Syndrome (OSAS) using Mandibular Advancement Device (MAD): A Systematic Review conducted according to PRISMA guidelines and the Cochrane handbook for systematic reviews of interventions

Author:

Langaliya Akshayraj1,Alam Mohammad Khursheed2,Hegde Usha3,Panakaje Mangesh Shenoy4,Cervino Gabriele5,Minervini Giuseppe6ORCID

Affiliation:

1. Department of Conservative Dentistry and Endodontics AMC Dental College and Hospital Ahmedabad Gujarat India

2. Orthodontic Division, Preventive Dentistry Department, Orthodontic Division College of Dentistry, Jouf University Sakakah Saudi Arabia

3. Department of Oral Pathology and Microbiology JSS Dental College & Hospital Mysore JSS Academy of Higher Education & Research Mysore India

4. Department of Oral & Maxillofacial Pathology and Oral Microbiology, Affiliated College A B Shetty Memorial Institute of Dental Sciences (A Constituent College of Nitte Deemed to be University) Karnataka Mangalore India

5. School of Dentistry, Department of Biomedical and Dental Sciences and Morphofunctional Imaging University of Messina Messina Italy

6. Multidisciplinary Department of Medical‐Surgical and Odontostomatological Specialties University of Campania “Luigi Vanvitelli” Naples Italy

Abstract

AbstractBackgroundPatients undergoing mandibular advancement device (MAD) therapy for obstructive sleep apnea (OSA) may experience changes in jaw position and altered occlusion. This could potentially contribute to the development or exacerbation of TMD symptoms. The literature on the long‐term impact of MAD treated for OSA on TMD is scarce. Hence, this review was undertaken to ascertain the occurrence of TMD in MAD users.MethodsA comprehensive search protocol was implemented across several online databases using MeSH keywords and Boolean operators. A standardised data extraction form was developed specifically for this review. Two reviewers independently extracted the data. RoB‐2 was used to evaluate the methodological quality of the included studies.ResultsA total of 13 clinical studies were selected for this review. Some studies reported a significant reduction in the severity and frequency of TMD symptoms following MAD treatment. However, other studies did not observe significant changes in TMD symptoms or TMJ‐related parameters from baseline to follow‐up intervals. Temporary increases in TMJ‐related pain or symptoms at the beginning of the follow‐up period, which later subsided, were reported in some studies. Overall, MAD was not discontinued in any OSA patient due to TMDs.ConclusionThe findings reveal that different outcomes associated with TMD are affected differently by MAD treatment for OSAS. According to a few studies, MAD therapy significantly reduced the severity and frequency of TMD symptoms. Other research, however, found no appreciable modifications in TMD symptoms or TMJ‐related indicators. Although the overall results point to no significant effect of MAD treatment on TMD symptoms, the disparity in results between studies highlights the need for additional studies using standardised approaches.

Publisher

Wiley

Subject

General Dentistry

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