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CC BY 4.0 · Eur J Dent 2023; 17(02): 296-309
DOI: 10.1055/s-0042-1757209
Review Article

Updating The General Practitioner on The Association Between Teeth Loss and Temporomandibular Disorders: A Systematic Review

Marília da Cunha Feio Leal 
1   Laboratório de Investigações em Neurodegeneração e Infecção, Instituto de Ciências Biológicas, Hospital Universitário João de Barros Barreto, Universidade Federal do Pará, Belém, Brazil
,
Micaele Maria Lopes Castro 
1   Laboratório de Investigações em Neurodegeneração e Infecção, Instituto de Ciências Biológicas, Hospital Universitário João de Barros Barreto, Universidade Federal do Pará, Belém, Brazil
,
Márcia Consentino Kronka Sosthenes 
1   Laboratório de Investigações em Neurodegeneração e Infecção, Instituto de Ciências Biológicas, Hospital Universitário João de Barros Barreto, Universidade Federal do Pará, Belém, Brazil
› Author Affiliations Funding This project was supported by research funds from the Brazilian government. M.C.K.S. was supported by grants from the Brazilian Research Council CNPq (grant numbers 475677/2008-0) and the Fundação Amazônia Paraense de Amparo à Pesquisa (FAPESPA, grant number 136/08). Research funds from the Fundação de Amparo e Desenvolvimento da Pesquisa (FADESP) and the Pró-Reitoria de Pesquisa e Pós-Graduação (PROPESP/UFPA) paid for proofreading, editing, and publication fees.
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Abstract

The belief about a possible association between the absence of one or more teeth and the presence of temporomandibular disorders (TMD), although old, is still present among the dental class. Although evidence points to a lack of association between loss of posterior support and the presence of TMD, we do not have critical studies on the extent, quantity, or location of these losses. In this sense, this systematic review aims to investigate the association between tooth loss and the presence of TMD signs or diagnostic subgroups. Search strategies using a combination of keywords tooth loss and TMDs were performed in six databases (PubMed, Embase, Web of Science, Livivo, Lilacs, and Scopus) and gray literature from August to September 2020. Observational studies that investigated the association between tooth loss in TMD were considered. The risk of bias was assessed using the Joanna Briggs Institute (JBI) Critical Assessment Checklist for cross-sectional analytical studies, case–control, and cohort studies. Finally, the level of certainty measured by the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) was assessed. Six articles were included in the review according to the eligibility criteria. Of these, five had a high risk of bias and one had a moderate risk. Only one study showed an association between the loss of posterior teeth and the presence of joint sounds and joint pain, the others found no significant association with sign or TMD subgroups diagnostic.

There is no scientific evidence to support the association between one or more tooth loss and the presence of TMD signs and symptoms or diagnostic subgroups.

Keywords

tooth loss - dental occlusion - temporomandibular joint - systematic review

Declarations


Author's Contributions

M.C.F.L. did the conception and design of the study, or acquisition of data, or analysis and interpretation of data. M.M.L.C. contributed toward drafting the article or revising it critically for important intellectual content. M.C.K.S did the conception and design of study and final approval of the version to be submitted.

Trial registration: CRD42020203754.


Supplementary Material



Publication History

Article published online:
27 December 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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