Clinical predictors of temporomandibular joint arthritis in XXXX : A systematic literature review.

@entity1 @entity4932 @entity158 @entity7439 @entity1348
AIM: To assess the level of evidence for subjective and objective parameters in clinical orofacial examination and determine if predictors for @entity1348 ( @entity1348 ) involvement in @entity4932 ( @entity4932 ) @entity1 exist in the current literature. METHOD: A comprehensive systematic electronic search strategy was performed in all major medical databases in June 2015. Studies were selected independently by two reviewers in accordance with a prespecified protocol and a risk of bias assessment for all included studies. Subjective examination outcome measures assessed were @entity158 , decreased @entity1348 function, and @entity1348 sounds. The objective outcome measures assessed were maximal incisor opening, mandibular asymmetric opening, condylar translation, protrusion, @entity158 on palpation, @entity7439 , and micro- or retrognathism. RESULTS: The electronic database search identified 345 unique citations. After application of our strict, predefined inclusion and exclusion criteria, 21 articles were included and data extracted. The study heterogeneity did not allow for meta-analyses. No singular outcome measure can be suggested as a predictor of @entity1348 involvement in @entity4932 , as sensitivity and/or specificity is too low compared to contrast-enhanced magnetic resonance imaging. CONCLUSION: The current low level of evidence and study heterogeneity do not allow us to conclude on singular clinical outcome measures. To increase study comparability, we call for a standardized terminology and evidence-based guidelines for clinical orofacial examination parameters in @entity4932 @entity1 .
