Conclusion
There is a lack of evidence on the effectiveness of different treatments
for DDwoR. Although this overview showed differences in pain control and
improvement in mandibular function between the treatments studied,
especially for open surgery, it is not possible to state the best
treatment, indication, predictability and limitations of each one per
DDwoR profile. The comparative effectiveness of conservative and
invasive treatments for DDwoR remains uncertain due to the low
methodological quality of the secondary studies analyzed in this
overview and the risk of bias of the primary studies reported by the
authors. In this sense, new RCTs and repeated comparisons between types
of treatment for DDwoR in different populations and TMD profiles are
needed to guide professionals and patients among clinical and surgical
options to better treat internal derangements.
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