Qualidade metodológica das revisões sistemáticas sobre viscossuplementação no tratamento de DTM’s

Abstract

Viscosupplementation is a minimally invasive manipulation of the joint that is considered an alternative treatment for Temporomandibular Disorders to relieve joint pain, suppress inflammation, and enhance joint function. Several systematic reviews (SRs) have been conducted to summarize evidence that supports this use. The objective of the current study is to assess the methodological quality of the SRs that evaluated the use of viscosupplementation, with or without arthrocentesis, for the treatment of Temporomandibular Disorders. Between April and July of 2023, a comprehensive and refined literature search was conducted. Four major electronic databases were evaluated (PUBMED, MEDLINE, LILACS, Scopus and The Cochrane Library). Using the AMSTAR-2 instrument, the methodological quality of the included SRs was evaluated (A MeaSurement Tool to Assess systematic Reviews). The search strategy yielded eight references, of which four were selected for inclusion. They were published between 2017 and 2022, and the range of included clinical trials was between 6 and 28. In conclusion, none of the included systematic reviews had a high level of methodological quality, while only two had a low level of quality and the others a critically low level of quality. Decision-makers should base the use of viscosupplementation as a TMD treatment on studies of superior quality.