Journal of AdvancedMedical and Dental Sciences Research

Introduction: In the present study we aim to conduct the systemic review and the meta analysis of the diagnosis and treatment of temporomandibular disorders. Material and methods: A Electronic searching of Pubmed, ScienceDirect and institute library databases to identify studies reporting the diagnosis and treatment of temporomandibular disorders. Results: Twenty one SAs were finalized. Ten SRs were related to occlusal appliances, occlusal adjustment or bruxism; eight to physical therapy; seven to pharmacologic treatment; four to TMJ and maxillofacial surgery; and six to behavioural therapy and multimodal treatment. The overall inter-reliability agreement of the two authors in assessing the quality of the SRs was 0.70 and free-marginal kappa 0.67. Conclusion: We can conclude that in alleviating TMD pain: occlusal appliances, acupuncture, behavioural therapy, jaw exercises, postural training, and some pharmacological treatments are effective. Evidence for the effect of electro- physical modalities and surgery is insufficient, and occlusal adjustment seems to have no effect.