{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:12:33Z","timestamp":1787015553399,"version":"build-2736575974"},"reference-count":80,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,2,23]],"date-time":"2024-02-23T00:00:00Z","timestamp":1708646400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Surgical treatment of temporomandibular joint (TMJ) disc displacement (DD) has been established in different forms since over a century. Ther is a consensus to perform minimal invasive interventions as first\u2010line surgical treatment since there are no evidence on best surgical practice yet.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The aim was to perform a complex systematic review (SR) on the topic\u2014is there evidence for surgical treatment of TMJ DD?<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The\n                      <jats:styled-content style=\"fixed-case\">PICO<\/jats:styled-content>\n                      was defined as\n                      <jats:styled-content style=\"fixed-case\">DD<\/jats:styled-content>\n                      patients (population), treated with different surgical interventions including arthrocentesis (intervention), compared with other or no treatment (control) regarding the outcome variables mandibular function, mouth opening capacity,\n                      <jats:styled-content style=\"fixed-case\">TMJ<\/jats:styled-content>\n                      pain, etcetera (outcome). For identification of prospective controlled trials and\n                      <jats:styled-content style=\"fixed-case\">SRs<\/jats:styled-content>\n                      , a search strategy was developed for application in three databases.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The search yielded 4931 studies of which 56 fulfilled the stipulated PICO. Studies with low or moderate risk of bias were possible to include in meta\u2010analyses. There were evidence suggesting arthrocentesis being more effective compared to conservative management (maximum interincisal opening (MIO):\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.0001,\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200922%; TMJ pain:\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.0003,\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200984%) and arthrocentesis being slightly more effective than arthrocentesis with an adjunctive hyaluronic acid injection (MIO:\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.04,\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090%; TMJ pain:\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.28,\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090%). Other treatment comparisons showed nonsignificant differences. The performed meta\u2010analyses only included 2\u20134 studies each, which might indicate a low grade of evidence.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Although arthrocentesis performed better than conservative management the findings should be interpreted cautiously, and non\u2010invasive management considered as primary measure. Still, several knowledge gaps concerning surgical methods of choice remains.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.13661","type":"journal-article","created":{"date-parts":[[2024,2,24]],"date-time":"2024-02-24T01:13:56Z","timestamp":1708737236000},"page":"1061-1080","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Evidence for minimally invasive treatment\u2014A systematic review on surgical management of disc displacement"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9429-1771","authenticated-orcid":false,"given":"Mattias","family":"Ulmner","sequence":"first","affiliation":[{"name":"Department of Dental Medicine Karolinska Institutet  Stockholm Sweden"},{"name":"Medical Unit of Plastic Surgery and Oral and Maxillofacial Surgery Karolinska University Hospital  Stockholm 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