Abstract
Background
To explore the digitisation of jaw movement trajectories through devices and discuss the physiological factors and device-dependent variables with their subsequent effects on the jaw movement analyses.
Methods
Based on predefined eligibility criteria, the search was conducted following PRISMA-P 2015 guidelines on MEDLINE, EBSCO Host, Scopus, PubMed, and Web of Science databases in 2022 by 2 reviewers. Articles then underwent Cochrane GRADE approach and JBI critical appraisal for certainty of evidence and bias evaluation.
Results
Thirty articles were included following eligibility screening. Both in vitro experiments (20%) and in vivo (80%) devices ranging from electronic axiography, electromyography, optoelectronic and ultrasonic, oral or extra-oral tracking, photogrammetry, sirognathography, digital pressure sensors, electrognathography, and computerised medical-image tracing were documented. 53.53% of the studies were rated below “moderate” certainty of evidence. Critical appraisal showed 80% case–control investigations failed to address confounding variables while 90% of the included non-randomised experimental studies failed to establish control reference.
Conclusion
Mandibular and condylar growth, kinematic dysfunction of the neuromuscular system, shortened dental arches, previous orthodontic treatment, variations in habitual head posture, temporomandibular joint disorders, fricative phonetics, and to a limited extent parafunctional habits and unbalanced occlusal contact were identified confounding variables that shaped jaw movement trajectories but were not highly dependent on age, gender, or diet. Realistic variations in device accuracy were found between 50 and 330 µm across the digital systems with very low interrater reliability for motion tracing from photographs. Forensic and in vitro simulation devices could not accurately recreate variations in jaw motion and muscle contractions.
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Data Availability
The data used to synthesise the results of this systematic review can be obtained from the corresponding author upon reasonable request.
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Acknowledgements
THF is a recipient of the University of Adelaide Research Scholarship. We thank Liaison Librarian, Ms Vikki Langton of the University of Adelaide for assisting in development of search strategies.
Funding
This research was supported by the University of Adelaide Kwok Paul Lee Bequest (75131603).
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Conceptualisation of idea: THF, JD; methodological design and implementation: THF, FR; data synthesis: THF, FR; data interpretation: THF, FR, MKA, JD; expert feedback and revision: MKA, JD; supervision: JD; final approval for submission: MKA, JD.
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This systematic review was conducted as a part of the project titled “The use of electronic and computerised tracking to determine trends in maxillomandibular trajectory, relation and phono-articulation”. The project was reviewed and approved by the University of Adelaide Human Research Ethics Committee (Approval No H-2022–185).
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Farook, T.H., Rashid, F., Alam, M.K. et al. Variables influencing the device-dependent approaches in digitally analysing jaw movement—a systematic review. Clin Oral Invest 27, 489–504 (2023). https://doi.org/10.1007/s00784-022-04835-w
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DOI: https://doi.org/10.1007/s00784-022-04835-w