Arthrocentesis and stabilizing splint are the treatment of choice for acute intermittent closed lock in patients with bruxism

Ghanem, Walid A.

doi:10.1016/j.jcms.2010.05.003

Cited by 25 publications

(17 citation statements)

References 25 publications

(27 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Bruxsism is thought to be one of the major contributing factors to the aetiology of TMJ. Patients with myofacial pain dysfunction syndrome, and who are prone to clenching or bruxism, may develop disc derangements22. In this study, splint therapy was also performed for those in the group with oral habits to reduce forces directed at the TMJ as well as the intraarticular pressure.…”

Section: Discussionmentioning

confidence: 99%

Influencing factor on the prognosis of arthrocentesis

Kim

Jeong

Pang

et al. 2014

J Korean Assoc Oral Maxillofac Surg

View full text Add to dashboard Cite

ObjectivesThe purpose of this article is to evaluate factors influencing prognosis of arthrocentesis in patients with temporomandibular joint (TMJ) disorder.Materials and MethodsThe subjects included 145 patients treated with arthrocentesis at the Dental Center of Ajou University Hospital from 2011 to 2013 for the purpose of recovering mouth opening limitation (MOL) and pain relief. Prognosis of arthrocentesis was evaluated 1 month after the operation. Improvement on MOL was defined as an increase from below 30 mm (MOL ≤30 mm) to above 40 mm (MOL ≥40 mm), and pain relief was defined as when a group with TMJ pain with a visual analog scale (VAS) score of 4 or more (VAS ≥4) decreased to a score of 3 or more. The success of arthrocentesis was determined when either mouth opening improved or pain relief was fulfilled. To determine the factors influencing the success of arthrocentesis, the patients were classified by age, gender, diagnosis group (the anterior disc displacement without reduction group, the anterior disc displacement with reduction group, or other TMJ disorders group), time of onset and oral habits (clenching, bruxism) to investigate the correlations between these factors and prognosis.ResultsOne hundred twenty out of 145 patients who underwent arthrocentesis (83.4%) were found to be successful. Among the influencing factors mentioned above, age, diagnosis and time of onset had no statistically significant correlation with the success of arthrocentesis. However, a group of patients in their fifties showed a lower success rate (ANOVA P=0.053) and the success rate of the group with oral habits was 71% (Pearson's chi-square test P=0.035).ConclusionFrom this study, we find that factors influencing the success of arthrocentesis include age and oral habits. We also conclude that arthrocentesis is effective in treating mouth opening symptoms and for pain relief.

show abstract

Section: Discussionmentioning

confidence: 99%

Influencing factor on the prognosis of arthrocentesis

Kim

Jeong

Pang

et al. 2014

J Korean Assoc Oral Maxillofac Surg

View full text Add to dashboard Cite

show abstract

“…In addition to this surgical evidence, Dimitroulis showed the positive outcomes of discectomy and dermis-fat grafting in terms of reduced pain levels and improved jaw function. [1] However, it is controversial that the procedure can respond to all the expectations for the management of the internal derangement. [2] As far, we observed that there were only Dimitroulis's studies which have showed the effect of discectomy and dermis-fat grafting in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…[1] Discectomy of the TMJ has been used in the surgical management of the severe internal derangement for many years. [2–4] However, Agerberg et al .…”

Section: Introductionmentioning

confidence: 99%

Clinicoradiological evaluation of dermis-fat grafts after temporomandibular joint discectomy: A retrospective study

Çandırlı

Esen

Taskesen

et al. 2012

Natl J Maxillofac Surg

View full text Add to dashboard Cite

Purpose:The aim of this study was to compare the preoperative and 1-year postoperative clinical and radiological findings of the patients after unilateral temporomandibular joint (TMJ) discectomy with inter-positional abdominal dermis-fat graft.Materials and Methods:Fourteen patients underwent unilateral discectomy and dermis-fat grafting between 2008 and 2010. Preoperative and 1-year postoperative clinical parameters such as maximum mouth openings (MMO) and lateral movements (LM) of the mandible were recorded. Additionally, preoperative and postoperative magnetic resonance imagingwas obtained to determine the duration of operated TMJs.Results:All of the 14 patients showed the improvement in mandibular mobility and function. There was a significant increase in the MMO and LM during the follow-up period. Pain levels at follow-up were significantly lower than the preoperative levels. Radiologically, the dermis-fat graft was detected within the joint or surrounding the condyle in all 14 operated joints. The graft material that was found within the joint space was mainly grey in four joints. Ten joints showed heterogeneous material composed of fat interspersed with grey tissue.Conclusion:Discectomy and dermis-fat grafting appears to be a successful surgical option regarding to the clinical parameters. However, summed degenerative changes depending on surgical operation should be retained.

show abstract

“…Similarly, the role of splint after arthrocentesis is questionable. Ghanem et al reported better results with stabilisation splints and arthrocentesis in acute closed lock patients. While Alpaslan et al and Tatli et al report no additional effect of stabilisation splints as compared to arthrocentesis alone.…”

Section: Discussionmentioning

confidence: 99%

Single puncture versus standard double needle arthrocentesis for the management of temporomandibular joint disorders: A systematic review

Nagori¹,

Chowdhury

Thukral³

et al. 2018

J of Oral Rehabilitation

View full text Add to dashboard Cite

The aim of this systematic review was to investigate the current evidence in order to assess the efficacy of single puncture arthrocentesis vs standard double needle arthrocentesis in the management of temporomandibular joint(TMJ) disorders. An electronic search of the PubMed, Scopus, Cochrane CENTRAL and Google Scholar databases was performed to identify English studies published up until October 2017. Eligible studies were selected based on inclusion criteria and included randomised controlled trials(RCTs) comparing single puncture arthrocentesis and standard double needle arthrocentesis for the management TMJ disorders. The initial screening identified 984 records, of which only 5 fulfilled the inclusion criteria. A high degree of heterogeneity was found in the 5 studies with each reporting different sample selection and arthrocentesis protocol. All 5 studies reported no difference in reduction in pain intensity and improvement in maximal mouth opening between the single puncture technique and standard double needle technique. This review provides some evidence that single puncture arthrocentesis is clinically as efficacious as standard double needle arthrocentesis. There is a need of well-designed RCT with standard protocol of arthrocentesis comparing different single puncture techniques and standard double needle technique for the management of TMJ disorders.

show abstract

Arthrocentesis and stabilizing splint are the treatment of choice for acute intermittent closed lock in patients with bruxism

Cited by 25 publications

References 25 publications

Influencing factor on the prognosis of arthrocentesis

Influencing factor on the prognosis of arthrocentesis

Clinicoradiological evaluation of dermis-fat grafts after temporomandibular joint discectomy: A retrospective study

Single puncture versus standard double needle arthrocentesis for the management of temporomandibular joint disorders: A systematic review

Contact Info

Product

Resources

About