Arthrocentesis in the management of internal derangement of the temporomandibular joint

Briggs, KA; Breik, Omar; Ito, Kotaro; Goss, AN

doi:10.1111/adj.12665

Cited by 12 publications

(10 citation statements)

References 19 publications

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“…There have been a number of excellent papers and texts on arthroscopic surgery, and serious students of the techniques are recommended to study them all [1][2][3][4][5][6][7][8][9][10][11][12].…”

Section: Discussionmentioning

confidence: 99%

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A Modified Technique of Temporomandibular Joint Arthroscopic Operative Surgery of the Superior and Inferior Joint Spaces

Rosenbrg¹,

Goss

2019

J. Maxillofac. Oral Surg.

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Purpose This paper describes in detail the first author's technique of performing arthroscopic surgery in both the superior and inferior joint spaces of the temporomandibular joint. Methods The key is careful measurement of sagittal and coronal tomograms to determine the individual size and shape of the joint. The joint is then distracted to allow 3-port video arthroscopy. Results The detailed steps in the procedure are described and illustrated. Conclusion This modified technique is safe and allows procedures in both joint spaces and surgical access to the fossa, condyle and disc.

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Section: Discussionmentioning

confidence: 99%

“…Dexamethasone 2 ml and bupivacaine .5% 2 ml are then placed and the arthroscopic procedure completed. This procedure is equivalent to a simple arthrocentesis [ 6 ]. Superior joint synovectomy.…”

Section: Methodsmentioning

confidence: 99%

A Modified Technique of Temporomandibular Joint Arthroscopic Operative Surgery of the Superior and Inferior Joint Spaces

Rosenbrg¹,

Goss

2019

J. Maxillofac. Oral Surg.

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“…The presence of proinflammatory cytokines such as IL‐6, IL‐1β, IL‐8 and TNF‐α has been reported not only in the synovial fluid of patients with knee joint problems, but also in TMDs with internal derangement and osteoarthritis 28,29 . However, the cellular mechanism in TMJ‐ID aetiology has not been clearly revealed 30 …”

Section: Introductionmentioning

confidence: 99%

Asporin levels in patients with temporomandibular joint disorders

et al. 2021

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Background Understanding the pathogenesis of temporomandibular joint disorder (TMD) is important for diagnosis and treatment planning. Thus, biochemical analysis is usually used for the detection of tissue damage. Objective In this study, we aimed to investigate the serum asporin levels in patients with TMD. Methods Our study was planned to be performed on 43 healthy individuals (control group) without any joint problems and 43 patients with temporomandibular joint internal derangement (TMJ‐ID; patients group) according to the Wilkes classification (stages 3, 4 and 5). Serum asporin levels were determined by the enzyme‐linked immunosorbent assay (ELISA) method and compared between groups. Asporin levels were analysed according to the demographic and clinical characteristics of the patients, and the differences between them were demonstrated. Results Asporin levels were found to be significantly increased in the patients group compared to control group (p = .0303). The age and gender distributions of the samples in the control and patients groups were homogeneous, and there was no statistically significant difference between the groups. In addition, while there was no significant change in asporin levels in females in the patients group compared with the control group, the asporin levels were significantly increased in males in the patients group (p = .0403). Conclusions Consequently, asporin seems to be an important biomarker in the pathobiology of TMJ‐ID as it is significantly upregulated in these patients.

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“…Currently, there is a significant prevalence of dentition defects associated with dental defects and temporomandibular joint (TMJ) disorders, which in turn can lead to headache, joint pain, stiffness and limited movements of the mandible, irradiation of pain to the ear, temple, hearing loss, as well as a feeling of tightness and pain of the masticatory muscles at the end of the day [1,2].…”

Section: Introductionmentioning

confidence: 99%

“…We should pay great attention to functional disorders of the TMJ that can be achieved after incorrect occlusal ratios of fixed dentures or removable dentures. Moreover, it was proposed a numerous variety of modern methods of prosthetic treatment that could eliminate functional disorders of the TMJ with the help of special tires [1,2,6,23].…”

Section: Introductionmentioning

confidence: 99%

Modern Methods of Patients Treatment With Dentition Defects Combined With Functional Disorders of the Temporomandibular Joint

et al. 2020

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The aim: The purpose of the research was to increase the efficiency of treatment at patients with dentition defects and functional disorders of the temporomandibular joint. Materials and methods: We examined 140 patients aged from 25 to 65 years with functional disorders of the temporomandibular joint, analysed there diagnostic models in the articulator and 3D scanner, used radiographic methods of examination and condylography. Results: The results of the conducted studies showed that in the 1st group, the biomechanical parameters of temporomandibular joint movements before treatment were significantly lower: 6,4 ± 0,2 mm and 6,8 ± 0,2 mm for right and left temporomandibular joint during protrusion movements; 7,8 ± 0,1 mm and 7,9 ± 0,2 mm during vertical movements; 6,7 ± 0,1 mm and 6,5 ± 0,2 mm during transversal movements. After 12 month of complex and prosthetic treatment with a help of non-removable dentures the magnitude of movements remains at the achieved level at all excursions. As a result, proposed by us comprehensive treatment of functional disorders of the temporomandibular joint is carried out in stages. The proposed design of an individual tire makes it possible to gradually increase the bite height and perfectly forms the occlusal ratio. After 6 and 12 months of the proposed treatment, we have found that the indicators of vertical and protrusion movements of articular heads at patients of 2nd group were significantly better than before treatment. Conclusions: The proposed design of an individual tire makes it possible to gradually increase the bite height and perfectly forms the occlusal ratio.

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Arthrocentesis in the management of internal derangement of the temporomandibular joint

Cited by 12 publications

References 19 publications

A Modified Technique of Temporomandibular Joint Arthroscopic Operative Surgery of the Superior and Inferior Joint Spaces

A Modified Technique of Temporomandibular Joint Arthroscopic Operative Surgery of the Superior and Inferior Joint Spaces

Asporin levels in patients with temporomandibular joint disorders

Modern Methods of Patients Treatment With Dentition Defects Combined With Functional Disorders of the Temporomandibular Joint

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