Arthrocentesis vs conservative therapy for the management of TMJ disorders: A systematic review and meta-analysis

Hu, Yingshun; Liu, Siyan; Fang, Fang

doi:10.1016/j.jormas.2022.09.004

Cited by 5 publications

(6 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The countries with the highest number of reviews were China (n = 14) [ 47 , 57 , 59 , 63 , 70 , 76 , 77 , 79 , 104 , 105 , 112 , 114 , 122 , 124 ], followed by Brazil (n = 13) [ 33 , 44 , 64 , 90 , 93 , 106 , 107 , 111 , 115 , 123 , 127 , 129 , 131 ], and Spain (n = 9) [ 36 , 38 , 41 , 43 , 45 , 52 , 68 , 103 , 110 ]. The number of studies encompassed in these reviews ranged from 52 [ 34 , 52 , 125 ] to 3 [ 102 ], with RCTs predominating the dataset.…”

Section: Resultsmentioning

confidence: 99%

Temporomandibular Disorders Management—What’s New? A Scoping Review

Mauro,

Verdecchia,

Suárez-Fernández

et al. 2024

Dentistry Journal

View full text Add to dashboard Cite

Temporomandibular disorders include various conditions that impact the masticatory system, affecting its structure, function, or physiology. Clinicians face a complex array of therapeutic options when treating this group of diseases, emphasizing the importance of evaluating the current evidence to guide decisions in patient care. The main objective of this article is to conduct a scoping review on the available treatment approaches to manage temporomandibular disorders (TMDs). An extensive search of the literature was performed on Scopus, Pubmed, Embase, and Web of Science. Systematic reviews published in the last 5 years were considered. Out of the 2183 publications identified, 109 studies were included in this review. Among them, 39 articles focused on the non-invasive approach, while 120 delved into the minimally invasive approach, and 15 explored the surgical approach. Non-invasive or conservative approaches like cognitive-behavioral therapy, physical therapy, and acupuncture offer effective pain management and functional improvements in TMDs. Emerging treatments offer promising alternatives for treating these disorders. Surgery should be reserved for severe cases, with conservative therapies used in conjunction with invasive procedures for optimal patient outcomes.

show abstract

Section: Resultsmentioning

confidence: 99%

Temporomandibular Disorders Management—What’s New? A Scoping Review

Mauro,

Verdecchia,

Suárez-Fernández

et al. 2024

Dentistry Journal

View full text Add to dashboard Cite

show abstract

“…In TMJ arthrocentesis, the upper joint space is irrigated by introducing one or two needles to achieve throughflow of fluid (saline solution) and lavage of the joint [24,25]. Systematic reviews have reported that TMJ arthrocentesis improves jaw function and reduces pain levels, and the execution of multiple sessions is superior to a single session [25][26][27]. Its effectiveness could be explained by the joint space expansion achieved, the breaking of joint adhesions with the introduction of fluid, and the washing out of inflammatory mediators and catabolites [26][27][28].…”

Section: Introductionmentioning

confidence: 99%

“…Systematic reviews have reported that TMJ arthrocentesis improves jaw function and reduces pain levels, and the execution of multiple sessions is superior to a single session [25][26][27]. Its effectiveness could be explained by the joint space expansion achieved, the breaking of joint adhesions with the introduction of fluid, and the washing out of inflammatory mediators and catabolites [26][27][28]. Certain studies propose that first-line TMJ arthrocentesis has a variable and insufficient effect, resulting in either a significant or only a small decrease in pain scores, and either way with no improvement in mandibular movements when compared with conservative treatments.…”

Section: Introductionmentioning

confidence: 99%

“…Certain studies propose that first-line TMJ arthrocentesis has a variable and insufficient effect, resulting in either a significant or only a small decrease in pain scores, and either way with no improvement in mandibular movements when compared with conservative treatments. These results should be taken with caution since they come from a small number of trials with high heterogeneity, but nonetheless they cast doubt on the effectiveness of AT [27]. In an effort to improve its effectiveness, the additional use of sodium hyaluronate (SH) after an AT procedure has been proposed for the improvement of patients' outcomes [26].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of the Efficacy of Two Protocol Treatments in Patients with Symptomatic Disc Displacement without Reduction: A Randomized Controlled Trial

Almeida

Botelho

Machado

et al. 2023

JCM

View full text Add to dashboard Cite

The aim of this study was to compare the effectiveness of arthrocentesis followed by hyaluronic acid infiltration treatment (ASH) and mandibular exercise therapy (MET) in patients with symptomatic disc displacement without reduction (DDwoR) by examining pain intensity (VAS), mandibular range of motion (MO), and quality of life (QoL). Fifty-two patients were randomly allocated into two groups, MET (N = 26) and ASH (N = 26), and therapy was applied at the baseline and one month after. Patients were followed up at 1 and 12 months after the baseline assessment. Clinical and patient-reported outcomes were compared at the baseline, 1-month follow-up, and 12-month follow-up. The study found no significant differences in VAS and MO between the ASH and MET groups at the baseline. However, while not significant, it was noted that the ASH group showed higher values for MO. Regarding OHIP-14 at 1 month of follow-up, the ASH group showed significant improvements in physical pain (p > 0.01), physical and psychological disability (p = 0.043 and p = 0.029), and handicap (p = 0.033). At the 12-month follow-up, the ASH group showed significant improvements in functional limitation, psychological discomfort, psychological disability, and handicap (p = 0.008, p = 0.001, p = 0.001, p = 0.005, respectively). ASH treatment did not reduce pain or improve mandibular range of motion more than physical therapy in patients with symptomatic DDwoR. However, ASH could be preferable given its positive long-term effects on patients’ quality of life. The clinician’s main objective is to prioritize the treatment plan order with a focus on the patient’s quality of life. Accordingly, healthcare professionals should consider ASH as a treatment option for patients with symptomatic DDwoR who desire long-term improvement in their quality of life.

show abstract

“…Relative to those, injections of the face and neck are easy and involve few complications because the anatomic landmarks are clear. Injection therapies performed to treat TMD include TMJ injection (corticosteroid, hyaluronic acid, lidocaine), SNEPI (sympathetic nerve entrapment point injection), TTPI (tendon traction point injection), trigger point injection, botulinum toxin injection, prolotherapy, TMJ pumping, and TMJ arthrocentesis [1][2][3][4][5][6] . If injection therapy is appropriately performed when indicated and combined with other treatments, TMD can be treated easily and result in patient satisfaction.…”

mentioning

confidence: 99%

Temporomandibular joint injection therapy

Kim

2024

JKAOMS

View full text Add to dashboard Cite

Arthrocentesis vs conservative therapy for the management of TMJ disorders: A systematic review and meta-analysis

Cited by 5 publications

References 25 publications

Temporomandibular Disorders Management—What’s New? A Scoping Review

Temporomandibular Disorders Management—What’s New? A Scoping Review

Comparison of the Efficacy of Two Protocol Treatments in Patients with Symptomatic Disc Displacement without Reduction: A Randomized Controlled Trial

Temporomandibular joint injection therapy

Contact Info

Product

Resources

About