Comparison of local and general anaesthesia for arthrocentesis of the temporomandibular joint

Tüz, Hakan H.; Başlarlı, Özgür; Adiloğlu, Selen; Göktürk, Tuğçe; Meral, Salih Eren

doi:10.1016/j.bjoms.2016.06.026

Cited by 17 publications

(8 citation statements)

References 15 publications

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“…It consists in washing the superior compartment of the TMJ, which is performed without a direct visualization of the performance. The washing procedure is done using a biocompatible substance, such as a physiological solution, which dilutes the local algogenic substances and frees the joint disc by removing the adhesions formed between the surfaces of it and the mandibular fossa, which is free due to the hydraulic pressure generated by the irrigation process [6, 8–11].…”

Section: Introductionmentioning

confidence: 99%

The use of arthrocentesis in patients with temporomandibular joint disc displacement without reduction

et al. 2019

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The aim of this study was to evaluate the efficacy of the use of the arthrocentesis in patients with disc displacement without reduction (DDWOR). Two hundred and thirty-four (234) patients with DDWOR were evaluated and the following data collected: gender; affected side; age (years); duration of the pain (months); patient's perception of pain (measured by Visual Analogue Scale [VAS 0–10]); maximal interincisal distance (MID) (mm); and joint disc position, determined by magnetic resonance imaging. Data were obtained in two different moments: before the arthrocentesis (M1) and three or four months later (M2). Paired t-Student Test, Scores Test and Wilcoxon Test showed a statistical significant difference (p<0.0001) between the M1 and M2 for the variables VAS and MID. There was an alteration in the joint disc position in 93.88% of the cases after arthrocentesis. There was no association between the general characteristics of the patients on the M1 and the results of the arthrocentesis (p>0.05). It can be concluded that the arthrocentesis is efficient in reducing the pain, in increasing interincisal distance, and altering the joint disc position in patients with DDWOR regardless gender, age side and pain duration.

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Section: Introductionmentioning

confidence: 99%

The use of arthrocentesis in patients with temporomandibular joint disc displacement without reduction

et al. 2019

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“…The auriculotemporal nerve block, followed by the anesthesia of the masseteric and posterior deep temporal nerves was aimed to avoid the discomfort and/or pain due to the hydraulic pressure that could occur at the beginning of the joint washing procedure, thus obtaining excellent analgesia of the region, avoiding the need for sedation. The literature shows inconclusive advantages of performing arthrocentesis under general anesthesia 11 . In addition, our proposed anesthetic sequence reduces the chance of facial nerve paresis because injection is given directly into the trigeminal nerve branches and not intraarticularly into the temporomandibular joint.…”

Section: Discussionmentioning

confidence: 99%

Temporomandibular joint arthrocentesis: a technique proposal. Case report

Grossmann

Poluha

Leite³

2019

Brazilian Journal of Pain

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BACKGROUND AND OBJECTIVES: Arthrocentesis is an effective treatment to reduce or eliminate pain, increase maximal interincisal distance, and to eliminate joint effusion in patients with disc displacement without reduction. This study aims to expose and to discuss a new technique proposal of temporomandibular joint arthrocentesis applied in the treatment of a single case of disc displacement without reduction. CASE REPORT: Female patient, 18-year-old patient sought treatment due to joint pain and mouth opening limitation. The maximal interincisal distance was 30.28mm. Magnetic resonance imaging confirmed the diagnosis of disc displacement without reduction with signs of joint effusion in the right temporomandibular joint. Temporomandibular joint arthrocentesis was performed under selective sensory nerve block of the auriculotemporal, the masseteric and posterior deep temporal nerves. Two needles were inserted in the upper compartment of the temporomandibular joint. In the second needle, a transparent catheter was connected into a vacuum pump. Clinically, after the arthrocentesis, the maximal interincisal distance increased to 46.25mm, and the patient referred no more pain. After six months, a magnetic resonance imaging was performed to observe the results, and there were no more signs of joint effusion. CONCLUSION: Temporomandibular joint arthrocentesis was an effective treatment for this patient with disc displacement without reduction. The aspect of this technique that is particularly relevant for clinical practice was the connection of a transparent catheter to a vacuum pump. In fact, it allowed the visualization of the solution fluidity, as well as guides the flow of Temporomandibular joint arthrocentesis: a technique proposal. Case report Artrocentese da articulação temporomandibular: uma proposta de técnica. Relato de caso

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“…Another possible reason for the immediate reduction of the VAS score might be the anesthetic block of the auriculotemporal, posterior deep temporal, and masseter nerves. The literature suggests that adequate pain control during the procedure decreases painful stimuli to the central nervous system [ 4 ]. After one year of follow-up, the mean (±SD) VAS score reduced from 6.69 (±1.60) to 0.46 (±1.19) in group 1N and from 6.61 (±1.70) to 0.38 (±1.12) in group 2N.…”

Section: Discussionmentioning

confidence: 99%

Single-Needle Arthrocentesis with Upper Compartment Distension versus Conventional Two-Needle Arthrocentesis: Randomized Clinical Trial

Grossmann

Pasqual

Poluha

et al. 2017

Pain Research and Management

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The objective of this study was to compare single-needle arthrocentesis with distension of the upper compartment of the temporomandibular joint (TMJ) with the conventional two-needle arthrocentesis. Twenty-six patients with articular disc displacement without reduction (DDWOR) were included in the study and assigned to two groups (n = 13): single-needle arthrocentesis with distension of the upper compartment of the TMJ (1N) and conventional two-needle arthrocentesis (2N). The maximum interincisal distance (MID) and TMJ pain as measured by the visual analog scale (VAS) were compared. MID and VAS data were obtained: before (T1), seven days after (T2), fifteen days after (T3), one month after (T4), three months after (T5), six months after (T6), nine months after (T7), and one year after the arthrocentesis procedures (T8). Considering each group individually, results of the VAS scores and MID measurements showed a significant difference between T1 and T2–T8 (p < 0.001) in both groups. Between two groups, results show no significant differences (p > 0.05). Both techniques tested were effective in reducing pain and increasing MID. Due to the advantages over the conventional two-needle arthrocentesis, single-needle arthrocentesis with distension of the upper compartment should be considered as the first treatment option for patients with painful hypomobilized TMJ of DDWOR.

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Comparison of local and general anaesthesia for arthrocentesis of the temporomandibular joint

Cited by 17 publications

References 15 publications

The use of arthrocentesis in patients with temporomandibular joint disc displacement without reduction

The use of arthrocentesis in patients with temporomandibular joint disc displacement without reduction

Temporomandibular joint arthrocentesis: a technique proposal. Case report

Single-Needle Arthrocentesis with Upper Compartment Distension versus Conventional Two-Needle Arthrocentesis: Randomized Clinical Trial

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