Effect of Arthrocentesis on Symptomatic Osteoarthritis of the Temporomandibular Joint and Analysis of the Effect of Preoperative Clinical and Radiologic Features

Nitzan, Dorrit W.; Svidovsky, Jesica; Zini, Avraham; Zadik, Yehuda

doi:10.1016/j.joms.2016.08.017

Cited by 45 publications

(34 citation statements)

References 31 publications

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“…The results indicate that arthrocentesis reduced pain and increased jaw function after up to 4 years of follow-up. This is consistent with a recent study of arthrocentesis alone for TMJ osteoarthritis (8). Sodium hyaluronate injection had no additional effect after 4 years of followup, which contrasts with findings from short-term studies (4,16).…”

Section: Discussionsupporting

confidence: 89%

“…Apart from this study, only a few studies reported long-term follow-up of patients who received arthrocentesis. In a recent retrospective study, Nitzan et al (8) concluded that about 80% of patients with TMJ OA who received arthrocentesis with lavage alone had favorable outcomes, namely, reduced pain and increased mouth opening, after a mean follow-up of 56 months. This present study confirms their results in patients who underwent arthrocentesis without additional sodium hyaluronate.…”

Section: Discussionmentioning

confidence: 99%

“…Arthrocentesis is a simple, minimally invasive technique that flushes out inflammatory mediators from the superior joint space and disrupts adhesions within the joint. It was found to decrease intra-articular pain and joint sounds and increase mouth opening (7,8). Arthrocentesis can be performed under local anesthesia by means of standard two-needle technique and joint lavage with physiological solution or Ringer's solution.…”

Section: Introductionmentioning

confidence: 99%

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Long-term effectiveness of arthrocentesis with and without hyaluronic acid injection for treatment of temporomandibular joint osteoarthritis

et al. 2019

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This study evaluated the long-term effectiveness of intra-articular temporomandibular joint arthrocentesis for patients with osteoarthritis and compared arthrocentesis/lavage alone with arthrocentesis/lavage and injected hyaluronic acid. Forty patients met the inclusion criteria, and 37 completed long-term follow-up (approximately 4 years). The patients were randomly allocated to two groups: arthrocentesis with lavage alone (A-group, n = 17) or combined with hyaluronic acid treatment (AS-group, n = 20). Standard two-needle arthrocentesis was performed. Pain and joint sounds were measured at baseline and approximately 4 years after treatment. Reported pain, as indicated by visual analogue scale (VAS) score, significantly decreased from baseline to the final follow-up examination in both groups. Mean VAS score decreased from 64 to 16 (P < 0.001) in the A-group and from 63 to 25 (P < 0.001) in the AS-group. Average maximum incisor opening increased significantly in both groups but did not significantly differ between groups (P = 0.223). Joint sounds did not significantly improve within groups (A-group, P = 0.495; AS-group, P = 0.236). Both methods resulted in significant long-term improvements in pain and jaw function.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Long-term effectiveness of arthrocentesis with and without hyaluronic acid injection for treatment of temporomandibular joint osteoarthritis

et al. 2019

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“…However, the development of effective total joint treatments has been challenging. 3,4 Interleukin-37 (IL-37), a novel anti-inflammatory cytokine, is a newly discovered member of the IL-1 family and functions as a natural suppressor of inflammatory and immune responses. 13 IL-37 can be induced by inflammatory stimuli such as IL-1β and LPS in PBMCs and synovial cells.…”

mentioning

confidence: 99%

IL‐37b alleviates inflammation in the temporomandibular joint cartilage via IL‐1R8 pathway

et al. 2019

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Objectives Interleukin (IL)‐37 is a natural suppressor of innate inflammation. This study was conducted to explore the anti‐inflammatory effects of IL‐37 in temporomandibular joint (TMJ) inflammation. Materials and Methods The expression of IL‐37 in the TMJ was measured using ELISA and IHC. Human TMJ chondrocytes were treated with IL‐37b and IL‐1β, and inflammation‐related factors were detected. siRNA‐IL‐1R8 was transfected into chondrocytes, and the affected pathways were detected. IL‐37b was used in disc‐perforation‐induced TMJ inflammation in SD rats. Micro‐CT, IHC, real‐time PCR and histological staining were used to quantify the therapeutic effect of IL‐37b. Results IL‐37 was expressed in the synovium and the disc of patients with osteoarthritis (OA) and in the articular cartilage of condylar fracture patients. IL‐37 was highly expressed in synovial fluid of patients with synovitis than in those with OA and disc displacement and was closely related to visual analogue scale (VAS) score. In vitro, IL‐37b suppressed the expression of pro‐inflammatory factors. In addition, IL‐37b exerted anti‐inflammatory effects via IL‐1R8 by inhibiting the p38, ERK, JNK and NF‐κB activation, while silencing IL‐1R8 led to inflammation and upregulation of these signals. In disc‐perforation‐induced TMJ inflammation in SD rats, IL‐37b suppressed inflammation and inhibited osteoclast formation to protect against TMJ. Conclusions IL‐37b may be a novel therapeutic agent for TMJ inflammation.

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“…Cerrahi dışı uygulanabilecek bir diğer minimal invaziv yöntemde TME artrosentezidir. Günümüzde bu yöntemle başarılı sonuçlar elde etmiş birçok araş-tırmacı mevcuttur (2,13,15) . Ancak bu çalışmaların çok azı kontrollü randomize çalışmalardır.…”

Section: Discussionunclassified

Evaluation Of The Efficacy Of Temporomandibular Joint Arthrocentesis With Clinical And Radiological Findings

Akdağ¹,

Koplay²,

Tosun³

2018

Okmeydani Medical Journal

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Effect of Arthrocentesis on Symptomatic Osteoarthritis of the Temporomandibular Joint and Analysis of the Effect of Preoperative Clinical and Radiologic Features

Cited by 45 publications

References 31 publications

Long-term effectiveness of arthrocentesis with and without hyaluronic acid injection for treatment of temporomandibular joint osteoarthritis

Long-term effectiveness of arthrocentesis with and without hyaluronic acid injection for treatment of temporomandibular joint osteoarthritis

IL‐37b alleviates inflammation in the temporomandibular joint cartilage via IL‐1R8 pathway

Evaluation Of The Efficacy Of Temporomandibular Joint Arthrocentesis With Clinical And Radiological Findings

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