Effectiveness of double-puncture temporomandibular joint arthrocentesis with viscosupplementation in different categories of severity – a prospective study

Temporomandibular Joint Minimally Invasive Procedures in the Pediatric Population: A Prospective Study

“…Equally, in a retrospective study including 23 pediatric patients who underwent arthroscopy, the VAS scores improved 25-26% in the short and long term [32]. Similarly, we demonstrated a reduction of pain in 86% of adult patients submitted to TMJ arthrocentesis and arthroscopy [3,16]. Also, in a sample of 50 adults (78 joints) submitted to arthroscopy, Indresano et al [33] verified a reduction in pain in 70% of patients.…”

“…The overall success of these minimally invasive surgeries in pediatrics is similar to adults. Recently, in two studies carried out by our research group, demonstrated a success rate of 76% for arthrocentesis and 69% for arthroscopy in adult patients (one single intervention) [3,16]. Also, several studies have shown a success rate for TMJ arthrocentesis and arthroscopy around 70% and 90% [28,29].…”

“…All the details of this procedure have been recently published [3]. Briefly, asepsis was performed with betadine, and a sterile drape was placed.…”

“…Over recent years, temporomandibular joint (TMJ) minimally invasive procedures have been appointed as an alternative for conservative treatment failure in cases of severe acute pain or chronic pain, inflammation, and/or degeneration disease, namely in arthrogenous temporomandibular disorders (TMD) [1]. The main advantages of these techniques are: minimal distress and reduced invasiveness to the patient, reduced risk of complications [2,3], faster recovery, faster results, minimal cosmetic deformity, low emotional impact, improved quality of life [4], and high satisfaction. Although they present more risks/complications associated with operator errors and anesthetic effects, TMJ arthrocentesis and arthroscopy are generally safe procedures with low incidence of major complications [2,[5][6][7].…”

“…It is recognized to be effective in reducing pain and restoring mandibular function, with minimal morbidity. The use of these techniques in adults is well-validated in the literature [3,9,15,16]. However, data on the effectiveness and safety of minimally invasive TMJ surgery in pediatric patients are limited.…”