Efficacy of Temporomandibular Joint Arthrocentesis on Mouth Opening and Pain in the Treatment of Internal Derangement of TMJ—A Clinical Study

Malik, Aijaz Ahmad; Shah, Aasim Farooq

doi:10.1007/s12663-013-0522-7

Cited by 22 publications

(19 citation statements)

References 23 publications

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“…Lately, arthrocentesis has seemed to be more effective in treating pain [5], and some studies have also showed that its cost-effectiveness has been superior to the more conservative approaches [19]. In the present study, there was a significant reduction (p<0.0001) in the perception of pain after arthrocentesis, with VAS values reducing from 7.20±1.37 to 0.43±0.44, being these values similar to the ones found in other studies, from 8.7±1.1 to 1.13±1.16 [6] and from 6.45±1.17 to 1.12±0.42 [20].…”

Section: Discussionsupporting

confidence: 88%

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: Discussionsupporting

confidence: 88%

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

et al. 2019

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“…Lavage of the upper joint space reduces pain by removing inflammation mediators from the joint , increasing mandibular mobility by removing intra-articular adhesions, eliminating the negative pressure within the joint, recovering disc and fossa space, and improving disc mobility, which reduces the mechanical obstruction caused by the anterior position of the disc .the results of arthrocentesis were in agreement with studies. [20,24,25] Analysing results of clicking sound in study groups indicated beneficial effect of both treatment modalities in reducing clicking with no statistical significant difference between them. The effect of arthrocentesis in on the clicking sound has been reported in a lot of publication to reduce joint pain, improve function, and reduce clicking as the arthrocentesis is considered an evident method to treat TMJ disc derangement .…”

Section: Discussionmentioning

confidence: 95%

Assessment of Low Level Diode Laser Therapy versus Arthrocentesis in Management of Temporomandibular Joint Internal Derangement.

Hammuda

2018

OMX

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Introduction: Many nonsurgical therapies have been suggested for the management of Disc derangement disorders such as physical therapy, pharmacologic therapy, through psychological counselling, cognitive behavioural therapy, occlusal splints and acupuncture. Among physical therapy procedures, low level laser therapy (LLLT) has recently been proposed to reduce symptoms and improve function in TMD patients. Aim: The aim of this study is to evaluate effectiveness of Low level diode laser therapy as a treatment modality in temporomandibular joint internal derangement.Patients/Methods: Thirty six patients presented with jaw pain, clicking and limited mouth openings were involved in this study. Clinical, radiographic and magnetic resonance imaging (MRI) were performed to exclude muscular, hyperplastic or degenerative causes. They were divided randomly into two groups. group I, subjected to arthrocentesis and group II, subjected to ten sessions of LLLT on fixed predetermined points. Results: Statistical analysis has shown a significant improvement in both groups after six month regarding Pain, range of mandibular movements and clicking. In comparison between both groups the change in maximal mouth opening (MMO) and clicking was higher in arthrocentesis group than LLLT group.

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“…They stated that through the medial joint capsule perforation following the extravasation of fluid was the main reason of edema ( 41 ). Nerve injuries mostly involve facial nerve injury (0.7–0.6 %), trigeminal nerve injury (0.1–2.4 %), otic injury (0.5–8.6 %) ( 42 ). Also, transient facial paralysis as a consequence of the local anesthetic infusion and the following alteration of motor function at the side of AC is one of the possible side effects ( 43 ).…”

Section: Discussionmentioning

confidence: 99%

Is arthrocentesis of temporomandibular joint with corticosteroids beneficial? A systematic review

Davoudi

Khaki²,

Mohammadi³

et al. 2018

Med Oral

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BackgroundTemporomandibular disorders (TMDs) are musculoskeletal conditions that can inhibit the normal function of temporomandibular joints (TMJs) and affect the patient’s quality of life, negatively. Arthrocentesis (AC) is a minimally invasive surgical procedure used for treating TMDs. The aim of present paper is to evaluate the advantages of administrating corticosteroid (CS) during AC by reviewing high quality released articles.Material and MethodsSearching on Cochrane Library, Web of Science, Google Scholar, PubMed, ProQuest, and Scopus databases were performed with focusing on proper key words. Related titles and abstracts, up to December 2017, were screened and selected based on inclusion criteria. The full text of all randomized controlled trials (RCTs) was extensively read and subjected to quality assessments.ResultsAfter initial search, a total of 2067 articles were included into the study. Finally, 7 studies were reliable enough in methodology and randomization to be included into the study. All of the observed studies showed improvements in jaw functions and pain relief with no statistical differences in both AC and control groups. One study reported painless maximum incisal opening in CS group than the control group.ConclusionsBased on available RCTs, the AC of TMJ with CS seems to result in similar findings to other therapeutic drugs, with no significant differences. Key words:Arthrocentesis, corticosteroid, temporomandibular joints, temporomandibular joint disorders.

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Efficacy of Temporomandibular Joint Arthrocentesis on Mouth Opening and Pain in the Treatment of Internal Derangement of TMJ—A Clinical Study

Cited by 22 publications

References 23 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

Assessment of Low Level Diode Laser Therapy versus Arthrocentesis in Management of Temporomandibular Joint Internal Derangement.

Is arthrocentesis of temporomandibular joint with corticosteroids beneficial? A systematic review

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