Recapturing the Persistent Anteriorly Displaced Disk by Mandibular Manipulation after Pumping and Hydraulic Pressure to the Upper JointCavity of the Temporomandibular Joint

Murakami, Ken-Ichiro; Iizuka, Tadahiko; Matsuki, Masanori; Ono, Toshirou

doi:10.1080/08869634.1987.11678169

Cited by 86 publications

(33 citation statements)

References 5 publications

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“…In the post treatment phase the mean VAS pain score dropped to 2.45 at 1 week and then to 1.225 at 4 month period, whereas mean mouth opening improved to 33.475 mm at 1 week and to mean value of 41.05 mm at 4 month time period, which indicates significant improvement in patient symptoms and complaints. The results of the our study compare favourably with the findings of other authors describing the successful use of arthrocentesis and hydraulic distension in patients with a clinical diagnosis of closed-lock or disc displacement without reduction [21][22][23][24]. The results of this study are in conformity with the findings of the initial clinical trial that TMJ arthrocentesis and lavage with manipulation is an effective technique for the treatment of acute persistent closed lock of the TMJ in terms of significantly improving maximum mouth opening and jaw function, and reducing pain.…”

Section: Discussionsupporting

confidence: 86%

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

Malik

Shah

2013

J. Maxillofac. Oral Surg.

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Purpose This study was designed to investigate the efficacy of arthrocentesis on mouth opening and pain in the treatment of temporomandibular joint (TMJ) internal derangement patients. Materials and Methods Fifteen males and 25 females aged between 18 and 37 years comprised the study material in the department of oral and maxillofacial surgery at Govt Dental College Srinagar (India). The patients' complaints were limited mouth opening and TMJ pain. Arthrocentesis was performed under aseptic conditions. Clinical evaluation of the patients was done before the procedure, and 1 week and 4 months post-operatively. Intensity of TMJ pain and maximal mouth opening were recorded at each follow-up visit. Results There was significant improvement in mouth opening and reduction in pain scores in the post-operative period. Conclusions Arthrocentesis is a simple and safe procedure for patients of internal derangement with closed lock for improving mouth opening and decreasing pain.

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Section: Discussionsupporting

confidence: 86%

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

Malik

Shah

2013

J. Maxillofac. Oral Surg.

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“…In 1986, Sanders described, in a case study, a successful treatment of synovitis using TMJ arthrocentesis 13 . Arthrocentesis began to develop and entered into common practice especially due to the efforts of Murakami et al in 1987 and Nitzan et al in 1990 -as a treatment option with a very satisfactory prognosis 14,15 . Arthrocentesis is a minimally invasive procedure that can be performed under local anaesthesia with or without Mann-Whitney U test sedation.…”

Section: Discussionmentioning

confidence: 99%

Effect of combination therapy of arthrocentesis and occlusal splint on nonreducing temporomandibular joint disk displacement

Tvrdý¹,

Heinz²,

Zapletalová³

et al. 2015

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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Objective. Arthrocentesis of the temporomandibular joint is a minimally invasive method of treatment located at the boundary between conservative and surgical therapy. It is usually performed on an out-patient basis under local anaesthesia. These days, arthrocentesis of the temporomandibular joint is used not only in cases of acute closed lock but also in the treatment of various temporomandibular disorders. The most frequent indication is acute anterior displacement of the articular disc without reduction. Treatment using occlusal splint is one of the most frequently used methods of conservative treatment. It is used mainly in the case of discopathies and myofascial pain. Aim. The aim of the study was to confirm that simultaneous use of the occlusal splint and arthrocentesis makes the treatment more effective in the case of detected disc dislocation without reduction. Materials, Methods and Results. From 2008 to 2013, 144 patients underwent arthrocentesis simultaneously using occlusal splint in the treatment of chronic closed lock. The study group consisted of a 130 (90.3%) women and 14 (9.7%) men. After 3 months of therapy, a good treatment outcome was found in 98 (68.1%) patients, 12 (85.7%) men and 86 (66.2%) women. The treatment did not have any effect in 46 (31.9%) patients, 2 (14.3%) men and 44 (33.8%) women. Conclusion. The simultaneous use of the occlusal splint and arthrocentesis makes the treatment more effective in the case of detected joint disc dislocation without reduction.

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“…Murakami et al first described a technique of TMJ arthrocentesis with pumping irrigation and hydraulic pressure to the upper joint cavity followed by manipulation of the jaw. 9 Nitzan et al then described a technique whereby two needles instead of one were introduced into the upper joint space and this technique of arthrocentesis was used in the present study. 10 Various pharmacological agents (Intra-articular injections) used for alleviating TMJ pain and dysfunction after arthrocentesis.…”

Section: Discussionmentioning

confidence: 99%

A Clinical Study of Efficacy of Hydrocortisone Compared With Hyaluronic Acid After Arthrocentesis In TMJ Disorders

2016

IJDA

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ABSTRACT:Temporo-mandibular Joint disorders can be treated with varying methods ranging from conservative management, including drug therapy and occlusal splint therapy, to surgical management which should ideally be the last resort. After the introduction of arthrocentesis as a non-invasive and conservative treatment modality, it was observed that many cases did not require the surgery of the temporomandibular joint.In the present study the efficacy of intra-articular injections of hyaluronic acid and hydrocortisone were compared which were given after temporomandibular joint arthrocentesis. Both drugs were able to demonstrate a reduction of pain and improvement in mouth opening, reducing joint sounds. We noticed that the efficacy of intra-articular injection of hyaluronic acid is better compared to intra-articular injection of hydrocortisone.Hence, we conclude that arthrocentesis followed by intra-articular injection of hyaluronic acid is better compared to intra-articular injection of hydrocortisone and is a simple and non-invasive method for temporomandibular joint disorders such as anterior disc displacement with and without reduction. Finally it presents a low incidence of intraoperative and postoperative complications and however additional research may require for long term evaluation of the results.

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Recapturing the Persistent Anteriorly Displaced Disk by Mandibular Manipulation after Pumping and Hydraulic Pressure to the Upper JointCavity of the Temporomandibular Joint

Cited by 86 publications

References 5 publications

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

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

Effect of combination therapy of arthrocentesis and occlusal splint on nonreducing temporomandibular joint disk displacement

A Clinical Study of Efficacy of Hydrocortisone Compared With Hyaluronic Acid After Arthrocentesis In TMJ Disorders

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