Temporomandibular joint arthrocentesis: A prospective study and audit of 500 joints of central India

Kumar, Shailesh; Kiran, Kamini; Yadav, Anurag

doi:10.4103/jispcd.jispcd_361_17

Cited by 9 publications

(11 citation statements)

References 21 publications

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“…Considering that increased concentrations of inflammatory mediators have been identified in the synovial fluid of patients with internal derangement, suggesting an underlying degenerative or inflammatory process [12].The excellent patient response to Arthrocentesis could be attributed to the disruption of adhesions, and washing out of inflammatory mediators resulting in decreased pain and increased range of motion [13,14,15]. On the other hand, efficacy of PRP may be related to its anti-inflammatory effect as evident by the observations of Lippross et al [ 16]In their experimental study in a pig model of rheumatoid arthritis of the knee joint, interleukin-1, interleukin-6, tumor necrosis factor, vascular endothelial growth factor, and insulin-like growth factor 1 protein content was measured by immunoassay before and 2 weeks after the second intraarticular injection of normal saline or PRP.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Pain Regression in Patients with Temporomandibular Disc Displacement with Reduction Treated by Intra-Articular Platelet-Rich Plasma Injections versus Arthrocentesis

Alafifi

Hassanien

Taema

2020

Advanced Dental Journal

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Objectives:The objective of this study is to examine the benefit of an intra-articular platelet-rich plasma (PRP) injection and to compare this with arthrocentesis in Patients with Temporomandibular Disc Displacement with Reduction. Subjects and Methods: Twenty four patients who did not respond to conservative treatment of anterior disc displacement with reduction were included in this study. They were randomly allocated to one of two study arms: the 'intervention' group who treated with intra articular PRP injection or the control group who treated with Arthrocentesis. Results: In this study, both groups showed significant improvement in TMJ pain, maximum mouth opening (MMO) and clicking 2 weeks after treatment that maintained thereafter. Conclusion: It is possible to conclude that intra-articular PRP injection was equivalent to arthrocentesis regarding reduction of TMJ pain with more beneficial effects of arthrocentesis on MMO and TMJ sound.

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Section: Discussionmentioning

confidence: 99%

Evaluation of Pain Regression in Patients with Temporomandibular Disc Displacement with Reduction Treated by Intra-Articular Platelet-Rich Plasma Injections versus Arthrocentesis

Alafifi

Hassanien

Taema

2020

Advanced Dental Journal

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“…TMJ related problems are common in the population [1617]. When the conservative methods are found to be inadequate in treating these problems, arthrocentesis is usually performed [34].…”

Section: Discussionmentioning

confidence: 99%

Investigation of the effects of temporomandibular joint arthrocentesis on blood volume of the retinal structures

Keskinruzgar

Çankal

Koparal

et al. 2019

J Dent Anesth Pain Med

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Objective Arthrocentesis is a minimally invasive surgical procedure that is used to alleviate the symptoms of temporomandibular joint (TMJ) disorders. The aim of this study was to investigate the effect of arthrocentesis on the blood supply to the retinal structures. Materials and Methods Arthrocentesis was performed on 20 patients with TMJ disorders, and choroidal thickness (CT) in patients was measured to evaluate retinal blood circulation. The blood volume of the retinal structures was evaluated ipsilaterally before and after arthrocentesis, and these measurements were then compared with measurements obtained from the contralateral side. Results Before arthrocentesis, there were no differences in retinal blood volumes between the ipsilateral and contralateral sides (P = 0.96). When ipsilateral CT measurements taken before and after arthrocentesis were compared, retinal blood supply was found to have significantly decreased after arthrocentesis (P = 0.04). When contralateral CT measurements taken before and after arthrocentesis were compared, retinal blood supply was also found to have decreased after arthrocentesis, but not significantly (P = 0.19). Conclusion The solution of local anesthesia with epinephrine applied before the arthrocentesis procedure was found to reduce the blood volume of the retinal structures. To the best of our knowledge, this is the first study that has investigated the blood volume of the retinal structures following arthrocentesis.

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“…A total of 13 studies were included in the review. [9][10][11][12][16][17][18][19][20][21][22][23][24] Baseline details of the included studies are presented in Table 1. PubMed search strategy and results of the database are presented in Table S1.…”

Section: Re Sultsmentioning

confidence: 99%

Comparison of outcomes with the single‐puncture and double‐puncture techniques of arthrocentesis of the temporomandibular joint: An updated systematic review and meta‐analysis

Nagori¹,

Bansal

Jose³

et al. 2021

J of Oral Rehabilitation

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Objective To compare intra‐operative and postoperative outcomes between the single‐puncture and the standard double‐puncture techniques of arthrocentesis. Methods PubMed, Embase, ScienceDirect and CENTRAL databases were searched from inception up to 31st August 2020. Randomised controlled trials (RCTs), prospective and retrospective studies conducted on patients with temporomandibular joint disorders comparing any type of single‐puncture arthrocentesis with standard double‐puncture arthrocentesis and reporting intra‐operative/postoperative outcomes were included. Assessment of the risk of bias was done with the Cochrane Collaboration risk assessment tool. Results Thirteen studies were included (12 were RCTs). Analysis of a limited number of studies indicated no difference in pain or maximal mouth opening (MMO) between the single‐puncture type‐1 or type‐2 and the double‐puncture technique at various follow‐up intervals. Pooled analysis (four studies) demonstrated that the single‐puncture type‐2 technique requires significantly less operating time as compared to the double‐puncture method. No such difference was noted between single‐puncture type‐1 and double‐puncture techniques. Analysis of two studies indicated significantly reduced intra‐operative needle relocations with the single‐puncture techniques. Studies were not of high quality with concerns of bias in randomisation, allocation concealment and blinding. Conclusions Limited data indicate no difference in pain or MMO with single‐ or double‐puncture techniques of arthrocentesis. Amongst the three techniques, the single‐puncture type‐2 technique has the advantages of significantly lower operating time and reduced intra‐operative needle relocations and it may be the preferred method of TMJ arthrocentesis in clinical practice.

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Temporomandibular joint arthrocentesis: A prospective study and audit of 500 joints of central India

Cited by 9 publications

References 21 publications

Evaluation of Pain Regression in Patients with Temporomandibular Disc Displacement with Reduction Treated by Intra-Articular Platelet-Rich Plasma Injections versus Arthrocentesis

Evaluation of Pain Regression in Patients with Temporomandibular Disc Displacement with Reduction Treated by Intra-Articular Platelet-Rich Plasma Injections versus Arthrocentesis

Investigation of the effects of temporomandibular joint arthrocentesis on blood volume of the retinal structures

Comparison of outcomes with the single‐puncture and double‐puncture techniques of arthrocentesis of the temporomandibular joint: An updated systematic review and meta‐analysis

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