Arthrocentesis for the Treatment of Internal Derangement of the Temporomandibular Joint

Overview

Journal J Maxillofac Oral Surg

Date 2011 Dec 23

PMID 22190823

Citations 11

Authors

Arati S Neeli

Meenaxi Umarani

S M Kotrashetti

Shridhar Baliga

Affiliations

Soon will be listed here.

Abstract

Objective: The study aims to evaluate the efficacy of arthrocentesis in the treatment of internal derangement of the temporomandibular joint (TMJ).

Study Design: Thirty patients with TMJ internal derangement underwent arthrocentesis using saline. Pain using visual analog scale, maximum mouth opening, joint noises and mandible deviation were documented pre-operatively and post-operatively. Patients were followed for 1 year. Statistical analysis of pain was done by Wilcoxon signed Rank's test and dysfunction by students paired t test.

Results: The mean pre-operative pain was 4.8 ± 2.65 and post-operatively at 1 year was 0.27 ± 0.45 with an average decrease of 4.72 (P = 0.000). The mean maximal mouth opening pre-operatively was 29.8 ± 2.35 mm and post-operatively 41.9 ± 2.48 mm at 1 year. The mean increase in the mouth opening was 12.1 ± 3.0 mm (P = 0.000).

Conclusion: Arthrocentesis is simple, minimally invasive procedure with less risk of complications and significant benefits in patients with TMJ internal derangement.

Citing Articles

Temporomandibular Joint Arthrocentesis: A Case Series.

Kumar V, Kaushal A, Tiwari D, Ahmad S Indian J Otolaryngol Head Neck Surg. 2023; 74(Suppl 3):4521-4524.

PMID: 36742636 PMC: 9895507. DOI: 10.1007/s12070-021-02452-9.

A comparison of the outcomes following intra-articular steroid injection alone or arthrocentesis alone in the management of internal derangement of the temporomandibular joint.

Singh S, Prasad R, Punga R, Datta R, Singh N Natl J Maxillofac Surg. 2022; 13(Suppl 1):S80-S84.

PMID: 36393924 PMC: 9651214. DOI: 10.4103/njms.njms_291_21.

A Comparative Analysis of Intra-articular Injection of Platelet-Rich Plasma and Arthrocentesis in Temporomandibular Joint Disorders.

Rajput A, Bansal V, Dubey P, Kapoor A J Maxillofac Oral Surg. 2022; 21(1):168-175.

PMID: 35400915 PMC: 8934820. DOI: 10.1007/s12663-020-01351-w.

Treatment of temporomandibular joint disc displacement using arthrocentesis combined with injectable platelet rich fibrin versus arthrocentesis alone.

Ghoneim N, Mansour N, Elmaghraby S, Abdelsameaa S J Dent Sci. 2022; 17(1):468-475.

PMID: 35028072 PMC: 8739728. DOI: 10.1016/j.jds.2021.07.027.

Temporomandibular Disorders: Current Concepts and Controversies in Diagnosis and Management.

Li D, Leung Y Diagnostics (Basel). 2021; 11(3).

PMID: 33800948 PMC: 8000442. DOI: 10.3390/diagnostics11030459.

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