Single-Needle Arthrocentesis with Upper Compartment Distension Versus Conventional Two-Needle Arthrocentesis: Randomized Clinical Trial

Overview

Journal Pain Res Manag

Date 2017 Nov 8

PMID 29109658

Citations 5

Authors

Eduardo Grossmann

Primo Guilherme Vargas Pasqual

Rodrigo Lorenzi Poluha

Lilian Cristina Vessoni Iwaki

Liogi Iwaki Filho

Enio Tadashi Setogutti

Affiliations

Soon will be listed here.

Abstract

The objective of this study was to compare single-needle arthrocentesis with distension of the upper compartment of the temporomandibular joint (TMJ) with the conventional two-needle arthrocentesis. Twenty-six patients with articular disc displacement without reduction (DDWOR) were included in the study and assigned to two groups ( = 13): single-needle arthrocentesis with distension of the upper compartment of the TMJ (1N) and conventional two-needle arthrocentesis (2N). The maximum interincisal distance (MID) and TMJ pain as measured by the visual analog scale (VAS) were compared. MID and VAS data were obtained: before (T1), seven days after (T2), fifteen days after (T3), one month after (T4), three months after (T5), six months after (T6), nine months after (T7), and one year after the arthrocentesis procedures (T8). Considering each group individually, results of the VAS scores and MID measurements showed a significant difference between T1 and T2-T8 ( < 0.001) in both groups. Between two groups, results show no significant differences ( > 0.05). Both techniques tested were effective in reducing pain and increasing MID. Due to the advantages over the conventional two-needle arthrocentesis, single-needle arthrocentesis with distension of the upper compartment should be considered as the first treatment option for patients with painful hypomobilized TMJ of DDWOR.

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References

Bhargava D, Jain M, Deshpande A, Singh A, Jaiswal J . Temporomandibular joint arthrocentesis for internal derangement with disc displacement without reduction. J Maxillofac Oral Surg. 2015; 14(2):454-9. PMC: 4444679. DOI: 10.1007/s12663-012-0447-6. View

Tuz H, Baslarli O, Adiloglu S, Gokturk T, Meral S . Comparison of local and general anaesthesia for arthrocentesis of the temporomandibular joint. Br J Oral Maxillofac Surg. 2016; 54(8):946-949. DOI: 10.1016/j.bjoms.2016.06.026. View

Senturk M, Tuzuner-Oncul A, Cambazoglu M . Prospective short term comparison of outcomes after single or double puncture arthrocentesis of the temporomandibular joint. Br J Oral Maxillofac Surg. 2016; 54(1):26-9. DOI: 10.1016/j.bjoms.2015.11.004. View

Giraddi G, Siddaraju A, Kumar A, Jain T . Comparison Between Betamethasone and Sodium Hyaluronate Combination with Betamethasone Alone After Arthrocentesis in the Treatment of Internal Derangement of TMJ-Using Single Puncture Technique: A Preliminary Study. J Maxillofac Oral Surg. 2015; 14(2):403-9. PMC: 4444658. DOI: 10.1007/s12663-014-0626-8. View

Kurita K, Westesson P, Yuasa H, Toyama M, Machida J, Ogi N . Natural course of untreated symptomatic temporomandibular joint disc displacement without reduction. J Dent Res. 1998; 77(2):361-5. DOI: 10.1177/00220345980770020401. View

Schulz K, Altman D, Moher D . CONSORT 2010 Statement: updated guidelines for reporting parallel group randomized trials. Open Med. 2011; 4(1):e60-8. PMC: 3116666. View

Dworkin S, LeResche L . Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord. 1992; 6(4):301-55. View

Sembronio S, Albiero A, Toro C, Robiony M, Politi M . Is there a role for arthrocentesis in recapturing the displaced disc in patients with closed lock of the temporomandibular joint?. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007; 105(3):274-80. DOI: 10.1016/j.tripleo.2007.07.003. View

Murakami K, Iizuka T, Matsuki M, Ono T . Recapturing the persistent anteriorly displaced disk by mandibular manipulation after pumping and hydraulic pressure to the upper joint cavity of the temporomandibular joint. Cranio. 1987; 5(1):17-24. DOI: 10.1080/08869634.1987.11678169. View

10.

Alpaslan G, Alpaslan C . Efficacy of temporomandibular joint arthrocentesis with and without injection of sodium hyaluronate in treatment of internal derangements. J Oral Maxillofac Surg. 2001; 59(6):613-8; discussion 618-9. DOI: 10.1053/joms.2001.23368. View

11.

Ahmad M, Hollender L, Anderson Q, Kartha K, Ohrbach R, Truelove E . Research diagnostic criteria for temporomandibular disorders (RDC/TMD): development of image analysis criteria and examiner reliability for image analysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009; 107(6):844-60. PMC: 3139469. DOI: 10.1016/j.tripleo.2009.02.023. View

12.

Chandrashekhar V, Kenchappa U, Chinnannavar S, Singh S . Arthrocentesis A Minimally Invasive Method for TMJ Disc Disorders - A Prospective Study. J Clin Diagn Res. 2015; 9(10):ZC59-62. PMC: 4625338. DOI: 10.7860/JCDR/2015/15045.6665. View

13.

Nitzan D, Dolwick M, Martinez G . Temporomandibular joint arthrocentesis: a simplified treatment for severe, limited mouth opening. J Oral Maxillofac Surg. 1991; 49(11):1163-7; discussion 1168-70. DOI: 10.1016/0278-2391(91)90409-f. View

14.

Gulen H, Ataoglu H, Haliloglu S, Isik K . Proinflammatory cytokines in temporomandibular joint synovial fluid before and after arthrocentesis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009; 107(5):e1-4. DOI: 10.1016/j.tripleo.2009.02.006. View

15.

Neeli A, Umarani M, Kotrashetti S, Baliga S . Arthrocentesis for the treatment of internal derangement of the temporomandibular joint. J Maxillofac Oral Surg. 2011; 9(4):350-4. PMC: 3177489. DOI: 10.1007/s12663-010-0155-z. View

16.

Shinohara E, Pardo-Kaba S, Martini M, Horikawa F . Single puncture for TMJ arthrocentesis: An effective technique for hydraulic distention of the superior joint space. Natl J Maxillofac Surg. 2012; 3(1):96-7. PMC: 3513821. DOI: 10.4103/0975-5950.102177. View

17.

Guarda-Nardini L, Manfredini D, Ferronato G . Arthrocentesis of the temporomandibular joint: a proposal for a single-needle technique. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008; 106(4):483-6. DOI: 10.1016/j.tripleo.2007.12.006. View

18.

Talaat W, Ghoneim M, Elsholkamy M . Single-needle arthrocentesis (Shepard cannula) vs. double-needle arthrocentesis for treating disc displacement without reduction. Cranio. 2016; 34(5):296-302. DOI: 10.1080/08869634.2015.1106810. View

19.

Yura S, Totsuka Y, Yoshikawa T, Inoue N . Can arthrocentesis release intracapsular adhesions? Arthroscopic findings before and after irrigation under sufficient hydraulic pressure. J Oral Maxillofac Surg. 2003; 61(11):1253-6. DOI: 10.1016/s0278-2391(03)00724-9. View

20.

Ohnuki T, Fukuda M, Nakata A, Nagai H, Takahashi T, Sasano T . Evaluation of the position, mobility, and morphology of the disc by MRI before and after four different treatments for temporomandibular joint disorders. Dentomaxillofac Radiol. 2006; 35(2):103-9. DOI: 10.1259/dmfr/25020275. View