Efficiency of arthrocentesis treatment for different temporomandibular joint disorders |
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| Affiliation: | 1. Postgraduate Student, Department of Oral and Maxillofacial Surgery, School of Dentistry, Universidade de Pernambuco, Camaragibe, Brazil;2. Postgraduate Student, Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil;3. Adjunct Professor, Department of Oral and Maxillofacial Surgery, School of Dentistry, Universidade de Pernambuco, Camaragibe, Brazil;4. Associate Professor, Department of Oral and Maxillofacial Surgery, School of Dentistry, Universidade de Pernambuco, Camaragibe, Brazil;1. Consultant, Maxillofacial Surgery Department, Academic Hospital of Udine, Department of Medicine, University of Udine, Udine, Italy;2. Resident, Maxillofacial Surgery Department, Academic Hospital of Udine, Department of Medicine, University of Udine, Udine, Italy;3. Professor, Manchester Metropolitan University (UK), Founder of Lipogems, Scientific Director of Image Regenerative Clinic, Udine, Italy;4. Resident, Maxillofacial Surgery Department, Academic Hospital of Udine, Department of Medicine, University of Udine, Udine, Italy;6. Assistant Professor, Statistics Institute, University of Udine, Udine, Italy;5. Department Head and Full Professor, Maxillofacial Surgery Department, Academic Hospital of Udine, Department of Medicine, University of Udine, Udine, Italy;1. Professor and Academy 100 Eminent Scholar, Department of Oral and Maxillofacial Surgery, College of Dentistry, University of Florida, Gainesville, FL;2. Resident, Department of Oral and Maxillofacial Surgery, College of Dentistry, University of Florida, Gainesville, FL;3. Clinical Assistant Professor, Department of Oral and Maxillofacial Surgery, College of Dentistry, University of Florida, Gainesville, FL;4. Associate Professor and Parker E. Mahan Facial Pain Endowed Professor, Department of Orthodontics, College of Dentistry, University of Florida, Gainesville, FL;1. Dept. of Oral and Maxillofacial Surgery Government Dental College and Hospital, Kottayam, Kerala University of Health Science, Kerala, India;2. Dept. of Oral and Maxillofacial Surgery, PMS College of Dental Sciences & Research, Thiruvananthapuram, Kerala, India;3. Pushpagiri College of Dental Sciences, Thiruvalla, Kerala, India |
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| Abstract: | This study was performed to determine whether arthrocentesis therapy has different outcomes in three groups of patients with different temporomandibular disorders (TMDs). A clinical trial was conducted including 45 patients with 45 unilaterally affected joints divided into three groups (n = 15): osteoarthritis (OA), disc displacement with reduction (DDWR), and disc displacement without reduction (DDWoR). All patients underwent the same arthrocentesis treatment protocol. The outcome variables, including visual analogue scale evaluations and measurements of mandibular motion (in millimetres), were recorded at baseline and at 1 and 6 months postoperative. Inter-group assessments showed significant short-term differences in joint sounds (P = 0.016) and significant long-term differences in masticatory efficiency (P = 0.046) and protrusive movement (P = 0.048). The estimation of mean changes between baseline and long-term follow-up revealed significant differences in joint sounds (P < 0.001), disruption in daily activities (P = 0.002), maximum mouth opening (P = 0.008), and protrusive movement (P = 0.002) between the groups. Arthrocentesis therapy may be useful to improve clinical symptoms and range of mandibular movement in patients with all three types of TMD. However, the benefit of arthrocentesis may be greater for patients with DDWoR than for those in the other groups. |
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| Keywords: | arthrocentesis treatment TMD |
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