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Age,gender and parafunctional habits as prognostic factors for temporomandibular joint arthrocentesis |
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| Authors: | Haitham S. Attia Mohamed I. Mosleh Ahmed M. Jan Maha M. Shawky |
| Affiliation: | 1. Faculty of Dentistry, Oral and Maxillofacial Surgery Department, King Abdulaziz University, Jeddah, Saudi Arabia;2. Faculty of Dentistry, Oral and Maxillofacial Surgery Department, Suez Canal University, Ismallia, Egypt;3. Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, University of Beni Suef,Beni Suef Egypt;4. Faculty of Oral and Dental Medicine, Oral and Maxillofacial Surgery Department, Cairo University, Cairo, Egypt |
| Abstract: | Objective: Arthrocentesis is an effective procedure for management of symptomatic patients with temporomandibular joint (TMJ) anterior disc displacement without reduction (ADDWOR), but its prognostic factors are still under investigation. Methods: Thirty-six patients with ADDWOR underwent arthrocentesis of the TMJ and hyaluronic acid injection. They were divided into groups based on three prognostic factors: Age, gender, and the presence of parafunctional habits. The procedure outcome (success or failure) was based on pre-set criteria for improvement in pain and maximum mouth opening (MMO) one month preoperatively. Results: Patients with parafunctional habits had a lower success rate than patients without these habits. Interesting trends were noted with age and gender as prognostic factors for arthrocentesis for patients with ADDWOR. Conclusion: Arthrocentesis is an effective management method for symptomatic patients with ADDWOR at one-month post treatment, especially in the absence of parafunctional habits. |
| Keywords: | Temporomandibular disorders prognostic factors arthrocentesis disc displacement without reduction hyaluronic acid TMJ TMD temporomandibular joints |