Effects of arthrocentesis and low-level laser therapy on patients with osteoarthritis of the temporomandibular joint |
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| Authors: | S Yanik ME Polat M Polat |
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| Institution: | 1. Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Kahramanmaras Sutcu Imam University, 46040 Kahramanmaras, Turkey;2. Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Harran University, 63300 Sanl?urfa, Turkey;3. Department of Orthodontics, Faculty of Dentistry, Harran University, 63300 Sanl?urfa, Turkey;1. Department of Oral and Maxillofacial Surgery, Maulana Azad Institute of Dental Sciences, MAMC Complex, Bahadur Shah Zafar Marg, New Delhi, 110002, India;2. Bensups Hospital, Sector – 12, Dwarka, New Delhi, 110002, India;1. School of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow, UK;2. Department of Otolaryngology – Head and Neck Surgery, Queen Elizabeth Hospital, Glasgow, UK;3. Department of Oral and Maxillofacial Surgery, Queen Elizabeth Hospital, Glasgow, UK;1. Av. Nilo Peçanha, 620 – Petrópolis, Natal, RN, 59.012-300, Brazil;2. R 1 A Jc, 138, Jardim Centenário, Rio Claro, SP, 13503-511;3. Department of Dentistry (UFRN). Av. Nilo Peçanha, 620 – Petrópolis, Natal, RN, 59.012-300, Brazil;1. Unit of Oral and Maxillofacial Surgery, Oral Health Sciences Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India;2. Department of Dietetics, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India |
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| Abstract: | This retrospective study examined whether arthrocentesis combined with 10 sessions of low-level laser therapy (LLLT) improved the clinical outcomes of patients with temporomandibular joint osteoarthritis (TMJ-OA) compared with arthrocentesis alone. Data from two groups of patients (total: n = 36) with unilateral TMJ-OA were evaluated. The groups were established according to their treatment regimens: Group 1 (arthrocentesis alone; n = 19) and Group 2 (arthrocentesis plus LLLT; n = 17). All patients had been diagnosed in accordance with the Research Diagnostic Criteria for Temporomandibular Joint Disorders (RDC/TMD) (Axis I Group IIIb) protocol. They all underwent the same arthrocentesis protocol, but those in Group 2 also received 10 sessions of LLLT immediately afterwards. The outcome variables were the visual analogue scale scores (VAS 1, VAS 2) for various treatment outcomes and millimetric measurements of mandibular movements over both the short and long term. Intra-group comparisons showed significant short and long-term improvements for both groups, but outcomes were better over the long term than the short term in both. In addition, greater improvements in muscle palpation scores and mandibular movements were achieved in Group 2 than in Group 1. In conclusion, although both techniques improved joint pain and function, a combination with LLLT seemed to have an additional benefit for myofascial components. |
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| Keywords: | Temporomandibular joint disorders Osteoarthritis Arthrocentesis Low-level laser therapy |
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