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Published in: Journal of Maxillofacial and Oral Surgery 3/2014

01-09-2014 | Research Paper

Efficacy of Temporomandibular Joint Arthrocentesis on Mouth Opening and Pain in the Treatment of Internal Derangement of TMJ—A Clinical Study

Authors: Altaf H. Malik, Ajaz A. Shah

Published in: Journal of Maxillofacial and Oral Surgery | Issue 3/2014

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Abstract

Purpose

This study was designed to investigate the efficacy of arthrocentesis on mouth opening and pain in the treatment of temporomandibular joint (TMJ) internal derangement patients.

Materials and Methods

Fifteen males and 25 females aged between 18 and 37 years comprised the study material in the department of oral and maxillofacial surgery at Govt Dental College Srinagar (India). The patients’ complaints were limited mouth opening and TMJ pain. Arthrocentesis was performed under aseptic conditions. Clinical evaluation of the patients was done before the procedure, and 1 week and 4 months post-operatively. Intensity of TMJ pain and maximal mouth opening were recorded at each follow-up visit.

Results

There was significant improvement in mouth opening and reduction in pain scores in the post-operative period.

Conclusions

Arthrocentesis is a simple and safe procedure for patients of internal derangement with closed lock for improving mouth opening and decreasing pain.
Literature
1.
go back to reference Adams JC, Hamblen DL (2001) Outline of orthopaedics, 13th edn. London: Churchill Livingstone, pp.135 Adams JC, Hamblen DL (2001) Outline of orthopaedics, 13th edn. London: Churchill Livingstone, pp.135
2.
go back to reference Eriksson L, Westesson PL (1983) Clinical and radiological study of patients with anterior disc displacement of the temporomandibular joint. Swed Dent J 7:55–64PubMed Eriksson L, Westesson PL (1983) Clinical and radiological study of patients with anterior disc displacement of the temporomandibular joint. Swed Dent J 7:55–64PubMed
3.
go back to reference Katzberg RW, Dolwick MF, Helms CA et al (1980) Arthrotomography of the temporomandibular joint. AJR 134:995–1003PubMedCrossRef Katzberg RW, Dolwick MF, Helms CA et al (1980) Arthrotomography of the temporomandibular joint. AJR 134:995–1003PubMedCrossRef
4.
go back to reference Westesson PL (1982) Double-contrast arthrography and internal derangement of the temporomandibular joint. Swed Dent J Suppl 13:1–57PubMed Westesson PL (1982) Double-contrast arthrography and internal derangement of the temporomandibular joint. Swed Dent J Suppl 13:1–57PubMed
5.
go back to reference Wilkes CH (1978) Arthrography of the temporomandibular joint in patients with the TMJ pain-dysfunction syndrome. Minn Med 61:645–652PubMed Wilkes CH (1978) Arthrography of the temporomandibular joint in patients with the TMJ pain-dysfunction syndrome. Minn Med 61:645–652PubMed
6.
go back to reference Wilkes CH (1978) Structural and functional alterations of the temporomandibular joint. Northwest Dent 57:287–294PubMed Wilkes CH (1978) Structural and functional alterations of the temporomandibular joint. Northwest Dent 57:287–294PubMed
7.
go back to reference Wilkes CH (1989) Internal derangements of the temporomandibular joint. Arch Otolaryngol 115:469–477CrossRef Wilkes CH (1989) Internal derangements of the temporomandibular joint. Arch Otolaryngol 115:469–477CrossRef
8.
go back to reference Brooks SL, Westesson PL (1993) Temporomandibular joint: value of coronal MR images. Radiology 188:317–321PubMed Brooks SL, Westesson PL (1993) Temporomandibular joint: value of coronal MR images. Radiology 188:317–321PubMed
9.
go back to reference Katzberg RW, Westesson PL, Tallents RH et al (1988) Temporomandibular joint: magnetic resonance assessment of rotational and sideways disc displacements. Radiology 169:741–748PubMed Katzberg RW, Westesson PL, Tallents RH et al (1988) Temporomandibular joint: magnetic resonance assessment of rotational and sideways disc displacements. Radiology 169:741–748PubMed
10.
go back to reference Liedberg J, Westesson PL (1988) Sideways position of the temporomandibular joint disc: coronal cryosectioning of fresh autopsy specimens. Oral Surg Oral Med Oral Pathol 66:644–649PubMedCrossRef Liedberg J, Westesson PL (1988) Sideways position of the temporomandibular joint disc: coronal cryosectioning of fresh autopsy specimens. Oral Surg Oral Med Oral Pathol 66:644–649PubMedCrossRef
11.
go back to reference Liedberg J, Westesson PL, Kurita K (1990) Sideways and rotational displacement of the temporomandibular joint disc: diagnosis by arthrography and correlation to cryosectional morphology. Oral Surg Oral Med Oral Pathol 69:757–763PubMedCrossRef Liedberg J, Westesson PL, Kurita K (1990) Sideways and rotational displacement of the temporomandibular joint disc: diagnosis by arthrography and correlation to cryosectional morphology. Oral Surg Oral Med Oral Pathol 69:757–763PubMedCrossRef
12.
go back to reference Matsa S, Krishna Kumar Raja VB, Siddharth B (2010) Temporomandibular joint arthrocentesis for closed lock—a prospective analysis of 10 consecutive cases. SRM Univ J Dent Sci 1(3):225–229 Matsa S, Krishna Kumar Raja VB, Siddharth B (2010) Temporomandibular joint arthrocentesis for closed lock—a prospective analysis of 10 consecutive cases. SRM Univ J Dent Sci 1(3):225–229
13.
go back to reference Ohnishi M (1990) Arthroscopy and arthroscopic surgery of the temporomandibular joint (TMJ). Rev Stomatol Chir Maxillofac 91:143–150PubMed Ohnishi M (1990) Arthroscopy and arthroscopic surgery of the temporomandibular joint (TMJ). Rev Stomatol Chir Maxillofac 91:143–150PubMed
14.
go back to reference Nitzan DW (2006) Arthrocentesis-incentives for using this minimally invasive approach for temporomandibular disorders. Oral Maxillofac Surg Clin North Am 18:311–328PubMedCrossRef Nitzan DW (2006) Arthrocentesis-incentives for using this minimally invasive approach for temporomandibular disorders. Oral Maxillofac Surg Clin North Am 18:311–328PubMedCrossRef
15.
go back to reference Laskin DM, Greene CS, Hylande WL (eds) (2006) Temporamandibular disorders: an evidence-based approach to diagnosis and treatment. Chicago Quintessence, pp.441–481 Laskin DM, Greene CS, Hylande WL (eds) (2006) Temporamandibular disorders: an evidence-based approach to diagnosis and treatment. Chicago Quintessence, pp.441–481
16.
go back to reference Dolwick MF (2007) Temporomandibular joint surgery for internal derangement. Dent Clin North Am 51:195–208PubMedCrossRef Dolwick MF (2007) Temporomandibular joint surgery for internal derangement. Dent Clin North Am 51:195–208PubMedCrossRef
17.
go back to reference Holmlund A, Hellsing G (1985) Arthroscopy of the temporomandibular joint: an autopsy study. Int J Oral Surg 14:169–175PubMedCrossRef Holmlund A, Hellsing G (1985) Arthroscopy of the temporomandibular joint: an autopsy study. Int J Oral Surg 14:169–175PubMedCrossRef
18.
go back to reference Nitzan Dolwick (1991) An alternative explanation for the genesis of closed-lock symptoms in the internal derangement process. J Oral Maxillofac Surg 49:810–815PubMedCrossRef Nitzan Dolwick (1991) An alternative explanation for the genesis of closed-lock symptoms in the internal derangement process. J Oral Maxillofac Surg 49:810–815PubMedCrossRef
19.
go back to reference Sanders B (1986) Arthroscopic surgery of the temporomandibular joint: treatment of internal derangement with persistent closed Lock. Oral Surg 62:361–364PubMedCrossRef Sanders B (1986) Arthroscopic surgery of the temporomandibular joint: treatment of internal derangement with persistent closed Lock. Oral Surg 62:361–364PubMedCrossRef
20.
go back to reference Nitzan DW (1997) Long-term outcome of arthrocentesis for sudden-onset, persistent, severe closed lock of the temporomandibular joint. J Oral Maxillofac Surg 55:151–157PubMedCrossRef Nitzan DW (1997) Long-term outcome of arthrocentesis for sudden-onset, persistent, severe closed lock of the temporomandibular joint. J Oral Maxillofac Surg 55:151–157PubMedCrossRef
21.
go back to reference Murakami KI, Iizuka T, Matsuki M, Ono T (1987) Recapturing the persistent anteriorly displaced disc by mandibular manipulation after pumping and hydraulic pressure to the upper joint cavity of the temporomandibular joint. Cranio 5:17–24PubMed Murakami KI, Iizuka T, Matsuki M, Ono T (1987) Recapturing the persistent anteriorly displaced disc by mandibular manipulation after pumping and hydraulic pressure to the upper joint cavity of the temporomandibular joint. Cranio 5:17–24PubMed
22.
go back to reference Nitzan DW, Dolwick MF, Martinez GA (1991) Temporomandibular joint arthrocentesis: a simplified treatment for severe, limited mouth opening. J Oral Maxillofac Surg 49:1163–1167PubMedCrossRef Nitzan DW, Dolwick MF, Martinez GA (1991) Temporomandibular joint arthrocentesis: a simplified treatment for severe, limited mouth opening. J Oral Maxillofac Surg 49:1163–1167PubMedCrossRef
23.
go back to reference Sato S, Sakamoto M, Kawamura H, Motegi K (1999) Longterm changes in clinical signs and symptoms and disc position and morphology in patients with nonreducing disc displacement in the temporomandibular joint. J Oral Maxillofac Surg 57:23–30PubMedCrossRef Sato S, Sakamoto M, Kawamura H, Motegi K (1999) Longterm changes in clinical signs and symptoms and disc position and morphology in patients with nonreducing disc displacement in the temporomandibular joint. J Oral Maxillofac Surg 57:23–30PubMedCrossRef
24.
go back to reference Nitzan DW, Dolwick MF (1990) Arthroscopic lavage and lysis of the temporomandibular joint: a change in perspective. J Oral Maxillofac Surg 48:798–801PubMedCrossRef Nitzan DW, Dolwick MF (1990) Arthroscopic lavage and lysis of the temporomandibular joint: a change in perspective. J Oral Maxillofac Surg 48:798–801PubMedCrossRef
25.
go back to reference McCain JP, Sanders B, Koslin MG, Quinn JH, Peters PB, Indresano AT (1992) Temporomandibular joint arthroscopy: a 6-year multicenter retrospective study of 4,831 joints. J Oral Maxillofac Surg 50:926–930. Erratum in J Oral Maxillofac Surg 1992;50:1349PubMedCrossRef McCain JP, Sanders B, Koslin MG, Quinn JH, Peters PB, Indresano AT (1992) Temporomandibular joint arthroscopy: a 6-year multicenter retrospective study of 4,831 joints. J Oral Maxillofac Surg 50:926–930. Erratum in J Oral Maxillofac Surg 1992;50:1349PubMedCrossRef
26.
go back to reference Tsuyama M, Kondoh T, Seto K, Fukuda J (2000) Complications of temporomandibular joint arthroscopy: a retrospective analysis of 301 lysis and lavage procedures performed using the triangulation technique. J Oral Maxillofac Surg 58:500–506PubMedCrossRef Tsuyama M, Kondoh T, Seto K, Fukuda J (2000) Complications of temporomandibular joint arthroscopy: a retrospective analysis of 301 lysis and lavage procedures performed using the triangulation technique. J Oral Maxillofac Surg 58:500–506PubMedCrossRef
27.
go back to reference González-García R, Rodriguez-Campo FJ, Escorial-Hernandez V et al (2006) Complications of temporomandibular joint arthroscopy: a retrospective analytic study of 670 arthroscopic procedures. J Oral Maxillofac Surg 64:1587–1591PubMedCrossRef González-García R, Rodriguez-Campo FJ, Escorial-Hernandez V et al (2006) Complications of temporomandibular joint arthroscopy: a retrospective analytic study of 670 arthroscopic procedures. J Oral Maxillofac Surg 64:1587–1591PubMedCrossRef
28.
go back to reference Carls FR, Engelke W, Locher MC, Sailer HF (1996) Complications following arthroscopy of the temporomandibular joint: analysis covering a 10-year period (451 arthroscopies). J Craniomaxillofac Surg 24:12–15PubMedCrossRef Carls FR, Engelke W, Locher MC, Sailer HF (1996) Complications following arthroscopy of the temporomandibular joint: analysis covering a 10-year period (451 arthroscopies). J Craniomaxillofac Surg 24:12–15PubMedCrossRef
Metadata
Title
Efficacy of Temporomandibular Joint Arthrocentesis on Mouth Opening and Pain in the Treatment of Internal Derangement of TMJ—A Clinical Study
Authors
Altaf H. Malik
Ajaz A. Shah
Publication date
01-09-2014
Publisher
Springer India
Published in
Journal of Maxillofacial and Oral Surgery / Issue 3/2014
Print ISSN: 0972-8279
Electronic ISSN: 0974-942X
DOI
https://doi.org/10.1007/s12663-013-0522-7

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