The use of arthrocentesis in patients with temporomandibular joint disc displacement without reduction

The aim of this study was to evaluate the efficacy of the use of the arthrocentesis in patients with disc displacement without reduction (DDWOR). Two hundred and thirty-four (234) patients with DDWOR were evaluated and the following data collected: gender; affected side; age (years); duration of the...

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Bibliographic Details
Published in:PloS one 2019-02, Vol.14 (2), p.e0212307-e0212307
Main Authors: Grossmann, Eduardo, Poluha, Rodrigo Lorenzi, Iwaki, Lilian Cristina Vessoni, Santana, Rosângela Getirana, Iwaki Filho, Liogi
Format: Article
Language:English
Subjects:
Adolescent
Adult
Arthrocentesis - instrumentation
Arthrocentesis - methods
Biology and Life Sciences
Care and treatment
Dentistry
Diagnosis
Diagnostic imaging
Engineering and Technology
Female
Humans
Joint Dislocations - surgery
Joint surgery
Magnetic resonance
Magnetic resonance imaging
Male
Medical prognosis
Medical records
Medicine and Health Sciences
NMR
Nuclear magnetic resonance
Pain
Pain management
Pain perception
Patients
Range of Motion, Articular
Reduction
Research and Analysis Methods
Retrospective Studies
Social Sciences
Statistical analysis
Synovial fluid analysis
Temporomandibular joint
Temporomandibular joint disorders
Temporomandibular Joint Disorders - surgery
Treatment Outcome
Visual perception
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Summary:The aim of this study was to evaluate the efficacy of the use of the arthrocentesis in patients with disc displacement without reduction (DDWOR). Two hundred and thirty-four (234) patients with DDWOR were evaluated and the following data collected: gender; affected side; age (years); duration of the pain (months); patient's perception of pain (measured by Visual Analogue Scale [VAS 0-10]); maximal interincisal distance (MID) (mm); and joint disc position, determined by magnetic resonance imaging. Data were obtained in two different moments: before the arthrocentesis (M1) and three or four months later (M2). Paired t-Student Test, Scores Test and Wilcoxon Test showed a statistical significant difference (p0.05). It can be concluded that the arthrocentesis is efficient in reducing the pain, in increasing interincisal distance, and altering the joint disc position in patients with DDWOR regardless gender, age side and pain duration.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0212307