Arthrocentesis in the management of internal derangement of the temporomandibular joint

Background Temporomandibular disorders (TMD) cover a wide spectrum of disorder; myalgic, arthralgic and psychogenic. The procedure of TMJ arthrocentesis has a role in managing patients with arthralgic pain and limitation if they fail to respond to non‐surgical therapy. Method The patient records of...

Full description

Saved in:
Bibliographic Details
Published in:Australian dental journal 2019-03, Vol.64 (1), p.90-95
Main Authors: Briggs, KA, Breik, O, Ito, K, Goss, AN
Format: Article
Language:English
Subjects:
Arthrocentesis
Dentistry
internal derangement
temporomandibular disorders
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Temporomandibular disorders (TMD) cover a wide spectrum of disorder; myalgic, arthralgic and psychogenic. The procedure of TMJ arthrocentesis has a role in managing patients with arthralgic pain and limitation if they fail to respond to non‐surgical therapy. Method The patient records of a single private specialist OMS were searched over the 9‐year period of 2006–2014 to identify patients who had arthrocentesis as part of their multidisciplinary management. The detailed demographic, diagnosis, pre and post arthrocentesis procedure were identified and put on a database. Appropriate statistics were performed. Results Seventy‐six patients had 115 arthrocentesis procedures performed in the study period. Fifty of 76 had improvement in their pain and 16 of 41 had an increased jaw opening of more than 10 mm. There were no complications or morbidity. Analysis of patient variables generally showed no correlations. Conclusions Temporomandibular joint arthrocentesis has a role in the multidisciplinary, multimodality treatment of arthralgic TMD.
ISSN:0045-0421
1834-7819
DOI:10.1111/adj.12665