Čes. stomatol. Prakt. zub. lék. (Czech Dental Journal) 2008; 108(4): 95-100
Effect of Arthrocentesis in the Therapy of Temporomandibular Joint
- Klinika stomatológie a maxilofaciálnej chirurgie Jesseniovej LF a Martinskej fakultnej nemocnice, Martin.
Arthrocentesis of temporomandibular joint is a procedure in which two syringe needles are inserted into intrarticular space to make a lavage removing adhesions. Through the same way also topical antibiotics, local anaesthetics and chondroprotective agents can be applied.
Aim: To find out an effect and success this method in therapy of temporomandibular disorders.
Methods: More over 419 from 1752 patients were treated by arthrocentesis. There were 348 women and 71 men.
Results: In the group after arthrocentesis one year after therapy value of the pain was 2.5 and control group was 9. Motion of the mandible in the first group was 37mm and in second group was 27mm.
Arthrocentesis is recommended as an alternative method replacing the more invasive treatment of acute and chronic morbid conditions of the structures of temporomandibular joint.
Keywords: arthrocentesis; temporomandibular joint; intraarticular lavage; intraarticular application of drugs
Published: December 1, 2008 Show citation
References
- Alderman, M. M.: Disorders of the temporomandibular joint and related structures. Rationale for diagnosis, aetiology, management. Alpha Omegan, 69, 1976, 3.
- Bays, R. A.: Open joint surgery and disc repair. In McNeill, Ch. (ed.): Current controversies in zemporomandibulr disorders. illinois: Quintesence Publishing, Co., 1992, s. 38-41.
- Boering, G.: Nonsurgical treatment of dysfunction of the temporomandibular joint. Oral Sciences Review, 1976, 7, s. 53-60.
- Braun, B. L. et al.: A cross - sectional study of temporomandibular dysfunction in post - cervical trauma patients. J. Craniomandibular Disorders, 1992, 6, s. 24.
- Brookes, G. B. et al.: " Costens syndrome" - correlation or coincidence: a review of 45 patients with temporomandibular joint dysfunction, otalgia and other aural symptoms. Clin. Otolaryngol., 1980, 5, s. 23-36.
Go to original source...
Go to PubMed...
- Brooks, S. L. et al.: Imaging of the temporomandibular joint: a position paper of the American Academy of oral and maxillofacial radiology. Orlal Surg. Oral Med. Oral Pathol., 83, 1997, s. 609-618.
Go to original source...
Go to PubMed...
- Clark, G. T., Mody, D. G., Sanders, B.: Arthroscopic treatment of temporomandibular joint locking resulting from disc derengement. J. Oral Maxillofac. Surg., 49, 1991, s. 157-164.
Go to original source...
Go to PubMed...
- Clark, G. T., Seligmen, D. A. Solbereg, W. K., Pullinger, A. G.: Guidelines for the treatment of temporomandibular disorders. J. Craniomandib. Disord. Facial Oral Pain, 4, 1990, 2, s. 80-88.
- Conti, A. et al.: Relationship between signs and symptoms of temporomandibular disorders and orthodontic treatment: a cross sectional study. Angle Orthod., 73, 2005, 4, s. 411-417.
- Dimitroulis, G.: Temporomandibular disorders: a clinical update. Brit. Med. Journ., 317, 1998, s. 190-194.
Go to original source...
Go to PubMed...
- Dworkin, S. F. et al.: Epidemiology of signs and symptoms in temporomandibular disorders: Clinical signs in cases and controls. J. Am. Dent. Assoc., 120, 1990, s. 273-280.
Go to original source...
Go to PubMed...
- Dworkin, S. F.: Research diagnostic criteria for temporomandibular disorders. J. Craniomandib. Disord. Facial Oral Pain, 6, 1992, 4, s. 301-355.
Go to original source...
- Fridrich, K. L., Wise, J. M.: Prospective comparison of artroscopy and arthrocentesis for temporomandibular joint disorders. J. Oral Maxillofac. Surg., 54, 1996, 7, s. 816-820.
Go to original source...
Go to PubMed...
- Green, M. W., Hackney, F. L., Van Sickles, J. E.: Arthroscopy of the temporomandibular joint: an anatomic prospective. J. Oral Maxillofac. Surg., 1989, 47, s. 386-389.
Go to original source...
Go to PubMed...
- Green, M. W., Laskin, D. M.: Long - term evaluation of conservative treatment for myofacial pain dysfunction syndrome. J. Am. Dent. Ass., 89, 1974, s. 1365.
Go to original source...
Go to PubMed...
- Holmlund, A. B., Helsing, G.: Artroscopy of the temporomandibular joint: a clinical study. Int. J. Oral Maxillofac. Surg., 15, 1986, s. 715.
Go to original source...
Go to PubMed...
- Holmlund, A. B., Gynther, G.: Diskectomy in treatment of internal derangement of the temporomandibular joint. Oral Surg. Oral Med. Oral Pathol., 76, 1993, 3, s. 266-271.
Go to original source...
Go to PubMed...
- Ishimaru, J. I., Oguma, Y.: Matrix metalloproteinase and tissue inhibitor of metalloproteinase in serum and lavage synovial fluid of patients with temporomandibular joint disorders. Br. J. Oral Maxilofac. Surg., 38, 2000, s.354-359.
Go to original source...
Go to PubMed...
- Kotráň, M., Ďurovič, E., Markovská, N.: Etiológia, diagnostika a terapia ochorení temporomandibulárneho kĺbu. Košice: Rektorát Univerzity P. J. Šafárika, 1984, s. 129.
- Kotráň, M., Háber, B., Kyseľ, M.: Terapeutické postupy pri ochoreniach temporomandibulárneho kĺbu I. Prakt zub. Lék, 34, 1986, 2, s. 48-52.
- Kotráň, M., Háber, B., Kyseľ, M.: Terapeutické postupy pri ochoreniach temporomandibulárneho kĺbu II. Prakt zub. Lék, 38, 1986, 3, s. 73-78.
- Krug, J., Jirousek, Z., Bartáková, V.: Najčastejšie príčiny intraartikulárnej hypomobility čeľustného kĺbu - konzervatívna terapia. Choroby hlavy a krku, 9, 2000, 3-4, s. 5-12.
- Laskin, D. M.: Etiology of the pain - dysfunction syndrom. J. Am. Dent. Assoc., 79, 1969, s. 147-155.
Go to original source...
Go to PubMed...
- Malachovský, I., Statelová D.: Artrocentéza TMK. Stomatológ, 11, 2001, 3, s. 22-23.
- Malachovský, I., Statelová, D., Sitár, J.: Kyselina hyalurónová v liečbe porúch temporomandibulárneho kĺbu. Stomatológ, 11, 2001, 4, s. 28-30.
- Malachovský, I., Statelová, D.: Symptomatológia porúch temporomandibulárneho kĺbu. Stomatológ, 13, 2003, 4, s. 23-25.
- McNeill, Ch.: Temporomandibular disorders: Guidelines for evaluation, diagnosis and management (American Academy of Craniomandibular Disorders). Chicago: Quintessence Publishing, Co., 1990.
- McNeill, Ch., Mohl, N. D. et al.: Temporomandibular disorders: diagnosis, mangement, education and research. J. Am. Dnt. Assoc., 120, 1990, 3, s. 253-263.
Go to original source...
Go to PubMed...
- Mentelová, J., Mračna, J., Poruban, D.: Príspevok k etiológii a rozdeleniu temporomandibulárnych porúch. Stomatológ, 5, 1994, 5, s. 150-151.
- Murakami, K., Ono, T.: TMJ arthroscopy by inferolateral approach. Int. J. Oral Maxillofac. Surg., 15, 1986, s. 410.
Go to original source...
Go to PubMed...
- Nitzan, D. W., Dolwick, F. M., Heft, M. W.: Arthroscopic lysis and lavage of the temporomandibular joint. J. Oral Maxillofac. Surg., 48, 1990, s. 796-801.
Go to original source...
Go to PubMed...
- Nitzan, D. W., Dolwick, F. M., Martinez, G. A.: Temporomandibular joint arthrocentesis. J. Oral Maxillofac. Surg., 49, 1991, s. 1163-1172.
Go to original source...
Go to PubMed...
- Okeson, J. P. et al.: Management of temporomandibular disorders and occlusion. Mosby, St.Louis,1993, s. 624.
- Okeson, J. P.: Current terminology and diagnostic classification schemes. Oral Surg. Oral Med. Oral Pathol. Radiol. Endod., 83, 1997, 1, s. 61-64.
Go to original source...
Go to PubMed...
- Rasmussen, O. C.: Description of population and progress of symptoms in a longitudinal study of temporomandibular arthropathy. Scand. J. Dent. Res., 89, 1981, s. 196-203.
Go to original source...
Go to PubMed...
- Sato, S. et al.: Effect of lavage with injection of sodium hyaluronate for patients with nonreducing disc displacement of the temporomandibular joint. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod., 84, 1997, 3, s. 241-244.
Go to original source...
Go to PubMed...
- Zardeneta, G., Milam, S. B.: Elution of proteins by continuous temporomandibular joint arthrocentesis. J. Oral Maxillofac. Surg., 55, 1997, s. 709-716.
Go to original source...
Go to PubMed...
- Zemen, J., Krňoulová, J.: Příspěvek ke klasifikaci poruch temporomandibulárního kloubu. Prakt. zub. Lék., 45, 1997, 3, s. 27-30.
- Zemen, J.: Konzervatívna liečba temporomandibulárnych porúch. Praha, Galén, 1999, s. 215.
- Zhang, S. Y., Yang, Ch. et al.: Plain film artrography applied to the diagnosis of intra-articular adhesions of the temporomandibular joint. J. Oral Maxillofac. Surg., 65, 2007, s. 212-217.
Go to original source...
Go to PubMed...
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