ARTHROCENTESIS FOR TEMPOROMANDIBULAR JOINT PAIN DYSFUNCTION SYNDROME

Authors

  • Shahid Rauf Jamot Dental surgeon Khuzdar
  • Zafar Ali Khan FRONTIER DENTAL COLLEGE ABBOTTABAD
  • Tahir Ullah Khan Peshawar dental college peshawar
  • Riaz Ahmad Warraich King Edward medical university Lahore
  • Muhammad Farooq Bannu Medical College Bannu

Abstract

Background: Temporomandibular joint (TMJ) dysfunction is painful condition of facial musculoskeletal system. Arthrocentesis is less invasive treatment of TMJ dysfunctions. It has been used to treat variety of TMJ disorders. The objective of this study was to determine the success of arthrocentesis in TMJPDS patients where conservative treatment had failed. Methods: This descriptive case study of 45 patients was completed in 6 months at Outpatient Department of Oral and Maxillofacial Surgery, Mayo hospital Lahore. TMJPDS Patients who were unresponsive to conservative treatment were included in this study. The study consisted of a single arthrocentesis procedure performed by a single oral surgeon per patient. Visual Analogue Scale was used to record pain while maximum mouth opening was measured by the interincisal distance in millimetres, at 1 month and 2 months after the treatment. Success was measured two months after arthrocentesis. Results: 30 (66.7%) patients had no pain and 15 (33.3%) patients had mild pain. Similarly, 16 (35.5%) patients had maximum mouth opening more than 30mm and 29 (64.5%) patients had less than 30mm mouth opening, two months after arthrocentesis procedure. Conclusion: Arthrocentesis is very effective in patients suffering from TMPDS by reducing pain and discomfort and increase in mouth opening. This procedure should be considered in TMPDS patients who do not respond to conservative treatment.Keywords: Temporomandibular joint; Arthrocentesis; TMJPDS

References

Goulet JP, Lavigne GJ, Lund JP. Jaw pain prevalence among French speaking Canadians in Quebec and related symptoms of temporomandibular disorders. J Dent Res 1995;74(11):1738–44.

DeKanter R, Kayser A, Battistuzzi P. Demand and need for treatment of craniomandibular dysfunction in the Dutch adult population. J Dent Res 1992;71(9):1607–12.

Wright EF. Manual of temporomandibular disorders 2nd edition. Ames, IA: Blackwell Munksgaard, 2005.

deBont LG, Dijkgraaf LC, Stegenga B. Epidemiology and natural progression of articular temporomandibular disorders. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997;83(1):72–6.

Reddy VGR, Rao CB, Krishnan G. Temporomandibular joint arthrocentesis—revisited. Int J Oral Maxillofac Surg 2007;36(11):1066–7.

Sidebottom AJ. Current thinking in temporomandibular joint management. Br J Oral Maxillofc Surg 2009;47(2):91–4.

Önder ME, Tüz HH, Koçyigit D, Kisnisci RS. Long-term results of arthrocentesis in degenerative temporomandibular disorders. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107(1):e1–5.

Nitzan DW, Dolwich MF, Heft MW. Arthroscopic lavage and lysis of the temporomandibular joint: A change in perspective. J Oral MaxillofacSurg 1990;48(8):798–801.

Alpaslan C, Dolwick MF, Heft MW. Five-year retrospective evaluation of tempomandibular joint arthrocentesis Int J Oral Maxillofac Surg 2003;32(3):263–7.

Emshoff R, Rudisch A. Determining predictor variables for treatment outcomes of Arthrocentesis and hydraulic distention of the temporomandibular joint. J Oral Maxillofac Surg 2004;62(7):816–23.

Sembronio S, Albiero AM, Toro C, Robiony M, Politi M. Is there a role for arthrocentesis in recapturing the displaced disc in patients with closed lock of the temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;105(3):274–80.

Brennan PA, Ilankovan V. Arthrocentesis for temporomandibular joint pain dysfunction syndrome. J Oral Maxillofac Surg 2006;64(6):949–51.

Dhaif G, Ali T. TMJ arthrocentesis for acute closed lock: retrospective analysis of 40 consecutive cases. Saudi Dent J 2001;13(3):2001.

Cavalcanti do Egito Vasconcelos B, Bessa-Nogueira RV, Rocha NS. Temporomandibular joint arthrocententesis: Evaluation of results and review of the literature. Braz J Otolaryngol 2006;72(5):634–8.

Freund BJ, Schwartz M. Intramuscular injection of botulinum toxin as an adjunct to arthrocentesis of the temporomandibular joint: preliminary observations. Br J Oral Maxillofac Surg 2003;41(5):351–2.

Kunjur J, Anand R, Brennan PA, Ilankovan V. An audit of 405 temporomandibular joint arthrocentesis with intra-articular morphine infusion. Br J Oral Maxillofac Sur 2003;41(1):29–31.

Al-Belasy FA, Dolwick MF. Arthrocentesis for the treatment of temporomandibular joint closed lock: a review article. Int J Oral Maxillofac Surg 2007;36(9):773–82.

Manfredini D, Bonnini S, Arboretti R, Guarda-Nardini L. Temporomandibular joint osteoarthritis: an open labial trial of 76 patients treated with arthrocentesis plus hyaluronic acid injections. Int J Oral Maxillofac Surg 2009;38(8):827–34.

Nitzan DW, Price A. The Use of Arthrocentesis for the Treatment of Osteoarthritic Temporomandibular Joints. J Oral Maxillofac Surg 2001;59(10):1154–9.

Nitzan DW, Dolwick MF. An alternative explanation for the genesis of closed-lock symptoms in the internal derangement process. J Oral Maxillofac Surg 1991;49(8):810–15.

Alpaslan GH, Alpaslan C. Efficacy of temporomandibular joint arthrocentesis with and without injection of sodium hyaluronate in treatment of internal derangements. J Oral Maxillofac Surg 200

;59(6):613–8.

Yura S, Totsuka Y. Relationship between effectiveness of arthrocentesis under sufficient pressure and conditions of the temporomandibular joint. J Oral Maxillofac Surg 2005:63(2):225–8.

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Published

2017-01-25

Issue

Vol. 29 No. 1 (2017): JOURNAL OF AYUB MEDICAL COLLEGE, ABBOTTABAD

Section

ORIGINAL ARTICLE

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