Skip to main content

Advertisement

Log in

Arthrocentesis for the Treatment of Internal Derangement of the Temporomandibular Joint

  • Clinical Study
  • Published:
Journal of Maxillofacial and Oral Surgery Aims and scope Submit manuscript

Abstract

Objective

The study aims to evaluate the efficacy of arthrocentesis in the treatment of internal derangement of the temporomandibular joint (TMJ).

Study Design

Thirty patients with TMJ internal derangement underwent arthrocentesis using saline. Pain using visual analog scale, maximum mouth opening, joint noises and mandible deviation were documented pre-operatively and post-operatively. Patients were followed for 1 year. Statistical analysis of pain was done by Wilcoxon signed Rank’s test and dysfunction by students paired t test.

Results

The mean pre-operative pain was 4.8 ± 2.65 and post-operatively at 1 year was 0.27 ± 0.45 with an average decrease of 4.72 (P = 0.000). The mean maximal mouth opening pre-operatively was 29.8 ± 2.35 mm and post-operatively 41.9 ± 2.48 mm at 1 year. The mean increase in the mouth opening was 12.1 ± 3.0 mm (P = 0.000).

Conclusion

Arthrocentesis is simple, minimally invasive procedure with less risk of complications and significant benefits in patients with TMJ internal derangement.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Barkin S, Weinberg S (2000) Internal derangements of the TMJ: the role of arthroscopic surgery and arthrocentesis. J Can Dent Assoc 69:199–203

    Google Scholar 

  2. William A, Carvagal Daniel M, Laskin (2000) Long term evaluation of arthrocentesis for the treatment of internal derangements of the temporomandibular joint. J Oral Maxillofac Surg 58:852–855

    Article  Google Scholar 

  3. Franklin Dolwick M (1995) Intra articular disc displacement part I: its questionable role in temporomandibular joint pathology. J Oral Maxillofac Surg 53:1069–1072

    Article  Google Scholar 

  4. David Frost E, Barry Kendell D (1999) “The use of arthrocentesis for treatment of temporomandibular joint disorders”. J Oral Maxillofac Surg 57:583–587

    Article  Google Scholar 

  5. Alpaslan C et al (2000) Effect of arthrocentesis and sodium hyaluronate injection on nitrite, nitrate, and thiobarbiturate acid- reactive substance levels in the synovial fluid. Oral Surg Oral Med Oral Pathol 89:686–690

    CAS  Google Scholar 

  6. Nishimura M, Segami N, Kaneyama K, Sato J, Fujimura K (2004) Comparison of cytokinin level in synovial fluid between successful and unsuccessful cases in arthrocentesis of temporomandibular joint. J Oral Maxillofac Surg 62(3):284–287

    Article  PubMed  Google Scholar 

  7. Dorrit W, Nitzan et al (1991) Temporomandibular joint arthrocentesis simplified treatment for severe, limited mouth opening. J Oral Maxillofac Surg 49:1163–1167

    Article  Google Scholar 

  8. Kaneyama K, Segami N, Nishimura M, Sato J, Fujimura K, Yoshimura H (2004) The ideal volume for removing bradykinin, interleukin-6 and protein from the temporomandibular joint by Arthrocentesis. J Oral Maxillofac Surg 62(6):657–661

    Article  PubMed  Google Scholar 

  9. Moses J et al (1989) The effect of arthroscopic surgical lysis and lavage of the superior joint space on temporomandibular joint disc position and mobility. J Maxillofac Surg 47:674–678

    Article  CAS  Google Scholar 

  10. Dimitroulis G, Dolwick MF, Martinez A (1995) TMJ arthrocentesis and lavage for the treatment of closed lock. Br J Oral Maxillofac Surg 33:23–27

    Article  PubMed  CAS  Google Scholar 

  11. Kirk L, Fridrich et al (1996) Prospective comparison of arthroscopy and arthrocentesis for temporomandibular joint disorders. J Oral Maxillofac Surg 54:816–820

    Article  Google Scholar 

  12. Alpaslan C, Dolowick MF, Heft MW (2003) ”Five year study of retrospective evaluation of temporomandibular joint arthrocentesis”. Int J Oral Maxillofac Surg 32:263–267

    Article  PubMed  CAS  Google Scholar 

  13. Dorrit W, Nitzan (2001) The use of arthrocentesis for the treatment of osteoarthritic temporomandibular joint. J.Oral Maxillo Surg 59:1154–1159

    Article  Google Scholar 

  14. Emshoff R (2005) “Clinical factors affecting the outcome of arthrocentesis and hydraulic distention of temporomandibular joint” oral surgery, oral medicine, oral pathology, oral radiology. Endodontics 100(4):409–414

    Google Scholar 

  15. Yura S et al (2003) Can arthrocentesis release intracapsular adhesions? Arthroscopic findings before and after irrigation under sufficient hydraulic pressure. J Oral Maxillofac Surg 61:1253–1256

    Article  PubMed  Google Scholar 

  16. Yura S, Totsuka Y (2005) Relationship between effectiveness of arthrocentesis under sufficient pressure and condition of temporomandibular joint. J Oral Maxillofac Surg 63(2):225–228

    Article  PubMed  Google Scholar 

  17. Howard Israel A et al (2006) The relationship between temporomandibular joint synovitis and adhesions: pathologic mechanisms and clinical implications for surgical management. J Oral Maxillofac Surg 64:1064–1074

    Google Scholar 

  18. Dorrit W, Nitzan (2006) “Arthrocentesis–incentives journal for using this minimally invasive approach for temporomandibular disorders”. Oral Maxillofac Surg Clin North Am 18:311–328

    Article  Google Scholar 

  19. Gokhan H, Alpaslan C, Alpaslan (2001) Efficacy of temporomandibular joint arthrocentesis with and without injection of sodium hyaluronate in treatment of internal derangements. J Maxillofac Oral Surg 59:613–618

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Arati S. Neeli.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Neeli, A.S., Umarani, M., Kotrashetti, S.M. et al. Arthrocentesis for the Treatment of Internal Derangement of the Temporomandibular Joint. J. Maxillofac. Oral Surg. 9, 350–354 (2010). https://doi.org/10.1007/s12663-010-0155-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12663-010-0155-z

Keywords

Navigation