Oral and Maxillofacial Surgery

, Volume 23, Issue 4, pp 415–421 | Cite as

Prospective study to evaluate the influence of joint washing and the use of hyaluronic acid on 111 arthrocentesis

  • Marina A. Gavin ClaveroEmail author
  • Ma Victoria Simón Sanz
  • Andrea Mur Til
  • Julia Blasco Palacio
Original Article



Temporomandibular dysfunction is a generic term that covers a large number of clinical problems affecting not only temporomandibular joint but also the masticatory musculature and related structures. Arthrocentesis is used in patients with joint pathology in which conservative treatment has failed.


A prospective, observational, analytical cohort study has been carried out to evaluate the results of 111 arthrocentesis. We have performed an inferential statistics study between the variables: improvement of pain and improvement in the oral opening with the variables and access joint, washing joint, hyaluronic acid infiltration, and type of joint pathology.


Joint washing and intra-articular hyaluronic acid injection significantly improved the pain at 1-week, 1-month, and 3-month postarthrocentesis, although this improvement was limited in time, at 6 months, joint washing and hyaluronic acid infiltration are no longer significant. Only the joint access (p = 0.014) and the type of joint pathology (p = 0.028) are significant.


The effectiveness of joint access in the arthrocentesis at 6 months is high, although less than at 1-month and 3-month postarthrocentesis. The type of joint pathology is another important factor. Patients with degenerative pathology worsen the most after 6-month postarthrocentesis. Arthrocentesis could avoid the evolution of acute pathology.


Temporomandibular joint dysfunction Arthrocentesis Access temporomandibular joint Lavage temporomandibular joint Hyaluronic infiltration 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This article was approved by University Hospital Miguel Servet review board of Zaragoza.

Informed consent

An informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  • Marina A. Gavin Clavero
    • 1
    Email author
  • Ma Victoria Simón Sanz
    • 2
  • Andrea Mur Til
    • 2
  • Julia Blasco Palacio
    • 2
  1. 1.Department of Oral and Maxillofacial SurgeryUniversity Hospital Joan XXIIITarragonaSpain
  2. 2.Department of Oral and Maxillofacial SurgeryUniversity Hospital Miguel ServetZaragozaSpain

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