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

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Abstract

Background

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.

Methods

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.

Results

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.

Conclusions

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.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, University Hospital Joan XXIII, Tarragona, Spain

    Marina A. Gavin Clavero

  2. Department of Oral and Maxillofacial Surgery, University Hospital Miguel Servet, Zaragoza, Spain

    Ma Victoria Simón Sanz, Andrea Mur Til & Julia Blasco Palacio

Authors
  1. Marina A. Gavin Clavero
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  2. Ma Victoria Simón Sanz
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  3. Andrea Mur Til
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  4. Julia Blasco Palacio
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Correspondence to Marina A. Gavin Clavero.

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The authors declare that they have no conflict of interest.

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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.

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

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Gavin Clavero, M.A., Simón Sanz, M.V., Mur Til, A. et al. Prospective study to evaluate the influence of joint washing and the use of hyaluronic acid on 111 arthrocentesis. Oral Maxillofac Surg 23, 415–421 (2019). https://doi.org/10.1007/s10006-019-00789-8

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  • DOI: https://doi.org/10.1007/s10006-019-00789-8

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