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Valutazione clinica e radiologica degli effetti dell’artrocentesi nei disordini dell’articolazione temporo-mandibolare

Stimolo, Mirella (2014) Valutazione clinica e radiologica degli effetti dell’artrocentesi nei disordini dell’articolazione temporo-mandibolare. Doctoral Thesis.

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Abstract

Purpose. We evaluated the efficacy of arthrocentesis in the treatment of temporomandibular joint (TMJ) disorders. Material and Methods. In this prospective clinical case series, 30 consecutive patients with TMJ disorders underwent arthrocentesis using saline and sodium hyaluronate injections. Outcome measures were TMJ pain, maximum mouth opening (MMO), joint noises, and anatomical changes in the TMJ architecture. Patients were evaluated using cone-beam computed tomography (CBCT) and magnetic resonance imaging (MRI) at the beginning of treatment and 60 days after the last arthrocentesis. Pretreatment and posttreatment clinical parameters were compared using paired and unpaired ttests, and McNemar's test was used to evaluate CBCT and MRI changes (P < 0.05).
Results. At 1-year follow-up examinations, visual analogue scale scores indicated that pain was reduced significantly and mean postoperative MMO was increased significantly. CBCT findings showed no significant change, and MRI showed only slight reductions in inflammatory signs.
Conclusions. Within the limitations of this study, we can conclude that arthrocentesis is a simple, minimally invasive procedure with a relatively low risk of complications and significant clinical benefits in patients with TMJ disorders.

Item Type:Doctoral Thesis
ID Code:9452
Contributors:De Riu, Giacomo
Publisher:Università degli studi di Sassari
Uncontrolled Keywords:Artrocentesi, articolazione temporo-mandibolare, disordini temporo-mandibolari
Subjects:Area 06 - Scienze mediche > MED/29 Chirurgia maxillofacciale
Divisions:001 Università di Sassari > 01-a Nuovi Dipartimenti dal 2012 > Scienze Chirurgiche, Microchirurgiche e Mediche
Cicli, scuole e corsi:Ciclo 26 > Scienze biomediche > Odontostomatologia preventiva
Deposited On:03 Apr 2014 09:33

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