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Arthrocentesis and temporomandibular joint disorders: clinical and radiological results of a prospective study

De Riu, Giacomo and Stimolo, Mirella and Meloni, Silvio Mario and Soma, Damiano and Pisano, Milena and Sembronio, Salvatore and Tullio, Antonio (2013) Arthrocentesis and temporomandibular joint disorders: clinical and radiological results of a prospective study. International Journal of Dentistry, Vol. 2013 , Article 790648. eISSN 1687-8736. Article.

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DOI: 10.1155/2013/790648

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 t-tests, 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. This trial is registered with NCT01903512 [http://clinicaltrials.gov/show/NCT01903512].

Item Type:Article
ID Code:9671
Status:Published
Refereed:Yes
Uncontrolled Keywords:Temporomandibular joint (TMJ) disorders, arthrocentesis, saline and sodium hyaluronate injections, cone-beam computed tomography (CBCT), magnetic resonance imaging (MRI)
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
002 Altri enti e centri di ricerca del Nord Sardegna > AOU -Azienda Ospedaliero Universitaria, Sassari
Publisher:Hindawi Publishing Corporation
eISSN:1687-8736
Deposited On:11 Mar 2014 08:49

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