#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Effect of Arthrocentesis in the Therapy of Temporomandibular Joint


Authors: I. Malachovský;  D. Statelová
Authors‘ workplace: Klinika stomatológie a maxilofaciálnej chirurgie Jesseniovej LF a Martinskej fakultnej nemocnice, Martin.
Published in: Česká stomatologie / Praktické zubní lékařství, ročník 108, 2008, 4, s. 95-100

Overview

Arthrocentesis of temporomandibular joint is a procedure in which two syringe needles are inserted into intrarticular space to make a lavage removing adhesions. Through the same way also topical antibiotics, local anaesthetics and chondroprotective agents can be applied.

Aim:
To find out an effect and success this method in therapy of temporomandibular disorders.

Methods:
More over 419 from 1752 patients were treated by arthrocentesis. There were 348 women and 71 men.

Results:
In the group after arthrocentesis one year after therapy value of the pain was 2.5 and control group was 9. Motion of the mandible in the first group was 37mm and in second group was 27mm.

Arthrocentesis is recommended as an alternative method replacing the more invasive treatment of acute and chronic morbid conditions of the structures of temporomandibular joint.

Key words:
arthrocentesis - temporomandibular joint - intraarticular lavage - intraarticular application of drugs


Sources

1. Alderman, M. M.: Disorders of the temporomandibular joint and related structures. Rationale for diagnosis, aetiology, management. Alpha Omegan, 69, 1976, 3.

2. Bays, R. A.: Open joint surgery and disc repair. In McNeill, Ch. (ed.): Current controversies in zemporomandibulr disorders. illinois: Quintesence Publishing, Co., 1992, s. 38-41.

3. Boering, G.: Nonsurgical treatment of dysfunction of the temporomandibular joint. Oral Sciences Review, 1976, 7, s. 53-60.

4. Braun, B. L. et al.: A cross – sectional study of temporomandibular dysfunction in post – cervical trauma patients. J. Craniomandibular Disorders, 1992, 6, s. 24.

5. Brookes, G. B. et al.: „ Costens syndrome“ – correlation or coincidence: a review of 45 patients with temporomandibular joint dysfunction, otalgia and other aural symptoms. Clin. Otolaryngol., 1980, 5, s. 23-36.

6. Brooks, S. L. et al.: Imaging of the temporomandibular joint: a position paper of the American Academy of oral and maxillofacial radiology. Orlal Surg. Oral Med. Oral Pathol., 83, 1997, s. 609-618.

7. Clark, G. T., Mody, D. G., Sanders, B.: Arthroscopic treatment of temporomandibular joint locking resulting from disc derengement. J. Oral Maxillofac. Surg., 49, 1991, s. 157-164.

8. Clark, G. T., Seligmen, D. A. Solbereg, W. K., Pullinger, A. G.: Guidelines for the treatment of temporomandibular disorders. J. Craniomandib. Disord. Facial Oral Pain, 4, 1990, 2, s. 80-88.

9. Conti, A. et al.: Relationship between signs and symptoms of temporomandibular disorders and orthodontic treatment: a cross sectional study. Angle Orthod., 73, 2005, 4, s. 411-417.

10. Dimitroulis, G.: Temporomandibular disorders: a clinical update. Brit. Med. Journ., 317, 1998, s. 190-194.

11. Dworkin, S. F. et al.: Epidemiology of signs and symptoms in temporomandibular disorders: Clinical signs in cases and controls. J. Am. Dent. Assoc., 120, 1990, s. 273-280.

12. Dworkin, S. F.: Research diagnostic criteria for temporomandibular disorders. J. Craniomandib. Disord. Facial Oral Pain, 6, 1992, 4, s. 301-355.

13. Fridrich, K. L., Wise, J. M.: Prospective comparison of artroscopy and arthrocentesis for temporomandibular joint disorders. J. Oral Maxillofac. Surg., 54, 1996, 7, s. 816-820.

14. Green, M. W., Hackney, F. L., Van Sickles, J. E.: Arthroscopy of the temporomandibular joint: an anatomic prospective. J. Oral Maxillofac. Surg., 1989, 47, s. 386-389.

15. Green, M. W., Laskin, D. M.: Long – term evaluation of conservative treatment for myofacial pain dysfunction syndrome. J. Am. Dent. Ass., 89, 1974, s. 1365.

16. Holmlund, A. B., Helsing, G.: Artroscopy of the temporomandibular joint: a clinical study. Int. J. Oral Maxillofac. Surg., 15, 1986, s. 715.

17. Holmlund, A. B., Gynther, G.: Diskectomy in treatment of internal derangement of the temporomandibular joint. Oral Surg. Oral Med. Oral Pathol., 76, 1993, 3, s. 266-271.

18. Ishimaru, J. I., Oguma, Y.: Matrix metalloproteinase and tissue inhibitor of metalloproteinase in serum and lavage synovial fluid of patients with temporomandibular joint disorders. Br. J. Oral Maxilofac. Surg., 38, 2000, s.354-359.

19. Kotráň, M., Ďurovič, E., Markovská, N.: Etiológia, diagnostika a terapia ochorení temporomandibulárneho kĺbu. Košice: Rektorát Univerzity P. J. Šafárika, 1984, s. 129.

20. Kotráň, M., Háber, B., Kyseľ, M.: Terapeutické postupy pri ochoreniach temporomandibulárneho kĺbu I. Prakt zub. Lék, 34, 1986, 2, s. 48-52.

21. Kotráň, M., Háber, B., Kyseľ, M.: Terapeutické postupy pri ochoreniach temporomandibulárneho kĺbu II. Prakt zub. Lék, 38, 1986, 3, s. 73-78.

22. Krug, J., Jirousek, Z., Bartáková, V.: Najčastejšie príčiny intraartikulárnej hypomobility čeľustného kĺbu – konzervatívna terapia. Choroby hlavy a krku, 9, 2000, 3-4, s. 5-12.

23. Laskin, D. M.: Etiology of the pain – dysfunction syndrom. J. Am. Dent. Assoc., 79, 1969, s. 147-155.

24. Malachovský, I., Statelová D.: Artrocentéza TMK. Stomatológ, 11, 2001, 3, s. 22-23.

25. Malachovský, I., Statelová, D., Sitár, J.: Kyselina hyalurónová v liečbe porúch temporomandibulárneho kĺbu. Stomatológ, 11, 2001, 4, s. 28-30.

26. Malachovský, I., Statelová, D.: Symptomatológia porúch temporomandibulárneho kĺbu. Stomatológ, 13, 2003, 4, s. 23-25.

27. McNeill, Ch.: Temporomandibular disorders: Guidelines for evaluation, diagnosis and management (American Academy of Craniomandibular Disorders). Chicago: Quintessence Publishing, Co., 1990.

28. McNeill, Ch., Mohl, N. D. et al.: Temporomandibular disorders: diagnosis, mangement, education and research. J. Am. Dnt. Assoc., 120, 1990, 3, s. 253-263.

29. Mentelová, J., Mračna, J., Poruban, D.: Príspevok k etiológii a rozdeleniu temporomandibulárnych porúch. Stomatológ, 5, 1994, 5, s. 150-151.

30. Murakami, K., Ono, T.: TMJ arthroscopy by inferolateral approach. Int. J. Oral Maxillofac. Surg., 15, 1986, s. 410.

31. Nitzan, D. W., Dolwick, F. M., Heft, M. W.: Arthroscopic lysis and lavage of the temporomandibular joint. J. Oral Maxillofac. Surg., 48, 1990, s. 796-801.

32. Nitzan, D. W., Dolwick, F. M., Martinez, G. A.: Temporomandibular joint arthrocentesis. J. Oral Maxillofac. Surg., 49, 1991, s. 1163-1172.

33. Okeson, J. P. et al.: Management of temporomandibular disorders and occlusion. Mosby, St.Louis,1993, s. 624.

34. Okeson, J. P.: Current terminology and diagnostic classification schemes. Oral Surg. Oral Med. Oral Pathol. Radiol. Endod., 83, 1997, 1, s. 61-64.

35. Rasmussen, O. C.: Description of population and progress of symptoms in a longitudinal study of temporomandibular arthropathy. Scand. J. Dent. Res., 89, 1981, s. 196-203.

36. Sato, S. et al.: Effect of lavage with injection of sodium hyaluronate for patients with nonreducing disc displacement of the temporomandibular joint. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod., 84, 1997, 3, s. 241-244.

37. Zardeneta, G., Milam, S. B.: Elution of proteins by continuous temporomandibular joint arthrocentesis. J. Oral Maxillofac. Surg., 55, 1997, s. 709-716.

38. Zemen, J., Krňoulová, J.: Příspěvek ke klasifikaci poruch temporomandibulárního kloubu. Prakt. zub. Lék., 45, 1997, 3, s. 27-30.

39. Zemen, J.: Konzervatívna liečba temporomandibulárnych porúch. Praha, Galén, 1999, s. 215.

40. Zhang, S. Y., Yang, Ch. et al.: Plain film artrography applied to the diagnosis of intra-articular adhesions of the temporomandibular joint. J. Oral Maxillofac. Surg., 65, 2007, s. 212-217.

Labels
Maxillofacial surgery Orthodontics Dental medicine
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#