Effect of arthrocentesis on the clinical outcome of various treatment methods for temporomandibular joint disorders

Abstract Background We evaluated the improvement of pain and the increase in mouth opening after temporomandibular joint arthrocentesis and the possible association with various factors such as previous splint treatment, medication, and diagnosis. Results We studied 57 temporomandibular joint disord...

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Main Authors: Chang-Woo Kim, Sung-Jae Lee, Euy-Hyun Kim, Dong-Keon Lee, Mong-Hun Kang, In-Seok Song, Sang-Ho Jun
Format: Article
Language:English
Published: SpringerOpen 2019-10-01
Series:Maxillofacial Plastic and Reconstructive Surgery
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40902-019-0227-z
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spelling doaj-366f04168d2e4039a5169541d8a667d62020-11-25T03:56:18ZengSpringerOpenMaxillofacial Plastic and Reconstructive Surgery2288-85862019-10-014111710.1186/s40902-019-0227-zEffect of arthrocentesis on the clinical outcome of various treatment methods for temporomandibular joint disordersChang-Woo Kim0Sung-Jae Lee1Euy-Hyun Kim2Dong-Keon Lee3Mong-Hun Kang4In-Seok Song5Sang-Ho Jun6Department of Oral and Maxillofacial Surgery, Korea University Anam HospitalDepartment of Oral and Maxillofacial Surgery, Korea University Anam HospitalDepartment of Oral and Maxillofacial Surgery, Korea University Anam HospitalDepartment of Oral and Maxillofacial Surgery, Korea University Anam HospitalDepartment of Oral and Maxillofacial Surgery, Korea University Anam HospitalDepartment of Oral and Maxillofacial Surgery, Korea University Anam HospitalDepartment of Oral and Maxillofacial Surgery, Korea University Anam HospitalAbstract Background We evaluated the improvement of pain and the increase in mouth opening after temporomandibular joint arthrocentesis and the possible association with various factors such as previous splint treatment, medication, and diagnosis. Results We studied 57 temporomandibular joint disorder patients who underwent arthrocentesis at Korea University Anam Hospital. These patients (24 males and 33 females, aged between 15 and 76 years) underwent arthrocentesis that was performed by one surgeon. The degree of mouth opening (assessed using the maximum mouth opening: MMO) and pain (assessed using the visual analog scale: VAS) were assessed pre- and post-arthrocentesis. The study also investigated whether treatment modalities other than arthrocentesis (medication and appliance therapy) were performed. Statistical analysis revealed that there was a significant difference in mouth opening and pain after temporomandibular joint arthrocentesis. Preoperative appliance therapy affected the results of arthrocentesis, but it was not statistically significant. With regard to pain relief, preoperative diagnosis did not show a significant difference. However, with regard to maximum mouth opening, patients with disc displacement without reduction with limited mouth opening (closed lock) showed the highest recovery (11.13 mm). Conclusion The average of MMO increase after arthrocentesis was 9.10 mm, and patients with disc displacement without reduction with locking (closed lock) showed most recovery in maximum mouth opening and it was statistically significant. The average pain relief of patients after arthrocentesis was 3.03 in the VAS scale, and patients using anterior repositioning splint (ARS) preoperatively showed the most pain relief.http://link.springer.com/article/10.1186/s40902-019-0227-zTemporomandibular joint arthrocentesisTemporomandibular disorders
collection DOAJ
language English
format Article
sources DOAJ
author Chang-Woo Kim
Sung-Jae Lee
Euy-Hyun Kim
Dong-Keon Lee
Mong-Hun Kang
In-Seok Song
Sang-Ho Jun
spellingShingle Chang-Woo Kim
Sung-Jae Lee
Euy-Hyun Kim
Dong-Keon Lee
Mong-Hun Kang
In-Seok Song
Sang-Ho Jun
Effect of arthrocentesis on the clinical outcome of various treatment methods for temporomandibular joint disorders
Maxillofacial Plastic and Reconstructive Surgery
Temporomandibular joint arthrocentesis
Temporomandibular disorders
author_facet Chang-Woo Kim
Sung-Jae Lee
Euy-Hyun Kim
Dong-Keon Lee
Mong-Hun Kang
In-Seok Song
Sang-Ho Jun
author_sort Chang-Woo Kim
title Effect of arthrocentesis on the clinical outcome of various treatment methods for temporomandibular joint disorders
title_short Effect of arthrocentesis on the clinical outcome of various treatment methods for temporomandibular joint disorders
title_full Effect of arthrocentesis on the clinical outcome of various treatment methods for temporomandibular joint disorders
title_fullStr Effect of arthrocentesis on the clinical outcome of various treatment methods for temporomandibular joint disorders
title_full_unstemmed Effect of arthrocentesis on the clinical outcome of various treatment methods for temporomandibular joint disorders
title_sort effect of arthrocentesis on the clinical outcome of various treatment methods for temporomandibular joint disorders
publisher SpringerOpen
series Maxillofacial Plastic and Reconstructive Surgery
issn 2288-8586
publishDate 2019-10-01
description Abstract Background We evaluated the improvement of pain and the increase in mouth opening after temporomandibular joint arthrocentesis and the possible association with various factors such as previous splint treatment, medication, and diagnosis. Results We studied 57 temporomandibular joint disorder patients who underwent arthrocentesis at Korea University Anam Hospital. These patients (24 males and 33 females, aged between 15 and 76 years) underwent arthrocentesis that was performed by one surgeon. The degree of mouth opening (assessed using the maximum mouth opening: MMO) and pain (assessed using the visual analog scale: VAS) were assessed pre- and post-arthrocentesis. The study also investigated whether treatment modalities other than arthrocentesis (medication and appliance therapy) were performed. Statistical analysis revealed that there was a significant difference in mouth opening and pain after temporomandibular joint arthrocentesis. Preoperative appliance therapy affected the results of arthrocentesis, but it was not statistically significant. With regard to pain relief, preoperative diagnosis did not show a significant difference. However, with regard to maximum mouth opening, patients with disc displacement without reduction with limited mouth opening (closed lock) showed the highest recovery (11.13 mm). Conclusion The average of MMO increase after arthrocentesis was 9.10 mm, and patients with disc displacement without reduction with locking (closed lock) showed most recovery in maximum mouth opening and it was statistically significant. The average pain relief of patients after arthrocentesis was 3.03 in the VAS scale, and patients using anterior repositioning splint (ARS) preoperatively showed the most pain relief.
topic Temporomandibular joint arthrocentesis
Temporomandibular disorders
url http://link.springer.com/article/10.1186/s40902-019-0227-z
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