Efficacy of Arthrocentesis and Stabilization Splints in Treatment of Temporomandibular Joint Disc Displacement Disorder Without Reduction: A Systematic Review and Meta-analysis

Bhattacharjee, Bappaditya; Bera, Rathindra Nath; Verma, Arju; Soni, Romesh; Bhatnagar, Atul

doi:10.1007/s12663-021-01675-1

Cited by 6 publications

(11 citation statements)

References 46 publications

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“…A flow chart describing the identification and screening process is shown in Figure 1. After completion of the full‐text screening of the identified 99 studies, 56 were included in the review Tables S3–S5 17–19,25–77 . The excluded 43 articles can be viewed as a Table S6.…”

Section: Resultsmentioning

confidence: 99%

“…Five SRs were included and evaluated with AMSTAR and the main results and bias grading are displayed in Table S7 17–19,66,72 . The included SRs were heterogenous in design and research question rendering compilation difficulties.…”

Section: Resultsmentioning

confidence: 99%

“…The included SRs were heterogenous in design and research question rendering compilation difficulties. Three of the included articles had a high risk of bias and the conclusions reached must be interpreted with great caution 17,18,66 . From the most recently published SR the result was drawn that PRP as a monotherapy or in combination with arthrocentesis had the best outcome on MIO and TMJ pain when compared to several other therapies, where the most invasive was arthrocentesis 72 .…”

Section: Resultsmentioning

confidence: 99%

“…Five SRs were included and evaluated with AMSTAR and the main results and bias grading are displayed in Table S7. [17][18][19]66,72 The included SRs were heterogenous in design and research question rendering compilation difficulties. Three of the included articles had a high risk of bias and the conclusions reached must be interpreted with great caution.…”

Section: Assessment Of Systematic Reviewsmentioning

confidence: 99%

“…Three of the included articles had a high risk of bias and the conclusions reached must be interpreted with great caution. 17,18,66 From the most recently published SR the result was drawn that PRP as a monotherapy or in combination with arthrocentesis had the best outcome on MIO and TMJ pain when compared to several other therapies, where the most invasive was arthrocentesis. 72 In the SR by Al-Bagdadi et al, both non-invasive and invasive methods were under review, but a superior treatment was not found due to several reasons, leaving the recommendation that non-invasive methods should be first treatment options.…”

Section: Assessment Of Systematic Reviewsmentioning

confidence: 99%

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Evidence for minimally invasive treatment—A systematic review on surgical management of disc displacement

Ulmner,

Bjørnland,

Rosén

et al. 2024

J of Oral Rehabilitation

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BackgroundSurgical treatment of temporomandibular joint (TMJ) disc displacement (DD) has been established in different forms since over a century. Ther is a consensus to perform minimal invasive interventions as first‐line surgical treatment since there are no evidence on best surgical practice yet.ObjectiveThe aim was to perform a complex systematic review (SR) on the topic—is there evidence for surgical treatment of TMJ DD?MethodsThe PICO was defined as DD patients (population), treated with different surgical interventions including arthrocentesis (intervention), compared with other or no treatment (control) regarding the outcome variables mandibular function, mouth opening capacity, TMJ pain, etcetera (outcome). For identification of prospective controlled trials and SRs, a search strategy was developed for application in three databases.ResultsThe search yielded 4931 studies of which 56 fulfilled the stipulated PICO. Studies with low or moderate risk of bias were possible to include in meta‐analyses. There were evidence suggesting arthrocentesis being more effective compared to conservative management (maximum interincisal opening (MIO): p < .0001, I2 = 22%; TMJ pain: p = .0003, I2 = 84%) and arthrocentesis being slightly more effective than arthrocentesis with an adjunctive hyaluronic acid injection (MIO: p = .04, I2 = 0%; TMJ pain: p = .28, I2 = 0%). Other treatment comparisons showed nonsignificant differences. The performed meta‐analyses only included 2–4 studies each, which might indicate a low grade of evidence.ConclusionAlthough arthrocentesis performed better than conservative management the findings should be interpreted cautiously, and non‐invasive management considered as primary measure. Still, several knowledge gaps concerning surgical methods of choice remains.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Assessment Of Systematic Reviewsmentioning

confidence: 99%

Section: Assessment Of Systematic Reviewsmentioning

confidence: 99%

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Evidence for minimally invasive treatment—A systematic review on surgical management of disc displacement

Ulmner,

Bjørnland,

Rosén

et al. 2024

J of Oral Rehabilitation

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Surgical treatment of intracapsular temporomandibular disorders

Chen,

2024

AOS

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Objective: Temporomandibular joint (TMJ) pathologies are prevalent, affecting approximately 40% of the worldwide population, with nearly 80% involving intracapsular disorders. Despite this, standardized treatment protocols are lacking. This study aimed to compare the efficacy of conservative and surgical approaches in managing intracapsular TMJ disorders. Methods: Eighty-six patients diagnosed with intracapsular TMJ disorders were included in the study, with 40 males and 46 females, averaging 52.4 ± 4.7 years. Patients were recruited from polyclinics in Beijing, China (n = 36), and Kyiv, Ukraine (n = 50). A comprehensive examination protocol was conducted, including assessment of patient complaints, medical history, jaw mobility measurements, TMJ palpation, and magnetic resonance imaging (MRI) screening. Results: The main outcomes of our study revealed significant improvements in patients undergoing surgical intervention for intracapsular TMJ disorders, particularly in cases of disc displacement. Conservative mouth guard/occlusal splint treatment showed limited effectiveness, primarily improving joint effusion and disc displacement. Surgical intervention led to notable enhancements in various TMJ parameters, with significant improvements observed in joint function and pain reduction. Based on these findings, orthodontic rehabilitation was recommended to ensure long-term efficacy, focusing on optimizing occlusion and restoring TMJ function. These results highlight the importance of tailored treatment approaches for managing intracapsular TMJ disorders, emphasizing the role of surgical intervention coupled with comprehensive rehabilitation strategies. Conclusions: Future research should consider demographic factors and explore innovative examination methods, such as optical systems, to enhance understanding and management of intracapsular TMJ disorders.

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Literature Review of an Anterior Deprogrammer to Determine the Centric Relation and Presentation of Cases

Danko,

Chromy,

Ferencik

et al. 2023

Bioengineering

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The increasing demand for dental aesthetics, articulation corrections, and solutions for pain and frequent bruxism demands quick and effective restorative dental management. The biomedical research aimed to create a beneficial, ecological, and readily available anterior deprogrammer to determine the centric relation (CR) of cases. This medical device is additively manufactured from a biocompatible material. Size is customizable based on the width of the patient’s anterior central incisors. This is a pilot study with two subjects. The task was to develop a complete data protocol for the production process, computer-aided design (CAD), and three-dimensional (3D) printing of the anterior deprogrammers. The research focused on creating simple and practically applicable tools for the dentist’s prescription (anterior deprogrammer in three sizes), and secondly for the communication between the dentist and the patient (computer application). The tested hypothesis was whether, according to these novel tools, it is possible to produce functional occlusal splints, which could be manufactured using current technologies. This study compared a traditional splint with a digitally designed and 3D-printed one. The tested hypothesis was whether manufactured occlusal splints differ in patients’ subjective perception of comfort. Each conservative treatment was monitored for ten weeks. Initial results are promising; no statistically significant difference was found between the productive technologies.

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Efficacy of Arthrocentesis and Stabilization Splints in Treatment of Temporomandibular Joint Disc Displacement Disorder Without Reduction: A Systematic Review and Meta-analysis

Cited by 6 publications

References 46 publications

Evidence for minimally invasive treatment—A systematic review on surgical management of disc displacement

Evidence for minimally invasive treatment—A systematic review on surgical management of disc displacement

Surgical treatment of intracapsular temporomandibular disorders

Literature Review of an Anterior Deprogrammer to Determine the Centric Relation and Presentation of Cases

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