Long-Term Outcome of Arthrocentesis Plus Hyaluronic Acid Injection in Patients With Wilkes Stage II and III Temporomandibular Joint Internal Derangement

Üngör, Cem; Atasoy, Kerem Turgut; Taskesen, Fatih; Pirpir, Cagasan; Yilmaz, Onur

doi:10.1097/scs.0000000000002078

Cited by 16 publications

(9 citation statements)

References 35 publications

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“…Arthrocentesis is widely used in the TMJ for patients with a diagnosis of disc derangement. Only a few long-term studies have evaluated arthrocentesis and sodium hyaluronate in patients with different degenerative conditions in the TMJ (10,17,18).…”

Section: Discussionmentioning

confidence: 99%

“…Injected HA was significantly more effective than injected corticosteroids in decreasing pain intensity in OA of the TMJ (4). Similarly, Ungor et al (10) concluded that HA injection in combination with arthrocentesis had promising effects on pain and TMJ function.…”

Section: Introductionmentioning

confidence: 96%

“…The short-term effects of intra-articular treatment with arthrocentesis have been evaluated in patients with OA (11,12) and disc displacement (13,14); however, few studies have investigated the long-term effects of combined arthrocentesis/lavage and HA injection in patients with TMJ disorders (10). No studies have examined the long-term effects of arthrocentesis and compared its effects with or without HA injection into the TMJ in patients with OA.…”

Section: Introductionmentioning

confidence: 99%

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Long-term effectiveness of arthrocentesis with and without hyaluronic acid injection for treatment of temporomandibular joint osteoarthritis

et al. 2019

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This study evaluated the long-term effectiveness of intra-articular temporomandibular joint arthrocentesis for patients with osteoarthritis and compared arthrocentesis/lavage alone with arthrocentesis/lavage and injected hyaluronic acid. Forty patients met the inclusion criteria, and 37 completed long-term follow-up (approximately 4 years). The patients were randomly allocated to two groups: arthrocentesis with lavage alone (A-group, n = 17) or combined with hyaluronic acid treatment (AS-group, n = 20). Standard two-needle arthrocentesis was performed. Pain and joint sounds were measured at baseline and approximately 4 years after treatment. Reported pain, as indicated by visual analogue scale (VAS) score, significantly decreased from baseline to the final follow-up examination in both groups. Mean VAS score decreased from 64 to 16 (P < 0.001) in the A-group and from 63 to 25 (P < 0.001) in the AS-group. Average maximum incisor opening increased significantly in both groups but did not significantly differ between groups (P = 0.223). Joint sounds did not significantly improve within groups (A-group, P = 0.495; AS-group, P = 0.236). Both methods resulted in significant long-term improvements in pain and jaw function.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

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Long-term effectiveness of arthrocentesis with and without hyaluronic acid injection for treatment of temporomandibular joint osteoarthritis

et al. 2019

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“…is also possible. It was reported that arthrocentesis was reliable for treating Wilkes II and III stages of ID, and the treatment results were better in patients with advanced stage [28].…”

Section: Arthrocentesismentioning

confidence: 99%

Internal Derangements of the Temporomandibular Joint: Diagnosis and Management

Tatlı¹,

Machoň²

2018

Temporomandibular Joint Pathology - Current Approaches and Understanding

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Millions of individuals worldwide suffer from temporomandibular joint (TMJ) disorders and are characterized by pain and joint dysfunction. TMJ internal derangement (ID) is the most frequent type of temporomandibular disorders (TMDs). The ID of TMJ is defined as a joint dysfunction associated with an abnormal disc position. Identification and elimination of the causes of tissue breakdown of the TMJ that lead to ID are the key factors for successful treatment. The common causes for TMJ ID are trauma and parafunctional habits which lead to joint overload and degenerative changes in the articular structures, increased friction, and gradual disc displacement. Local and systemic inflammatory/degenerative arthropathies may also affect TMJ and cause ID. The aim of this chapter is to give comprehensive knowledge about the contemporary perspective of TMJ ID including diagnostic and therapeutic developments and innovations. Clinicians should establish the correct diagnosis and cause of the disease for appropriate management so that patients do not suffer from ineffective treatments. As an innovative development, TMJ replacements with alloplastic joint prosthesis and tissue-engineered structures hold promise for the future of management of TMJ ID.

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“…Correspondingly, among the 60 cases of mandibular retraction, ADDWoR was observed in 56 patients. And therefore, disc displacement without reduction, especially combined with significant clinical symptoms such as pain, dysfunction, and maxillofacial abnormalities or failed to conservative therapies is general indication for invasive intervention treatment 8 , 9 .…”

Section: Introductionmentioning

confidence: 99%

A Prognostic Nomogram for Postoperative Bone Remodeling in Patients with ADDWoR

Liu

Shen

Wang

et al. 2018

Sci Rep

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This study aimed to establish an effective prognostic nomogram for predicting the probability of postoperative bone remodeling of patients with anterior disc displacement without reduction (ADDWoR). The nomogram was based on a retrospective study on patients underwent surgical approaches for ADDWoR at Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University from January, 2007 to January, 2017. A multivariate logistic regression analysis was used to develop variables suitable for probability estimation model. The predictive accuracy and discriminative ability were determined by ROC (AUC-index) and calibration curve. Results were validated using bootstrap resampling with all statistical tests two-sided. 1110 patients were included in the analysis. The probability of postoperative bone remodeling in ADDWoR was 0.51. Six independent prognostic factors including age of onset, nocturnal bruxism, disc morphology, BMD, Wilkes’ classification, and postoperative splint therapy were integrated to construct the nomogram. The probability estimation model showed good discrimination in both internal and external validation with AUC-index of 0.84. The calibration curves for probability of postoperative bone remodeling showed optimal agreement with actual observation. In conclusion, a nomogram was established to provide individual prediction of postoperative bone remodeling for patients with ADDWoR treated by arthroscopy surgery.

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Long-Term Outcome of Arthrocentesis Plus Hyaluronic Acid Injection in Patients With Wilkes Stage II and III Temporomandibular Joint Internal Derangement

Abstract: Arthrocentesis was reliable for treating both Wilkes II and III TMJ ID, and the treatment results were better in Wilkes III patients.

Cited by 16 publications

References 35 publications

Long-term effectiveness of arthrocentesis with and without hyaluronic acid injection for treatment of temporomandibular joint osteoarthritis

Long-term effectiveness of arthrocentesis with and without hyaluronic acid injection for treatment of temporomandibular joint osteoarthritis

Internal Derangements of the Temporomandibular Joint: Diagnosis and Management

A Prognostic Nomogram for Postoperative Bone Remodeling in Patients with ADDWoR

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