Long-term results of arthrocentesis in degenerative temporomandibular disorders

Önder, M. Ercüment; Tüz, Hakan H.; Koçyiğit, Doruk; Kişnişçi, Reha Ş.

doi:10.1016/j.tripleo.2008.08.015

Cited by 39 publications

(24 citation statements)

References 19 publications

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“…These findings are consistent with those of previous studies. 9,10, 14 We could not find any research regarding the effectiveness of arthrocentesis in TMD patients with otologic symptoms. Therefore, …”

Section: Discussionmentioning

confidence: 94%

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Outcome of Otologic Symptoms after Temporomandibular Joint Arthrocentesis

Tozoglu

Bayramoğlu²,

Özkan

2015

Journal of Craniofacial Surgery

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The objectives of this study were to determine the prevalence of otologic complaints in patients with temporomandibular joint (TMJ) closed lock (CL), and to evaluate the efficacy of arthrocentesis in temporomandibular disorder (TMD) patients with otologic symptoms. Fifty-seven patients with TMJ CL were included in this study. The pre-treatment evaluations included assessment of the maximum mouth opening (MMO); pain level in palpation of the affected TMJ; pain level with function; and otologic complaints, including otalgia, tinnitus, vertigo, and hearing loss. Arthrocentesis treatment was performed for all the patients, and post-treatment data were recorded 1 month later. Before arthrocentesis and lavage, the mean MMO was 24.67 ± 4.61 mm; the mean tenderness score was 7.02 ± 1.09; and the mean score for pain in function was 6.86 ± 1.31. Following TMJ arthrocentesis and lavage, the mean MMO was 39.81 mm ± 4.56 mm; the mean tenderness score was 2.37 ± 0.65; and the mean score for pain in function was 2.45 ± 0.69. Seventeen (29.82%) patients reported at least 1 otologic complaint, 17 (29.82%) patients reported otalgia, and 8 (14.04%) patients reported tinnitus. Vertigo was noted in 5 (8.77%) patients. Complaints of hearing loss were not noted in any of the patients. After treatment, 14 patients no longer complained of otalgia, 5 patients no longer complained of tinnitus, and 2 patients no longer complained of vertigo. This represented a significant improvement in the patients' condition, especially in patients with otalgia (P < 0.0006). As evident from the results of this study, arthrocentesis procedures reduce both TMD symptoms and otologic complaints.

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Section: Discussionmentioning

confidence: 94%

“…[9][10][11][12][13] After lysis and lavage of the upper joint space of the TMJ, all patients show improvement in symptoms such as palpation, pain, limited mouth opening, and pain during function. 9,10,14 In addition, an improvement in otologic symptoms is also noticed after such treatment.…”

mentioning

confidence: 89%

Outcome of Otologic Symptoms after Temporomandibular Joint Arthrocentesis

Tozoglu

Bayramoğlu²,

Özkan

2015

Journal of Craniofacial Surgery

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“…Numerous studies have reported the successful treatment of TMJ OA by conservative treatments including physical therapy, NSAIDs, occlusal splints, and intraarticular injections of hyaluronic acid or corticosteroids Machon et al, 2010;Manfredini et al, 2009;Mejersjo and Wenneberg, 2008;Onder et al, 2009). In most of these studies, however, the success of the treatment was determined by the improvement of the clinical signs and symptoms rather than by the improvement of the bony change itself.…”

Section: Introductionmentioning

confidence: 99%

A longitudinal study on the osteoarthritic change of the temporomandibular joint based on 1-year follow-up computed tomography

Lee

Kim

Lee

et al. 2012

Journal of Cranio-Maxillofacial Surgery

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“…Fakat bu çalışmalarda, araştırmacılar dokümanları değerlendirmiş ve farkındalığı bir ölçüt olarak kullanmamışlardır. 28,29 Major ve ark., kadın-larda TME östrojen reseptörlerinin, erkeklerdekine oranla daha büyük miktarlarda olduğunu bildirmişlerdir. 30 Melis ve ark.…”

Section: Evetunclassified