Positioning accuracy assessment of minimally invasive percutaneous injection techniques for the treatment of temporomandibular disorders

Custódio, Antônio Luís Neto; Cameron, Andrew; Bakr, Mahmoud M.; Little, Chris; Reher, Peter

doi:10.1259/dmfr.20200313

Cited by 6 publications

(22 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, one article reported prolotherapy directed at the IJS with injection of hypertonic dextrose solution with local anaesthetic 30 . Non‐patient‐based studies report HA injection to the IJS, 25 dye solution injection for post‐dissection analysis 32,34 and needle insertion without solution infiltration 33 …”

Section: Resultsmentioning

confidence: 99%

“…Custódio et al used a CBCT-planned 3D-printed surgical guide to insert the needle in the IJS showing very small variations in the angle, length and dislocation of the needle between the planned and the actual insertion. 33 Although the conclusion indicates that the guide seems to be a reliable tool for accurate percutaneous injection of drugs into the IJS, it is noteworthy that CBCT cannot identify the disk nor superior or inferior spaces 47 thus the results achieved seem at least questionable given that there is no real evidence that the needle was positioned into de IJS, nevertheless the method seem promising if it can be combined with MRI. Cadaveric studies show mixed results in terms of efficacy to reach the IJS, reporting success rates that varied between 30% 32 and 92%.…”

Section: Ta B L E 3 (Continued)mentioning

confidence: 99%

“…Diagnoses reported in the selected studies were osteoarthritis (OA), [24][25][26]28,31 disc displacement (DD) 23,27 and combinations of diagnoses such as DD with OA 22,28 and DD with joint pain 30 ; other studies do not report a specific joint diagnosis or condition. 29,32,33 The most widely used diagnostic instrument reported to identify the diagnoses was the RDC/TMD. 23,24,28,31 Only a few studies used other diagnostic images such as MRI 22,27,28,30 and cone beam computed tomography (CBCT).…”

Section: Tmd Diagnosticsmentioning

confidence: 99%

See 2 more Smart Citations

Intra‐articular injections in the TMJ inferior joint space: A scoping review

Nordenflycht

Ayala

Orellana

et al. 2023

J of Oral Rehabilitation

View full text Add to dashboard Cite

ObjectiveTo perform a scoping review to identify the available evidence regarding intra‐articular injections in the inferior joint space (IJS) of the temporomandibular joint (TMJ).MethodsAn electronic search of the PubMed, Web of Science and Scopus databases was performed using the following terms: “Arthrocentesis”, “injection”, “joint injection”, “technique”, “Temporomandibular joint”, “Temporomandibular joint disorder”. Full‐text articles were obtained from the records after applying the inclusion/exclusion criteria. Only articles with full‐text access were included.ResultsThirteen articles were included for analysis—one technical note, three cadavers studies, one animal study, two case reports, five randomised clinical trials and one retrospective study; studies were classified as ‘patients‐based studies’ and ‘non‐patients‐based studies’. Most ‘patients‐based studies’ show moderate or high risk of bias. Techniques were categorised as ‘anatomical technique’ and ‘image‐guided technique’. Most ‘patients‐based studies’ show favourable outcomes such as pain reduction, increase in maximum mouth opening, improvement in quality of life and improvement in TMJ dysfunction indexes for the treatment of arthrogenic TMDs. Comparisons between superior and IJS injections are scarce. On the other hand, ‘non‐patients‐based’ studies show that image‐guided or ultrasound‐checked injection techniques achieved a higher effectiveness for needle location than anatomical (or blind) techniques.ConclusionThe amount of available evidence is scarce, heterogeneous in design, and most ‘patients‐based studies’ show moderate or high risk of bias, which demands the generation of new research to obtain definitive conclusions. The tendency observed suggests that intra‐articular injections for the IJS of the TMJ are able to relieve TMJ pain, increase mouth opening and improve TMJ dysfunction, and image‐guided injection techniques seem to be more effective than anatomical techniques to locate the needle in the IJS.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Ta B L E 3 (Continued)mentioning

confidence: 99%

Section: Tmd Diagnosticsmentioning

confidence: 99%

See 1 more Smart Citation

Intra‐articular injections in the TMJ inferior joint space: A scoping review

Nordenflycht

Ayala

Orellana

et al. 2023

J of Oral Rehabilitation

View full text Add to dashboard Cite

show abstract

“…The proposed method was also tested in a pilot study and the potential for this application was demonstrated. The results of precision and trueness, including needle deviations and depth measurements, for this study, has been covered in another publication [ 16 ].…”

Section: Resultsmentioning

confidence: 99%

A simplified CAD/CAM extraoral surgical guide for therapeutic injections

Cameron

Custódio

Bakr

et al. 2021

J Dent Anesth Pain Med

Self Cite

View full text Add to dashboard Cite

Therapeutic injections into the craniofacial region can be a complex procedure because of the nature of its anatomical structure. This technical note demonstrates a process for creating an extra-oral template to inject therapeutic substances into the temporomandibular joint and the lateral pterygoid muscle. The described process involves merging cone-beam computed tomography data and extra-oral facial scans obtained using a mobile device to establish a correlated data set for virtual planning. Virtual injection points were simulated using existing dental implant planning software to assist clinicians in precisely targeting specific anatomical structures. A template was designed and then 3D printed. The printed template showed adequate surface fit. This innovative process demonstrates a potential new clinical technique. However, further validation and in vivo trials are necessary to assess its full potential.

show abstract

“…In minimally invasive or atraumatic surgery or dental procedures, there are several clinical studies with increasing expectations to establish treatment guidelines. This selection of data was due to the significant increase in quantitative synthesis methods in the dental literature from the beginning of the 21st century [1,2]. Most of the selected studies were carried out in the USA, Netherlands, and UK.…”

Section: Introductionmentioning

confidence: 99%

Major considerations of minimally invasive surgery in bucomaxillofacial procedures: quality of life and aesthetics

Carvalho

Kassis

2022

MedNEXT

View full text Add to dashboard Cite

Introduction: In minimally invasive or atraumatic surgery or dental procedures, there are several clinical studies with increasing expectations to establish treatment guidelines. It is estimated that in minimally invasive dental surgery in general, synthesis studies with meta-analysis and decision analysis represent almost 29% of all studies. Objective: Demonstrate, through a systematic review of the literature, the evolution and consequent importance of improving surgical techniques and/or minimally invasive treatments in dentistry. It was hypothesized that there were statistically significant results on advances in the attempt to minimize trauma, providing quality of life and better aesthetics to patients. Methods: The present study was followed by a systematic review model (PRISMA). The search strategy was performed in the PubMed, Cochrane Library, Web of Science and Scopus, and Google Scholar databases. The Cochrane Instrument was used to assess the risk of bias of the included studies. Results: The total of 92 articles involving minimally invasive surgery and dentistry were found. A total of 54 articles were fully evaluated and 23 were included in the present study. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 3 studies with a high risk of bias (studies with small sample size) and 2 studies with uncertain risk (studies with results without statistical significance). Since the most primordial extraction techniques were created and developed, several attempts have been made to minimize the professional's effort, reduce surgical time and alleviate bleeding and the inflammatory processes, edema, pain, and ecchymosis that can affect patients, in trans and postoperative periods. Thus, the maximum preservation of the integrity of the soft tissues (papillae and free and inserted gingival band) adjacent to the prosthetic spaces should be sought; preservation of the alveolar bone ridge level. Based on the histological concept in which living tissues are formed by cells joined by thin elastic tissue and with nerve fibrils, capillaries, lymphatic and blood vessels. The disruption of these cells by surgical trauma provides the release of enzymes that delay healing. For this reason, surgical trauma should be minimized. Conclusion: There are many attempts to minimize the professional effort, reduce surgical time and alleviate bleeding and inflammatory processes, edema, pain, and ecchymosis that can affect patients. Thus, the maximum preservation of the integrity of the soft tissues adjacent to the prosthetic spaces and the preservation of the level of the ridge of the alveolar bone to achieve a minimization of surgical trauma must be sought.

show abstract

Positioning accuracy assessment of minimally invasive percutaneous injection techniques for the treatment of temporomandibular disorders

Cited by 6 publications

References 19 publications

Intra‐articular injections in the TMJ inferior joint space: A scoping review

Intra‐articular injections in the TMJ inferior joint space: A scoping review

A simplified CAD/CAM extraoral surgical guide for therapeutic injections

Major considerations of minimally invasive surgery in bucomaxillofacial procedures: quality of life and aesthetics

Contact Info

Product

Resources

About