The use of intra-articular analgesics to improve outcomes after temporomandibular joint arthrocentesis: a review

Venkatesan, Gopalakrishnan; Nagori, Shakil Ahmed; Chowdhury, Souma; Saxena, Vipin

doi:10.1007/s10006-018-0720-z

Cited by 14 publications

(16 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The proportion men: women were of 8:1, similar to the ones previously found in the literature [13, 28]. The higher incidence of DDWOR in women may be explained by some female characteristics, such as a higher muscle laxity, higher intra-joint pressure and hormonal changes [1, 29].…”

Section: Discussionsupporting

confidence: 83%

“…The arthrocentesis technique was introduced at about 30 years ago [8] and it has been largely used along with other treatments, such as infiltrations of sodium hyaluronate [12], intra-articular analgesics [13], corticosteroids [14] and platelet rich plasm [15]. However, the literature has showed that an investigation regarding the isolated effects of the arthrocentesis over the DDWOR along with a clinical analysis performed with the aid of the Magnetic Resonance Imaging (MRI) may elucidate some of the benefits of this therapy.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The use of arthrocentesis in patients with temporomandibular joint disc displacement without reduction

et al. 2019

View full text Add to dashboard Cite

The aim of this study was to evaluate the efficacy of the use of the arthrocentesis in patients with disc displacement without reduction (DDWOR). Two hundred and thirty-four (234) patients with DDWOR were evaluated and the following data collected: gender; affected side; age (years); duration of the pain (months); patient's perception of pain (measured by Visual Analogue Scale [VAS 0–10]); maximal interincisal distance (MID) (mm); and joint disc position, determined by magnetic resonance imaging. Data were obtained in two different moments: before the arthrocentesis (M1) and three or four months later (M2). Paired t-Student Test, Scores Test and Wilcoxon Test showed a statistical significant difference (p<0.0001) between the M1 and M2 for the variables VAS and MID. There was an alteration in the joint disc position in 93.88% of the cases after arthrocentesis. There was no association between the general characteristics of the patients on the M1 and the results of the arthrocentesis (p>0.05). It can be concluded that the arthrocentesis is efficient in reducing the pain, in increasing interincisal distance, and altering the joint disc position in patients with DDWOR regardless gender, age side and pain duration.

show abstract

Section: Discussionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

The use of arthrocentesis in patients with temporomandibular joint disc displacement without reduction

et al. 2019

View full text Add to dashboard Cite

show abstract

“…The minimally invasive treatments include the therapies that require intraarticular injections, arthrocentesis, or arthroscopy. They are used to clean or drain the articular cavity, to deliver intraarticularly active substance like drugs (NSAIDs and corticosteroids [35][36][37], biologically-active compounds (for example platelet-rich plasma [38]), or enhance lubrication (hyaluronic acid (Figure 3) [35]). Current clinical therapies using intraarticular injections are effective in pain relief at an early stage of disease but fail to alleviate chronic pain.…”

Section: Treatment Of Tmdmentioning

confidence: 99%

Nonsurgical Strategies for the Treatment of Temporomandibular Joint Disorders

Cabrera-Freitag¹,

Cobo²,

Muriel³

et al. 2019

Cartilage Tissue Engineering and Regeneration Techniques

View full text Add to dashboard Cite

Temporomandibular disorders are common maxillofacial disturbs of different etiologies (traumatic, inflammatory, degenerative, or congenital) that course with pain and dysfunctions of the temporomandibular joint. The treatment of these disorders includes systematically administered drugs (especially nonsteroid antiinflammatory drugs and corticoids), physical therapies, and minimally invasive therapies that require intraarticular injections. These techniques are directed to clean or drain the articular cavity, to deliver intraarticularly drugs, biologically active compounds (as platelet-rich plasma), or to enhance lubrication (hyaluronic acid). Moreover, minimally invasive strategies are used in regenerative medicine for to deliver cells and stem cells, and nano-or micro-biomaterials. Surgery of temporomandibular disorders is only used in grave diseases that require arthrodesis or remotion of the temporomandibular joint. This review updates the nonsurgical therapeutic strategies to treat temporomandibular disorders, focusing the attention in the articular delivery or hyaluronic acid and platelet-rich plasma, two minimally invasive widely used at present.

show abstract

“…Several clinical trials have attempted to improve the efficacy of TMJ arthrocentesis by injecting corticosteroids, sodium hyaluronate, platelet-rich plasma, etc into the joint space. [5][6][7] Experience from arthroscopy procedures on knee joints has demonstrated that intra-articular analgesics may be injected at the end of the procedure to provide early pain relief. 8,9 Inspired by these trials, several clinicians have also experimented with the use of intra-articular analgesics after TMJ arthrocentesis.…”

mentioning

confidence: 99%

“…8,9 Inspired by these trials, several clinicians have also experimented with the use of intra-articular analgesics after TMJ arthrocentesis. 10,11 In 2018, Gopalakrishnan et al 5 conducted a systematic review to analyse the evidence on the efficacy of such intra-articular drugs after TMJ arthrocentesis. After assessing six studies of which just four were randomised controlled trials (RCTs), the authors were unable to demonstrate any conclusive evidence on the use of intra-articular non-steroidal anti-inflammatory drugs (NSAIDs) or opioids after TMJ arthrocentesis.…”

mentioning

confidence: 99%

Do intra‐articular injections of analgesics improve outcomes after temporomandibular joint arthrocentesis?: A systematic review and meta‐analysis

Liu

Zhang

2020

J of Oral Rehabilitation

View full text Add to dashboard Cite

Since its first description by Nitzan et al in 1991, 1 arthrocentesis of the temporomandibular joint (TMJ) has become a routine procedure for the management of temporomandibular joint disorders (TMDs). The procedure has been used for anchored disk phenomenon, closed lock, anterior disc displacement with/without reduction and osteoarthritis. 2 It has gained wide popularity worldwide owing to its simple, inexpensive and minimally invasive nature. 2 Clinicians usually employ arthrocentesis in patients not responding to conservative therapies like painkillers, occlusal splints and physical therapy. 3

show abstract

The use of intra-articular analgesics to improve outcomes after temporomandibular joint arthrocentesis: a review

Cited by 14 publications

References 46 publications

The use of arthrocentesis in patients with temporomandibular joint disc displacement without reduction

The use of arthrocentesis in patients with temporomandibular joint disc displacement without reduction

Nonsurgical Strategies for the Treatment of Temporomandibular Joint Disorders

Do intra‐articular injections of analgesics improve outcomes after temporomandibular joint arthrocentesis?: A systematic review and meta‐analysis

Contact Info

Product

Resources

About