Timing of arthrocentesis in the management of temporomandibular disorders: an integrative review and meta-analysis

Treatment of Mandibular Hypomobility by Injections into the Temporomandibular Joints: A Systematic Review of the Substances Used

“…where e is the effectiveness resulting from the calculations for this study, f (7 or 9) is the final value given by the authors of the given report and i (6 or 8) is the initial value extracted from the same report. These calculations provided further data: (10) improvement in mandibular abduction; (11) reducing the value of joint pain [29][30][31][32]. In the case of mandibular mobility, values greater than 100% indicated good results of the therapy, and in the domain of pain, values less than 100% indicated a decrease in symptoms.…”

“…Among the minimally invasive puncture techniques within TMJ, lavage of the joint cavity, supplementation of hyaluronic acid (HA) and administration of corticosteroids (CS) are commonly known and used [5][6][7]. TMJ arthrocentesis is effective in the domains of pain relief and increases the extent of mandibular abduction [8][9][10][11]. The administration of HA complements the main component of the synovial fluid and is also referred to as viscosupplementation [6].…”

Diagnosis and Treatment of Myogenous Temporomandibular Disorders: A Clinical Update

“…A variety of drugs are available for injection therapy in the management of TMD [ 46 ]. They are usually classified by the mode of delivery: either as intra-articular injection, into the TMJ alone or as part of an arthrocentesis procedure [ 121 , 122 ]; or into the mastication muscles [ 123 ], and this article shall focus on the latter. Usually targeted at the MTrPs, intramuscular injections are also termed trigger point injections (TPIs).…”

Arthrocentesis versus non-surgical intervention as initial treatment for temporomandibular joint arthralgia: a randomized controlled trial with long-term follow-up

“…On the other hand, another recent systematic review investigating the influence of the timing of arthrocentesis on patient outcomes, in relation to conservative care, concluded that in addition to the favourable outcomes of arthrocentesis in general, the optimal results were obtained when arthrocentesis was performed within 3 months after conservative care. 23 The authors noted, however, that the evidence was of low to moderate quality due to the low availability of well-designed studies and the heterogeneity between studies in diagnoses, treatment modalities, and techniques used. Definitive conclusions regarding the optimal timing of arthrocentesis may be drawn once different timings are compared in a single clinical trial in the future.…”