Investigation of the clinician satisfaction for the single-puncture and double-puncture arthrocentesis of temporomandibular joint
Year 2024,
Volume: 13 Issue: 1, 87 - 91, 26.01.2024
Sara Samur Ergüven
,
Selda Aksoy
,
M.fatih Şentürk
,
Aydın Ozkan
,
Çiğdem Yücel
Abstract
Aim: The aim of this study was to evaluate the clinician satisfaction of single-puncture arthrocentesis and double-puncture arthrocentesis in cadavers.
Material and Method: The study was conducted on 10 fresh cadaver temporomandibular joints bilaterally. Single-puncture arthrocentesis was randomly conducted on one side chosen by coin toss and double-puncture arthrocentesis on the other side. The main outcome variable was clinician satisfaction and measured using 0-10 point Likert scale.
Results: Twenty arthrocentesis procedures were completed. The mean clinical satisfaction scores for single-puncture arthrocentesis and double-puncture arthrocentesis were 8.1 and 4.8, respectively. A statistically significant difference was found between the techniques in terms of main outcome variable, and it was significantly lower in double-puncture arthrocentesis (p=0.001).
Conclusion: Single-puncture arthrocentesis showed higher clinician satisfaction compared to double-puncture arthrocentesis.
Ethical Statement
The present study was approved by the Gülhane Scientific Research Ethics Committee (registration date/number; 20.01.2022/2022-49)
References
- Referans1. Nitzan DW, Dolwick MF, Martinez GA. Temporomandibular joint
arthrocentesis: a simplified treatment for severe, limited mouth
opening. J Oral Maxillofac Surg 1991; 49: 1163-67.
- Referans2. Grossmann E, Poluha RL. Comparison between TMJ
arthrocentesis techniques with different needle positions: A
randomized single-blind controlled clinical trial. J Craniomaxillofac
Surg 2021; 49: 368-72.
- Referans3. Grossmann E , Ferreira LA, Poluha RL, Setogutti E, Iwaki
LCV, Iwaki Filho L. Comparison of two needles arthrocentesis
versus double needle cannula arthrocentesis in the treatment of
temporomandibular disc displacement. Cranio 2022; 40: 358-64.
- Referans4. Şentürk MF, Yazıcı T, Gülşen U. Techniques and modifications
for TMJ arthrocentesis: A literature review. Cranio. 2018; 36: 332-
40.
- Referans5. Folle FS, Poluha RL, Setogutti ET, Grossmann E. Double
puncture versus single puncture arthrocentesis for the
management of unilateral temporomandibular joint disc
displacement without reduction: A randomized controlled trial. J
Craniomaxillofac Surg 2018; 46: 2003-7.
- Referans6. Bayramoğlu Z, Tozoğlu S. Comparison of single- and doublepuncture
arthrocentesis for the treatment of temporomandibular
joint disorders: A six-month, prospective study. Cranio 2021; 39:151-56.
- Referans7. Guarda-Nardini L, Ferronato G, Manfredini D. Two-needle vs.
single-needle technique for TMJ arthrocentesis plus hyaluronic
acid injections: a comparative trial over a six-month follow up. Int
J Oral Maxillofac Surg 2012; 41: 506-13.
- Referans8. Alpaslan GH, Alpaslan C. Efficacy of temporomandibular joint
arthrocentesis with and without injection of sodium hyaluronate in
treatment of internal derangements. J Oral Maxillofac Surg 2001;
59: 613-18.
- Referans9. Şentürk MF, Tüzüner-Öncül AM, Cambazoğlu M. Prospective
short term comparison of outcomes after single or double
puncture arthrocentesis of the temporomandibular joint. Br J Oral
Maxillofac Surg 2016; 54: 26-9.
- Referans10. Tatli U, Benlidayi ME, Ekren O, Salimov F. Comparison
of the effectiveness of three different treatment methods for
temporomandibular joint disc displacement without reduction. Int
J Oral Maxillofac Surg 2017; 46: 603-9.
- Referans11. Alpaslan C, Dolwick MF, Heft MW. Five-year retrospective
evaluation of temporomandibular joint arthrocentesis. Int J Oral
Maxillofac Surg. 2003; 32: 263-67.
- Referans12. Grossmann E, Poluha RL, Leite JPB. Temporomandibular
joint arthrocentesis: a technique proposal. Case report. BrJP. São
Paulo 2019; 2: 293-5.
- Referans13. Tozoglu S, Al-Belasy FA, Dolwick MF. A review of techniques
of lysis and lavage of the TMJ. Br J Oral Maxillofac Surg 2011;
49: 302-9.
- Referans14. Alkan A, Kilic E. A new approach to arthrocentesis of the
temporomandibular joint. Int J Oral Maxillofac Surg 2009; 38:85-6.
- Referans15. Alkan A, Etöz OA. A new anatomical landmark to simplify
temporomandibular joint arthrocentesis. Br J Oral Maxillofac Surg
2010; 48: 310-11.
- Referans16. Rahal A, Poirier J, Ahmarani C. Single-puncture arthrocentesis-
-introducing a new technique and a novel device. J Oral Maxillofac
Surg 2009; 67: 1771-3.
- Referans17. Guarda-Nardini L, Manfredini D, Ferronato G. Arthrocentesis
of the temporomandibular joint: a proposal for a single-needle
technique. Oral Surg Oral Med Oral Pathol Oral Radiol Endod
2008; 106: 483-8.
- Referans18. Şentürk MF, Cambazoğlu M. A new classification for
temporomandibular joint arthrocentesis techniques. Int J Oral
Maxillofac Surg. 2015; 44: 417-18.
- Referans19. Nagori SA, Bansal A, Jose A, Roychoudhury A. Comparison
of outcomes with the single-puncture and double-puncture
techniques of arthrocentesis of the temporomandibular joint: An
updated systematic review and meta-analysis. J Oral Rehabil
2021; 48: 1056-65.
- Referans20. Grossmann E, Guilherme Vargas Pasqual P, Poluha RL, Iwaki
LCV, Iwaki Filho L, Setogutti ÊT. Single-needle arthrocentesis
with upper compartment distension versus conventional twoneedle
arthrocentesis: randomized clinical trial. Pain Res Manag
2017; 2017: 2435263.
- Referans21. Nagori SA, Roy Chowdhury SK, Thukral H, Jose A,
Roychoudhury A. Single puncture versus standard double needle
arthrocentesis for the management of temporomandibular joint
disorders: A systematic review. J Oral Rehabil 2018; 45: 810-8.
- Referans22. Şentürk MF, Yazıcı T, Fındık Y, Baykul T. Intraoperative
comparison of single- and double-puncture techniques in
temporomandibular joint arthrocentesis. Int J Oral Maxillofac Surg
2018; 47: 1060-4.
- Referans23. Monteiro JLGC, de Arruda JAA, Silva EDOE, Vasconcelos
BCDE. Is single-puncture TMJ arthrocentesis superior to the
double-puncture technique for the ımprovement of outcomes in
patients with TMDs? J Oral Maxillofac Surg 2020; 78: 1319.e1-
e15.
- Referans24. Nagori SA, Jose A, Roychoudhury A. Comparison of
intraoperative outcomes with single and double puncture
techniques of arthrocentesis of the temporomandibular joint. Br J
Oral Maxillofac Surg. 2020; 58: 928-32.
- Referans25. Sindel A, Uzuner F, Sindel M, Tozoglu S. Comparison of the
efficiency of irrigation of single and double-needle techniques of
temporomandibular joint arthrocentesis: A cadaver study. Cranio.
2017; 35: 405-9.
- Referans26. Gouveia MV, Barbalho JC, Pereira Júnior ED, Nascimento
MM, Vasconcelos BC. Effectiveness and satisfaction evaluation
of patients submitted to TMJ arthrocenthesis: a case series. Braz
Oral Res. 2015; 29:50.
- Referans27. Rodrigues ALP, Cardoso HJ, Ângelo DF. Patient experience
and satisfaction with different temporomandibular joint treatments:
A retrospective study. J Craniomaxillofac Surg. 2023; 51: 44-51.
Tek girişli ve iki girişli temporomandibular eklem artrosentezine yönelik klinisyen memnuniyetinin değerlendirilmesi
Year 2024,
Volume: 13 Issue: 1, 87 - 91, 26.01.2024
Sara Samur Ergüven
,
Selda Aksoy
,
M.fatih Şentürk
,
Aydın Ozkan
,
Çiğdem Yücel
Abstract
Amaç: Bu çalışmanın amacı kadavralarda uygulanan tek girişli artrosentez ve çift girişli artrosentez yöntemlerinin klinisyen memnuniyeti üzerine etkisinin değerlendirilmesidir.
Gereç ve yöntem: Çalışma on taze kadavranın temporomandibular eklem bölgeleri üzerinde çift taraflı olarak gerçekleştirilmiştir. Rastgele seçilen bir tarafta tek girişli artrosentez, diğer tarafta ise çift girişli artrosentez işlemi uygulanmıştır. Ana sonuç değişkeni klinisyen memnuniyeti olarak belirlenmiş olup Likert ölçeği (0-10 arası) ile kaydedilmiştir.
Bulgular: Yirmi artrosentez işlemi gerçekleştirilmiştir. Ortalama klinisyen memnuniyet skorları tek girişli ve çift girişli artrosentez yöntemleri için sırasıyla, 8.1 ve 4.8 olarak saptanmıştır. Teknikler arasında ana sonuç değişkeni açısından istatistiksel olarak anlamlı fark saptanmış olup, çift girişli artrosentez yönteminde klinisyen memnuniyeti daha düşük olarak belirlenmiştir (p=0.001).
Sonuç: Tek girişli artrosentez iki girişli artrosenteze göre daha yüksek klinisyen memnuniyeti ile ilişkili bulunmuştur.
Ethical Statement
Çalışma ticari olarak satılan kadavra ve kadavra parçaları üzerinde gerçekleştirlmiş olup, etik kurul onayı gerektirmemektedir.
References
- Referans1. Nitzan DW, Dolwick MF, Martinez GA. Temporomandibular joint
arthrocentesis: a simplified treatment for severe, limited mouth
opening. J Oral Maxillofac Surg 1991; 49: 1163-67.
- Referans2. Grossmann E, Poluha RL. Comparison between TMJ
arthrocentesis techniques with different needle positions: A
randomized single-blind controlled clinical trial. J Craniomaxillofac
Surg 2021; 49: 368-72.
- Referans3. Grossmann E , Ferreira LA, Poluha RL, Setogutti E, Iwaki
LCV, Iwaki Filho L. Comparison of two needles arthrocentesis
versus double needle cannula arthrocentesis in the treatment of
temporomandibular disc displacement. Cranio 2022; 40: 358-64.
- Referans4. Şentürk MF, Yazıcı T, Gülşen U. Techniques and modifications
for TMJ arthrocentesis: A literature review. Cranio. 2018; 36: 332-
40.
- Referans5. Folle FS, Poluha RL, Setogutti ET, Grossmann E. Double
puncture versus single puncture arthrocentesis for the
management of unilateral temporomandibular joint disc
displacement without reduction: A randomized controlled trial. J
Craniomaxillofac Surg 2018; 46: 2003-7.
- Referans6. Bayramoğlu Z, Tozoğlu S. Comparison of single- and doublepuncture
arthrocentesis for the treatment of temporomandibular
joint disorders: A six-month, prospective study. Cranio 2021; 39:151-56.
- Referans7. Guarda-Nardini L, Ferronato G, Manfredini D. Two-needle vs.
single-needle technique for TMJ arthrocentesis plus hyaluronic
acid injections: a comparative trial over a six-month follow up. Int
J Oral Maxillofac Surg 2012; 41: 506-13.
- Referans8. Alpaslan GH, Alpaslan C. Efficacy of temporomandibular joint
arthrocentesis with and without injection of sodium hyaluronate in
treatment of internal derangements. J Oral Maxillofac Surg 2001;
59: 613-18.
- Referans9. Şentürk MF, Tüzüner-Öncül AM, Cambazoğlu M. Prospective
short term comparison of outcomes after single or double
puncture arthrocentesis of the temporomandibular joint. Br J Oral
Maxillofac Surg 2016; 54: 26-9.
- Referans10. Tatli U, Benlidayi ME, Ekren O, Salimov F. Comparison
of the effectiveness of three different treatment methods for
temporomandibular joint disc displacement without reduction. Int
J Oral Maxillofac Surg 2017; 46: 603-9.
- Referans11. Alpaslan C, Dolwick MF, Heft MW. Five-year retrospective
evaluation of temporomandibular joint arthrocentesis. Int J Oral
Maxillofac Surg. 2003; 32: 263-67.
- Referans12. Grossmann E, Poluha RL, Leite JPB. Temporomandibular
joint arthrocentesis: a technique proposal. Case report. BrJP. São
Paulo 2019; 2: 293-5.
- Referans13. Tozoglu S, Al-Belasy FA, Dolwick MF. A review of techniques
of lysis and lavage of the TMJ. Br J Oral Maxillofac Surg 2011;
49: 302-9.
- Referans14. Alkan A, Kilic E. A new approach to arthrocentesis of the
temporomandibular joint. Int J Oral Maxillofac Surg 2009; 38:85-6.
- Referans15. Alkan A, Etöz OA. A new anatomical landmark to simplify
temporomandibular joint arthrocentesis. Br J Oral Maxillofac Surg
2010; 48: 310-11.
- Referans16. Rahal A, Poirier J, Ahmarani C. Single-puncture arthrocentesis-
-introducing a new technique and a novel device. J Oral Maxillofac
Surg 2009; 67: 1771-3.
- Referans17. Guarda-Nardini L, Manfredini D, Ferronato G. Arthrocentesis
of the temporomandibular joint: a proposal for a single-needle
technique. Oral Surg Oral Med Oral Pathol Oral Radiol Endod
2008; 106: 483-8.
- Referans18. Şentürk MF, Cambazoğlu M. A new classification for
temporomandibular joint arthrocentesis techniques. Int J Oral
Maxillofac Surg. 2015; 44: 417-18.
- Referans19. Nagori SA, Bansal A, Jose A, Roychoudhury A. Comparison
of outcomes with the single-puncture and double-puncture
techniques of arthrocentesis of the temporomandibular joint: An
updated systematic review and meta-analysis. J Oral Rehabil
2021; 48: 1056-65.
- Referans20. Grossmann E, Guilherme Vargas Pasqual P, Poluha RL, Iwaki
LCV, Iwaki Filho L, Setogutti ÊT. Single-needle arthrocentesis
with upper compartment distension versus conventional twoneedle
arthrocentesis: randomized clinical trial. Pain Res Manag
2017; 2017: 2435263.
- Referans21. Nagori SA, Roy Chowdhury SK, Thukral H, Jose A,
Roychoudhury A. Single puncture versus standard double needle
arthrocentesis for the management of temporomandibular joint
disorders: A systematic review. J Oral Rehabil 2018; 45: 810-8.
- Referans22. Şentürk MF, Yazıcı T, Fındık Y, Baykul T. Intraoperative
comparison of single- and double-puncture techniques in
temporomandibular joint arthrocentesis. Int J Oral Maxillofac Surg
2018; 47: 1060-4.
- Referans23. Monteiro JLGC, de Arruda JAA, Silva EDOE, Vasconcelos
BCDE. Is single-puncture TMJ arthrocentesis superior to the
double-puncture technique for the ımprovement of outcomes in
patients with TMDs? J Oral Maxillofac Surg 2020; 78: 1319.e1-
e15.
- Referans24. Nagori SA, Jose A, Roychoudhury A. Comparison of
intraoperative outcomes with single and double puncture
techniques of arthrocentesis of the temporomandibular joint. Br J
Oral Maxillofac Surg. 2020; 58: 928-32.
- Referans25. Sindel A, Uzuner F, Sindel M, Tozoglu S. Comparison of the
efficiency of irrigation of single and double-needle techniques of
temporomandibular joint arthrocentesis: A cadaver study. Cranio.
2017; 35: 405-9.
- Referans26. Gouveia MV, Barbalho JC, Pereira Júnior ED, Nascimento
MM, Vasconcelos BC. Effectiveness and satisfaction evaluation
of patients submitted to TMJ arthrocenthesis: a case series. Braz
Oral Res. 2015; 29:50.
- Referans27. Rodrigues ALP, Cardoso HJ, Ângelo DF. Patient experience
and satisfaction with different temporomandibular joint treatments:
A retrospective study. J Craniomaxillofac Surg. 2023; 51: 44-51.