The Use of Arthrocentesis in Patients with Temporomandibular Disorder

Year 2024, Volume: 13 Issue: 2, 374 - 380, 20.05.2024

Alperen Kırkpunar , Ahmet Berkant Özen , İnci Rana Karaca

https://doi.org/10.54617/adoklinikbilimler.1379044

Abstract

Temporomandibular disorders, which is an important issue today are defined as clinical problems involving the masticatory musculature, the temporomandibular joints and associated structures, or both.
Temporomandibular disorders (TMD) are not rare in the general population and the patients not responding to conservative therapies are candidates for surgery. Arthrocentesis is a method of flushing out the temporomandibular joint that is currently performed by providing a double access to the joint space. Although arthrocentesis is not a cure-all, it has been widely used for a variety of temporomandibular disorders. The aim of this article was to review the efficacy of arthrocentesis in the treatment of patients with temporomandibular disorder.

Keywords

Disc isplacement, Temporomandibular joint, Intraarticular injection

Temporomandibular Bozukluğu Olan Hastalarda Artrosentez Kullanımı

Abstract

Günümüzde önemli bir konu olan temporomandibular bozukluklar; çiğneme kaslarını, temporomandibular eklemleri ve ilişkili yapıları veya her ikisini birden tutan klinik problemler olarak tanımlanmaktadır. Temporomandibular bozukluklar (TMD), genel popülasyonda nadir değildir ve konservatif tedavilere yanıt vermeyen hastalar cerrahi tedavi için adaydır. Artrosentez, eklem boşluğuna çift giriş sağlayarak gerçekleştirilen temporomandibular eklemi temizleme yöntemidir. Artrosentez her derde deva olmasa da çeşitli temporomandibular bozukluklar için yaygın olarak kullanılmaktadır. Bu makalenin amacı temporomandibular bozukluğu olan hastaların tedavisinde artrosentezin etkinliğini gözden geçirmektir.

Keywords

Disk deplasmanı, Eklem içi enjeksiyon, Temporomandibular eklem

References

• Alomar X, Medrano J, Cabratosa J, Clavero J A, Lorente M, Serra I, et al. Anatomy of the temporomandibular joint. In: Seminars in Ultrasound, CT and MRI. WB Saunders 2007;28:170-83.
• Keklik B, Emekli U. Artrosentez, Artroskopik Değerlendirme ve Cerrahi Girişimler. Turk J Phys Med Rehabil 2010; 56.
• Dworkin SF, Leresche L. Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord Facial Oral Pain 1992;6:301-55.
• Tasaki M, Mark M, Westesson PL, Isberg AM, Ren YF, Tallents RH. Classification and prevalence of temporomandibular joint disk displacement in patients and symptom-free volunteers. Am J Orthod Dentofacial Orthop 1996;109:249-62.
• Aksoy S, Orhan, K. Temporomandibular eklemin disk deplasmanları. Gazi Üniversitesi Diş Hekimliği Fakültesi Dergisi 2010;27:65-73.
• Yoshida H, Hirohata H, Onizawa K, Niitsu M, İtai Y. Flexure deformation of the temporomandibular joint disk in pseudodynamic magnetic resonance images. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;89:104-11.
• Odabaş B, Arslan SG. Temporomandibular eklem anatomisi ve rahatsızlıkları. Dicle Tıp Dergisi 2008;35:77-85.
• Peck, CC, Goulet JP, Lobbezoo F, Schiffman EL, Alstergren P, Anderson GC, et al. Expanding the taxonomy of the diagnostic criteria for temporomandibular disorders. J Oral Rehabil 2014;41:2-23.
• Okeson JP. Management of temporomandibular disorders and occlusion-E-book. Elsevier Health Sciences; 2019; 233.
• Can T, Genetik olarak ağrıya duyarlılığın temporomandibular eklem redüksiyonsuz disk deplasmanı hastalarının artrosentezle tedavisinin başarısına etkisinin incelenmesi (tez) İstanbul: İstanbul Üniversitesi; 2013.
• Cope G, Cope A. Diagnosis, treatment and management of TMJ disorders. Dental Nursing 2011;7:682-6.
• Bhargava, Bhargava D. Arthrocentesis of the Temporomandibular Joint. Temporomandibular Joint Disorders: Principles and Current Practice 2021; 253-63.
• 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.
• Tvrdy P, Heinz P, Pink R. Arthrocentesis of the temporomandibular joint: a review. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2015;159:31-4.
• Al-Belasy FA, Dolwick MF. Arthrocentesis for the treatment of temporomandibular joint closed lock: a review article. Int J Oral Maxillofac Surg 2007;36:773-82.
• Şentürk MF, Cambazoğlı M. A new classification for temporomandibular joint arthrocentesis techniques. Int J Oral Maxillofac Surg 2015;44:417-8.
• Şentürk, MF, Yazıcı T, Gülşen U. Techniques and modifications for TMJ arthrocentesis: A literature review. Cranio 2018;36:332-40.
• Holmlund A, Hellsing G. Arthroscopy of the temporomandibular joint: an autopsy study. Int J Oral Surg 1985;14:169-75.
• Shinjo H, Nakata K, Shino K, Hamada, M, Nakamura N, Mae T, et al. Effect of irrigation solutions for arthroscopic surgery on intraarticular tissue: Comparison in human meniscus‐derived primary cell culture between lactate Ringer's solution and saline solution. J Orthop Res 2002;20:1305-10.
• 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.
• 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;106:483-6.
• Alkan A, Baş B. The use of double-needle canula method for temporomandibular joint arthrocentesis: clinical report. Eur J Dent 2007;1:179-82.
• Carvajal WA, Laskin DM. Long-term evaluation of arthrocentesis for the treatment of internal derangements of the temporomandibular joint. J Oral Maxillofac Surg 2000;58:852-5.
• Wenneberg B, Kopp S, Gröndahl HG. Long-term effect of intra-articular injections of a glucocorticosteroid into the TMJ: a clinical and radiographic 8-year follow-up. J Cranimandib Disord 1991; 5:11-8.
• Ertürk C, Özyalçın A, Büyükdoğan H. Osteoartrit tedavisinde eklem içi enjeksiyon uygulamaları: Kortikosteroid, hyalüronik asit ve kollajen. J Totbid 2022; 21: 508-14.
• 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;59:613-8.