scholarly journals Relationship between the Effectiveness of Arthrocentesis under Sufficient Pressure and Conditions of the Temporomandibular Joint

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Shinya Yura ◽  
Kazuhiro Ooi ◽  
Yuri Izumiyama
Keyword(s):  
High Pressure ◽  
Regression Analysis ◽  
Multiple Regression Analysis ◽  
Temporomandibular Joint ◽  
Initial Treatment ◽  
Joint Pain ◽  
Mouth Opening ◽  
Arthroscopic Examination ◽  
Closed Lock ◽  
Maximum Opening

Background. The purpose of this study is to investigate the conditions of the temporomandibular joint relative to the effectiveness of an arthrocentesis-like enforced manipulation technique followed by irrigation under high pressure in patients with closed lock. Methods. We performed arthroscopic examination and manipulation followed by irrigation as the initial treatment in 50 joints with closed lock. Relationship between the effectiveness of the procedure and conditions of the temporomandibular joint was statistically analyzed using multiple regression analysis. Results. Significant inverse correlations were found between the extent of improvement in maximum mouth opening after treatment and the initial maximum opening before treatment. There were no significant correlations between improvement of joint pain at mouth opening and in biting and conditions of the temporomandibular joint. Conclusions. Pathologic conditions of the temporomandibular joint did not have an influence on the efficacy of the technique. This result suggests that this procedure has wider application than conventional arthrocentesis.

scholarly journals Arthrocentesis: A Minimally Invasive Approach for Temporomandibular Joint Pain

2014 ◽  
Vol 5 (2) ◽  
pp. 61-65
Author(s):  
Yogesh Kini ◽  
Snehal H Thakkar ◽  
Mukul Padhye ◽  
Rujuta Desai ◽  
Vaibhav Shah ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Temporomandibular Joint ◽  
Joint Pain ◽  
Mouth Opening ◽  
Joint Space ◽  
Minimally Invasive Approach ◽  
Sample Mean ◽  
Invasive Approach ◽  
Temporomandibular Joint Pain ◽  
Closed Lock

ABSTRACT The aim of this article is to provide emergency care to the diseased temporomandibular joint (TMJ) when conservative methods have failed to do so and to increase mouth opening, especially in cases of closed lock. Our study was carried out on 18 healthy adult individuals who reported to our institute complaining of pain in one or both TMJs and restricted mouth opening. Mouth opening of each patient was recorded in mm prior to the procedure and pain recorded on a visual analog scale (VAS). Arthrocentesis was performed using 100 cc of Lactated Ringers solution on these individuals after conservative management of these individuals failed, followed by injection of Dexamethasone in the superior joint space. Pain was once again recorded on a VAS and mouth opening in mm 1 day after the procedure, then after 1 week, 1, 3 and 6 months. In this sample, mean mouth opening (MMO) prior to the procedure was 24.3 mm (SD ± 3.114), ranging from 18 to 30 mm. MMO postarthrocentesis was 37.85 mm (SD ± 7.457), ranging from 28 to 55 mm. From this study, the following conclusions may be drawn: Arthrocentesis is an effective mode of treatment for closed lock of the TMJ when conservative methods have failed. Mouth opening is seen to increase in patients with restricted mouth opening due to closed lock of the TMJ. It provides instant relief from pain and has long lasting effects. How to cite this article Thakkar SH, Padhye M, Kini Y, Desai R, Shah V, Pawar S, Shevale V, Mehta F. Arthrocentesis: A Minimally Invasive Approach for Temporomandibular Joint Pain. Int J Head Neck Surg 2014;5(2):61-65.

Role of Electro Acupuncture Therapy on Temporomandibular Joint Pain With Orofacial Myalgia Following Post Healed Unilateral Cervicofacial Burn

2021 ◽  
Vol 46 (2) ◽  
pp. 123-134
Author(s):  
Gopal Nambi ◽  
Walid Kamal Abdelbasset ◽  
Shereen H. Elsayed ◽  
Anju Verma ◽  
Shimaa Abd El-Hamid Abase ◽  
...  
Keyword(s):  
Acupuncture Therapy ◽  
Temporomandibular Joint ◽  
Joint Pain ◽  
Pain Threshold ◽  
Mouth Opening ◽  
Temporomandibular Joint Pain ◽  
Pain Frequency ◽  
Disability Level

Background: Temporomandibular Joint (TJ) pain and orofacial myalgia (OM) are the most significant problems in physiotherapy context to treat in Cervicofacial burn (CB). However, there is a lack of clinical studies in investigating the effects of electro acupuncture therapy on TJ pain with OM following post healed CB patients.<br/> Objective: To investigate the effects of clinical and functional efficacy of electro acupuncture therapy on temporomandibular joint pain with orofacial myalgia following post healed cervicofacial burn patients.<br/> Methods: Through two block random sampling method, the eligible participants were randomized and allocated into active EAT (Active-EAT; n = 15) and placebo EAT (Placebo-EAT; n = 15) groups. The Active-EAT group received electro acupuncture therapy and the Placebo-EAT group received placebo effect with regular physiotherapy care for 4 times in a week for 4 weeks. Primary (pain intensity, pain threshold, pain frequency) and secondary (mouth opening, disability level and quality of life) measures were measured at baseline, after the 4th week, 8th week and 6 month follow up.<br/> Results: Baseline demographic and clinical attributes show homogenous presentation among the study groups (p > 0.05). After 4 weeks of treatment, and at the end of 6 months follow up, the pain intensity, 3.0 (CI 95% 2.83 to 3.16), pain threshold 18.6 (CI 95% -35.0 to -2.1), pain frequency 2.9 (CI 95% 2.54 to 3.25), mouth opening, -13.4 (CI 95% -15.1 to -11.6), disability level 12.4 (CI 95% 12.16 to 12.63), and quality of life -25.8 (CI 95% -31.0 to -20.5) showed more improvement (p < 0.001) in Active-EAT group than Placebo-EAT group.<br/> Conclusion: The reports of this study proved that, 4 weeks active electro acupuncture therapy with regular physiotherapy care has an ideal treatment protocol for temporomandibular joint pain with orofacial myalgia following post healed cervicofacial burn. This study also provided a new knowledge for physiotherapists in the field of TJ rehabilitation.

scholarly journals A Multidisciplinary Approach in the Treatment of Tempromandibular Joint Pain Associated with Qat Chewing

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Mansoor Shariff ◽  
Mohammed M. Al-Moaleem ◽  
Nasser M. Al-Ahmari
Keyword(s):  
Physical Activity ◽  
Temporomandibular Joint ◽  
Initial Treatment ◽  
Joint Pain ◽  
Multidisciplinary Approach ◽  
Missing Teeth ◽  
Anterior Teeth ◽  
Dental Hospital ◽  
The University

Pain of the tempro-mandibular joint (TMJ) has a direct bearing to missing teeth and excessive physical activity. Consumption of qat requires chewing on the leaves to extract their juice for long hours. A 65-year-old male Yemeni patient, a Qat chewer, reported to the university dental hospital at King Khalid University complaining of pain in left temporomandibular joint with missing mandibular anterior teeth. A multidisciplinary approach for the overall treatment of the patient was decided. Initial treatment was the relief of patient’s pain with the help of a night guard. This was followed by a fabrication of anterior FPD. The case was under maintenance and follow-up protocol for a period of 8 months with no complaint of pain discomfort.

scholarly journals Arthrocentesis following arthroscopic examination in patients with closed lock of the temporomandibular joint

2003 ◽  
Vol 49 (4) ◽  
pp. 246-251 ◽  
Author(s):  
Shinya YURA ◽  
Yasunori TOTSUKA ◽  
Kazuhiro OOI ◽  
Akiko MABUCHI ◽  
Hiromasa HORIMUKAI ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Arthroscopic Examination ◽  
Closed Lock

scholarly journals Effect of arthrocentesis on the clinical outcome of various treatment methods for temporomandibular joint disorders

2019 ◽  
Vol 41 (1) ◽  
Author(s):  
Chang-Woo Kim ◽  
Sung-Jae Lee ◽  
Euy-Hyun Kim ◽  
Dong-Keon Lee ◽  
Mong-Hun Kang ◽  
...  
Keyword(s):  
Pain Relief ◽  
Temporomandibular Joint ◽  
Mouth Opening ◽  
Temporomandibular Joint Disorders ◽  
Treatment Modalities ◽  
Disc Displacement ◽  
Significant Difference ◽  
Joint Disorder ◽  
Average Pain ◽  
Closed Lock

Abstract Background We evaluated the improvement of pain and the increase in mouth opening after temporomandibular joint arthrocentesis and the possible association with various factors such as previous splint treatment, medication, and diagnosis. Results We studied 57 temporomandibular joint disorder patients who underwent arthrocentesis at Korea University Anam Hospital. These patients (24 males and 33 females, aged between 15 and 76 years) underwent arthrocentesis that was performed by one surgeon. The degree of mouth opening (assessed using the maximum mouth opening: MMO) and pain (assessed using the visual analog scale: VAS) were assessed pre- and post-arthrocentesis. The study also investigated whether treatment modalities other than arthrocentesis (medication and appliance therapy) were performed. Statistical analysis revealed that there was a significant difference in mouth opening and pain after temporomandibular joint arthrocentesis. Preoperative appliance therapy affected the results of arthrocentesis, but it was not statistically significant. With regard to pain relief, preoperative diagnosis did not show a significant difference. However, with regard to maximum mouth opening, patients with disc displacement without reduction with limited mouth opening (closed lock) showed the highest recovery (11.13 mm). Conclusion The average of MMO increase after arthrocentesis was 9.10 mm, and patients with disc displacement without reduction with locking (closed lock) showed most recovery in maximum mouth opening and it was statistically significant. The average pain relief of patients after arthrocentesis was 3.03 in the VAS scale, and patients using anterior repositioning splint (ARS) preoperatively showed the most pain relief.

scholarly journals Condylar erosion is predictive of painful closed lock of the temporomandibular joint: a magnetic resonance imaging study

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Rüdiger Emshoff ◽  
Annika Bertram ◽  
Linus Hupp ◽  
Ansgar Rudisch
Keyword(s):  
Magnetic Resonance Imaging ◽  
Regression Analysis ◽  
Magnetic Resonance ◽  
Temporomandibular Joint ◽  
Clinical Diagnosis ◽  
Dominant Factor ◽  
Resonance Imaging ◽  
Disk Displacement ◽  
Axis I ◽  
Closed Lock

Abstract Background To assess whether magnetic resonance imaging (MRI) findings of condylar erosion (CE) are predictive of a specific clinical diagnosis of painful closed lock of the temporomandibular joint (TMJ), and to determine the strength of association between CE and types of internal derangement (ID). Methods Based upon sample size estimation, this retrospective paired-design study involved 62 patients, aged between 18 and 67 years. Inclusion criteria were the presence of a unilateral clinical diagnosis of arthralgia coexisting with disk displacement without reduction (‘AR and DDwoR/wLO’), assigned according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) Axis I, and the absence of signs and symptoms of TMJ pain and dysfunction on the contralateral TMJ side. Bilateral sagittal and coronal MR images were obtained to establish the prevalence of CE and TMJ ID types of disk displacement with (DDR) and without reduction (DDNR). Logistic regression analysis was used to compute odds ratios for CE and ID types. Confounding variables adjusted for were age, sex, time since pain onset, pain intensity, and type of ID. Results In the regression analysis, the MRI items of DDR (p = 0.533) and DDNR (p = 0.204) dropped out as nonsignificant in the diagnostic clinical ‘AR and DDwoR/wLO’ group. Significant increases in the risk of ‘AR and DDwoR’ occurred with CE (3.1:1 odds ratio; p = 0.026). The presence of CE was significantly related to DDNR (adjusted OR = 43.9; p <  0.001). Conclusions The data suggest CE as a dominant factor in the definition of painful closed lock of the TMJ, support the view that joint locking needs to be considered as a frequent symptom of osteoarthritis, and emphasize a strong association between the MRI items of CE and DDNR.

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