Efficacy of Arthrocentesis and Anterior Repositioning Splints in Treatment of Internal Derangement of TMJ: A Prospective Clinical Study

被引：2

作者：

Navaneetham, Anuradha ^{[1
]}

Vaibhav, N. ^{[1
]}

Navaneetham, Romir ^{[2
]}

Balaraj, B. V. ^{[1
]}

Roy, Niti P. ^{[2
]}

Madhusudan, Shashank ^{[2
]}

机构：

[1] MR Ambedkar Dent Coll, Dept Oral & Maxillofacial Surg, 1-36 Cline Rd, Bangalore 560005, India

[2] HOSMAT Hosp, Adv Trauma & Implantol, Bangalore, India

来源：

INDIAN JOURNAL OF OTOLARYNGOLOGY AND HEAD & NECK SURGERY | 2023年 / 75卷 / 04期

关键词：

Temporomandibular disorders; Internal derangement; Arthrocentesis; Anterior repositioning splints; TEMPOROMANDIBULAR-JOINT; ARTHROSCOPIC LYSIS; DISC DISPLACEMENT; MANAGEMENT; OUTCOMES; SYMPTOMS; LAVAGE; PAIN;

D O I：

10.1007/s12070-023-03890-3

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The aim of this study is to assess the efficacy of double puncture arthrocentesis and anterior repositioning splints in the treatment of internal derangement of temporomandibular joint. 35 patients with mean age of 36.6 years +/- 10.2 years diagnosed with unilateral TMD who fell into Wilkes stage 2 and disc displacement with reduction with intermittent locking described by RDC/TMD were treated with Nitzan's double puncture arthrocentesis and were given a anterior repositioning hard splint. The parameters following parameters were assessed at intervals of 1 week, 2 weeks, 1 month, 3 months and 6 months: pain, maximum inter-incisal mouth opening, Joint noise/click. Statistically significant (p < 0.001) improvements were seen at all recorded intervals in all observed parameters. Simultaneous arthrocentesis and anterior repositioning splint therapy is effective in alleviating pain and improving mouth opening without discomfort in patients with unilateral painful TMD showing disc displacement with reduction with intermittent locking.

引用

页码：3116 / 3129

页数：14

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