Impact of arthrocentesis in treatment of temporomandibular joint problems

ABSTRACT
Background: Temporomandibular joint (TMJ) illnesses denote varied pain and dysfunction circumstances connecting the
masticatory scheme and decrease life eminence of the subjects. Arthrocentesis is a modest and less offensive operating technique
for managing interior imbalance than arthroscopy and recovering than additional traditional techniques as medications, occlusal
applications, and rehabilitation. The study aimed to assess the efficiency of arthrocentesis, in combination with a steadying
immobilize, in refining purpose, dropping pain, and inhibiting additional worsening of the TMJ function.
Methods: This study was done in Al-shaheed Ghazi Al-Hareeri Hospital, Department of Oral and Maxillofacial Operation.
Entirely patients recognize with TMJ illness after do X-ray in the radiological department. Total of 40 patients (4 men) and (36
women) with an age of 18–35 years old. Each patient was assessed for the subsequent strictures preoperatively and followed
up for 1 month after the previous lavage.
Results: This study revealed marked female predilection with a female ratio of about 90% (36 patients) and a male ratio of
10% (4 patients), with a mean age of 23.32 years old, range between 18 and 35 years old. In general, all patients tolerated
treatment procedures without any serious complications during either Arthrocentesis and previous medication and splint
therapy. The results of parameters after one-month follow-up were:
pain level (VAS): Group A: mean 2.2, Group B: mean 2.8 So group A get better than group B.
Maximum mouth opening: Group A: 39.8 mm, group B: 38.6 mm.
Joint click: At the end of follow up only 6 patients show no change in joint click; all others show a decrease in clicking.
Conclusion: Using 0.9% normal saline solution and betamethasone injection with occlusal splint have satisfying benefits,
ease, security, patient’s approval of injection procedure, and absence of important adverse effects and problems.
Keywords: Arthrocentesis, Temporomandibular joint, Treatment.
International Journal of Drug Delivery Technology (2021); DOI: 10.25258/ijddt.11.1.30
How to cite this article: Abbas al-Rifae IK, Akram ZM, Oraibi QK. Impact of Arthrocentesis in Treatment of Temporomandibular
Joint Problems. International Journal of Drug Delivery Technology. 2021;11(1):166-169.
Source of support: Nil.
Conflict of interest: None