Arthrocentesis and lavage for treating temporomandibular joint disorders
- PMID: 19821335
- DOI: 10.1002/14651858.CD004973.pub2
Arthrocentesis and lavage for treating temporomandibular joint disorders
Update in
-
WITHDRAWN: Arthrocentesis and lavage for treating temporomandibular joint disorders.Cochrane Database Syst Rev. 2015 Dec 16;2015(12):CD004973. doi: 10.1002/14651858.CD004973.pub3. Cochrane Database Syst Rev. 2015. PMID: 26677172 Free PMC article.
Abstract
Background: Temporomandibular joint disorders are important oral health problems, reducing the quality of life of sufferers. It has been estimated that approximately 20% to 30% of the adult population will experience temporomandibular joint dysfunction. Arthrocentesis and lavage has been used to treat temporomandibular joint disorders for about 10 years, but the clinical effectiveness of the therapy has not been summarized in the form of a systematic review.
Objectives: To assess the effectiveness and complications of arthrocentesis and lavage for the treatment of temporomandibular joint disorders compared with controlled interventions.
Search strategy: The Cochrane Oral Health Group's Trials Register (to August 2009), CENTRAL (The Cochrane Library 2009, Issue 3), MEDLINE (1950 to August 2009), EMBASE (1980 to August 2009), OpenSIGLE (to August 2009), CBMdisc (1981 to 2007 (in Chinese)) and Chinese Medical Library were searched. All the Chinese professional journals in the oral health field were handsearched and conference proceedings consulted. There was no language restriction.
Selection criteria: All randomised controlled trials (RCTs) (including quasi-randomised clinical trials) aiming to test the therapeutic effects of arthrocentesis and lavage for treating temporomandibular joint disorders.
Data collection and analysis: Two review authors independently extracted data, and three review authors independently assessed the risk of bias of included trials. The first authors of the selected articles were contacted for additional information.
Main results: Two trials, at unclear to high risk of bias, were included in the review. The two trials, including 81 patients with temporomandibular joint disorders, compared arthrocentesis with arthroscopy. No statistically significant difference was found between the interventions in terms of pain. However, a statistically significant difference in favour of arthroscopy was found in maximum incisal opening (MIO) (weighted mean difference of -5.28 (95% confidence interval (CI) -7.10 to -3.46)).Mild and transient adverse reactions such as discomfort or pain at the injection site were reported in both groups. No data about quality of life were reported.
Authors' conclusions: There is insufficient, consistent evidence to either support or refute the use of arthrocentesis and lavage for treating patients with temporomandibular joint disorders. Further high quality RCTs of arthrocentesis need to be conducted before firm conclusions with regard to its effectiveness can be drawn.
Comment in
-
Temporomandibular joint arthrocentesis and lavage.Evid Based Dent. 2009;10(4):110. doi: 10.1038/sj.ebd.6400685. Evid Based Dent. 2009. PMID: 20023618
Similar articles
-
Hyaluronate for temporomandibular joint disorders.Cochrane Database Syst Rev. 2003;(1):CD002970. doi: 10.1002/14651858.CD002970. Cochrane Database Syst Rev. 2003. Update in: Cochrane Database Syst Rev. 2013 Oct 08;(10):CD002970. doi: 10.1002/14651858.CD002970.pub2. PMID: 12535445 Updated.
-
Arthroscopy for temporomandibular disorders.Cochrane Database Syst Rev. 2011 May 11;(5):CD006385. doi: 10.1002/14651858.CD006385.pub2. Cochrane Database Syst Rev. 2011. Update in: Cochrane Database Syst Rev. 2015 Dec 16;(12):CD006385. doi: 10.1002/14651858.CD006385.pub3. PMID: 21563153 Updated.
-
Sertindole for schizophrenia.Cochrane Database Syst Rev. 2005 Jul 20;2005(3):CD001715. doi: 10.1002/14651858.CD001715.pub2. Cochrane Database Syst Rev. 2005. PMID: 16034864 Free PMC article.
-
Psychological therapies for temporomandibular disorders (TMDs).Cochrane Database Syst Rev. 2022 Aug 11;8(8):CD013515. doi: 10.1002/14651858.CD013515.pub2. Cochrane Database Syst Rev. 2022. PMID: 35951347 Free PMC article.
-
Pulp treatment for extensive decay in primary teeth.Cochrane Database Syst Rev. 2018 May 31;5(5):CD003220. doi: 10.1002/14651858.CD003220.pub3. Cochrane Database Syst Rev. 2018. PMID: 29852056 Free PMC article.
Cited by
-
Clinical efficacy of a centric relation occlusal splint and intra-articular liquid phase concentrated growth factor injection for the treatment of temporomandibular disorders.Medicine (Baltimore). 2017 Mar;96(11):e6302. doi: 10.1097/MD.0000000000006302. Medicine (Baltimore). 2017. PMID: 28296738 Free PMC article.
-
Splint-assisted disc plication surgery.Ann Stomatol (Roma). 2017 Jan 10;7(3):73-78. doi: 10.11138/ads/2016.7.3.078. eCollection 2016 Jul-Sep. Ann Stomatol (Roma). 2017. PMID: 28149454 Free PMC article.
-
Adjacent, distal, or combination of point-selective effects of acupuncture on temporomandibular joint disorders: A randomized, single-blind, assessor-blind controlled trial.Integr Med Res. 2012 Dec;1(1):36-40. doi: 10.1016/j.imr.2012.09.004. Epub 2012 Oct 16. Integr Med Res. 2012. PMID: 28664045 Free PMC article.
-
A clinical trial of ropivacaine in arthocentesis for TMD.BMC Oral Health. 2024 Oct 29;24(1):1311. doi: 10.1186/s12903-024-04606-x. BMC Oral Health. 2024. PMID: 39472858 Free PMC article. Clinical Trial.
-
Resolution of temporomandibular joint dysfunction (TMJD) by correcting a lateral head translation posture following previous failed traditional chiropractic therapy: a CBP® case report.J Phys Ther Sci. 2018 Jan;30(1):103-107. doi: 10.1589/jpts.30.103. Epub 2018 Jan 27. J Phys Ther Sci. 2018. PMID: 29410576 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical