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. 2015 Oct;9(10):ZC59-62.
doi: 10.7860/JCDR/2015/15045.6665. Epub 2015 Oct 1.

Arthrocentesis A Minimally Invasive Method for TMJ Disc Disorders - A Prospective Study

Vidya Kodage Chandrashekhar  1 , Umesh Kenchappa  2 , Sangamesh Ningappa Chinnannavar  3 , Sarabjeet Singh  4
Affiliations

Arthrocentesis A Minimally Invasive Method for TMJ Disc Disorders - A Prospective Study

Vidya Kodage Chandrashekhar et al. J Clin Diagn Res. 2015 Oct.

Abstract

Background: Temporomandibular joint (TMJ) disc disorders are one of the major concerns to the mankind and doctors in day to day life due to its complex nature and failure to treat these kinds of conditions successfully.

Objectives: The aim of the present study was to evaluate the efficacy of arthrocentesis in patients suffering from TMJ disc disorders.

Materials and methods: A total of 50 subjects suffering from TMJ disc disorders were selected and treated by arthrocentesis. The subjects were followed up for a period of one year.

Results: The mean maximal mouth opening prior to arthro-centesis was 32.13mm and after the procedure the mean maximal mouth opening was 46.6mm. The mean right and left lateral movements before arthrocentesis were 7.15mm and 7.59mm respectively, and the mean right and left lateral movements of 9.49 and 9.31 respectively were present after the procedure. The mean degree of pain before arthrocentesis was 8.7, and after the procedure the mean degree of pain was 1.13 as per the visual analogue scale.

Conclusion: The findings of this study suggested potential utility of arthrocentesis in the management of TMJ disc disorders.

Keywords: Lateral mandibular movements; Maximal mouth opening; TMJ pain.

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Figures

[Table/Fig-1]:
[Table/Fig-1]:
hotograph showing difficulty in opening mouth
[Table/Fig-2]:
[Table/Fig-2]:
hotograph of the patient showing markings in the preauricular area
[Table/Fig-3]:
[Table/Fig-3]:
hotograph of the patient showing single needle in position
[Table/Fig-4]:
[Table/Fig-4]:
hotograph of the patient showing two needles in position
[Table/Fig-5]:
[Table/Fig-5]:
hotograph of the patient showing the procedure of arthrocentesis
[Table/Fig-6]:
[Table/Fig-6]:
hotograph of the patient showing mouth opening immediately after the procedure
See this image and copyright information in PMC

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