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. 2018 May 1;23(3):e367-e375.
doi: 10.4317/medoral.21925.

Is arthrocentesis of temporomandibular joint with corticosteroids beneficial? A systematic review

A Davoudi  1 , H Khaki, I Mohammadi, M Daneshmand, A Tamizifar, M Bigdelou, F Ansaripoor
Affiliations

Is arthrocentesis of temporomandibular joint with corticosteroids beneficial? A systematic review

A Davoudi et al. Med Oral Patol Oral Cir Bucal. .

Abstract

Background: Temporomandibular disorders (TMDs) are musculoskeletal conditions that can inhibit the normal function of temporomandibular joints (TMJs) and affect the patient's quality of life, negatively. Arthrocentesis (AC) is a minimally invasive surgical procedure used for treating TMDs. The aim of present paper is to evaluate the advantages of administrating corticosteroid (CS) during AC by reviewing high quality released articles.

Material and methods: Searching on Cochrane Library, Web of Science, Google Scholar, PubMed, ProQuest, and Scopus databases were performed with focusing on proper key words. Related titles and abstracts, up to December 2017, were screened and selected based on inclusion criteria. The full text of all randomized controlled trials (RCTs) was extensively read and subjected to quality assessments.

Results: After initial search, a total of 2067 articles were included into the study. Finally, 7 studies were reliable enough in methodology and randomization to be included into the study. All of the observed studies showed improvements in jaw functions and pain relief with no statistical differences in both AC and control groups. One study reported painless maximum incisal opening in CS group than the control group.

Conclusion: Based on available RCTs, the AC of TMJ with CS seems to result in similar findings to other therapeutic drugs, with no significant differences.

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Conflict of interest statement

Conflict of interest statement: The authors have declared that no conflict of interest exist.

Figures

Figure 1
Figure 1
The flowchart of searching strategy based on PRISMA guidelines.
See this image and copyright information in PMC

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