Results of Combined, Single-Session Arthrocentesis and Dextrose Prolotherapy for Symptomatic Temporomandibular Joint Syndrome: A Case Series
Objective: Arthrocentesis and prolotherapy are nonsurgical treatments for temporomandibular joint (TMJ) diseases. This study aimed to evaluate the treatment of hypermobility, pain, and displacement of the TMJ by consecutively performing arthrocentesis and prolotherapy in the same session. Materials...
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| Veröffentlicht in: | The journal of alternative and complementary medicine (New York, N.Y.) N.Y.), 2017-10, Vol.23 (10), p.771-777 |
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| creator | Cezairli, Burak Sivrikaya, Efe Can Omezli, Mehmet Melih Ayranci, Ferhat Seyhan Cezairli, Neslihan |
| description | Objective:
Arthrocentesis and prolotherapy are nonsurgical treatments for temporomandibular joint (TMJ) diseases. This study aimed to evaluate the treatment of hypermobility, pain, and displacement of the TMJ by consecutively performing arthrocentesis and prolotherapy in the same session.
Materials and Methods:
In this study, 10 adults with disc displacement and painful, hypermobile TMJ were selected. Arthrocentesis and prolotherapy were consecutively performed using a 30% dextrose solution that was simultaneously injected into five areas: posterior disc attachment, superior joint space, superior and inferior capsular attachments, and stylomandibular ligament. Paired
t
-test, McNemar test, and chi-square test were used to assess the maximum mouth opening, clicking sounds, pain, and subluxation of the TMJ. Patients with rheumatoid arthritis and parafunctional habits such as teeth clenching and grinding and biting of the cheeks or any other objects and those who had undergone surgery were excluded from this study.
Results:
A total of 10 participants (36.20 ± 7.06 years old, 7 women and 3 men) received a single treatment session of combined arthrocentesis and prolotherapy at the same office visit. Subluxation frequency and pain significantly decreased after the first week of treatment (
p
|
| doi_str_mv | 10.1089/acm.2017.0068 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1950159555</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1950159555</sourcerecordid><originalsourceid>FETCH-LOGICAL-c365t-c37ebe98cf2f0d825f1caa0c6a66f3fb2fb3c3055d7c369485a1ff6a435169893</originalsourceid><addsrcrecordid>eNqFkctOwzAQRS0E4lFYskVesiDFTuokZleVtyqBaFlHjjMGo8QOtiPRf-CjcdXCls28dOZKMxehU0rGlJT8UshunBJajAnJyx10SBkrkqIg5W6sScESxjJ2gI68_yCETCY83UcHKY8bhPJD9P0CfmiDx1bhme1qbaC5wAtt3lpIFuC9tgZPXXh3VoIJ4LXHwjT4Gr6Csx7ws7OtDe_gRL_Cyjq8WHV9sJ0IWuIldL11sTGNrodWOPxotQmRMU0cwxWe4pmIKgtwGvwx2lOi9XCyzSP0enuznN0n86e7h9l0nsgsZyHGAmrgpVSpIk2ZMkWlEETmIs9VpupU1ZnMCGNNERf4pGSCKpWLScZozkuejdD5Rrd39nMAH6pOewltKwzYwVeUM0IZZ_F1I5RsUBmv9Q5U1TvdCbeqKKnWBlTRgGptQLU2IPJnW-mh7qD5o38_HoFsA6zHwphWx1tc-Ef2BzyklVQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1950159555</pqid></control><display><type>article</type><title>Results of Combined, Single-Session Arthrocentesis and Dextrose Prolotherapy for Symptomatic Temporomandibular Joint Syndrome: A Case Series</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Cezairli, Burak ; Sivrikaya, Efe Can ; Omezli, Mehmet Melih ; Ayranci, Ferhat ; Seyhan Cezairli, Neslihan</creator><creatorcontrib>Cezairli, Burak ; Sivrikaya, Efe Can ; Omezli, Mehmet Melih ; Ayranci, Ferhat ; Seyhan Cezairli, Neslihan</creatorcontrib><description>Objective:
Arthrocentesis and prolotherapy are nonsurgical treatments for temporomandibular joint (TMJ) diseases. This study aimed to evaluate the treatment of hypermobility, pain, and displacement of the TMJ by consecutively performing arthrocentesis and prolotherapy in the same session.
Materials and Methods:
In this study, 10 adults with disc displacement and painful, hypermobile TMJ were selected. Arthrocentesis and prolotherapy were consecutively performed using a 30% dextrose solution that was simultaneously injected into five areas: posterior disc attachment, superior joint space, superior and inferior capsular attachments, and stylomandibular ligament. Paired
t
-test, McNemar test, and chi-square test were used to assess the maximum mouth opening, clicking sounds, pain, and subluxation of the TMJ. Patients with rheumatoid arthritis and parafunctional habits such as teeth clenching and grinding and biting of the cheeks or any other objects and those who had undergone surgery were excluded from this study.
Results:
A total of 10 participants (36.20 ± 7.06 years old, 7 women and 3 men) received a single treatment session of combined arthrocentesis and prolotherapy at the same office visit. Subluxation frequency and pain significantly decreased after the first week of treatment (
p
< 0.05). Subluxation also decreased at the 3-month follow-up (
p
< 0.05). Clicking sound values did not significantly change at any of the follow-up time points. Maximum mouth opening values decreased at all follow-up time points compared to baseline (
p
< 0.05).
Conclusion:
A single session of combined arthrocentesis and prolotherapy to treat symptomatic TMJ safely and significantly improved the subluxation and pain after 1 week and subluxation after 3 months compared to baseline status. The maximum mouth opening significantly decreased at all follow-up time points. Future studies assessing multiple treatment sessions are warranted.</description><identifier>ISSN: 1075-5535</identifier><identifier>EISSN: 1557-7708</identifier><identifier>DOI: 10.1089/acm.2017.0068</identifier><identifier>PMID: 29017019</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc</publisher><subject>Adult ; Arthrocentesis ; Female ; Glucose - administration & dosage ; Glucose - therapeutic use ; Humans ; Male ; Middle Aged ; Original Articles ; Orthopedic Procedures ; Temporomandibular Joint Dysfunction Syndrome - therapy</subject><ispartof>The journal of alternative and complementary medicine (New York, N.Y.), 2017-10, Vol.23 (10), p.771-777</ispartof><rights>2017, Mary Ann Liebert, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c365t-c37ebe98cf2f0d825f1caa0c6a66f3fb2fb3c3055d7c369485a1ff6a435169893</citedby><cites>FETCH-LOGICAL-c365t-c37ebe98cf2f0d825f1caa0c6a66f3fb2fb3c3055d7c369485a1ff6a435169893</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29017019$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cezairli, Burak</creatorcontrib><creatorcontrib>Sivrikaya, Efe Can</creatorcontrib><creatorcontrib>Omezli, Mehmet Melih</creatorcontrib><creatorcontrib>Ayranci, Ferhat</creatorcontrib><creatorcontrib>Seyhan Cezairli, Neslihan</creatorcontrib><title>Results of Combined, Single-Session Arthrocentesis and Dextrose Prolotherapy for Symptomatic Temporomandibular Joint Syndrome: A Case Series</title><title>The journal of alternative and complementary medicine (New York, N.Y.)</title><addtitle>J Altern Complement Med</addtitle><description>Objective:
Arthrocentesis and prolotherapy are nonsurgical treatments for temporomandibular joint (TMJ) diseases. This study aimed to evaluate the treatment of hypermobility, pain, and displacement of the TMJ by consecutively performing arthrocentesis and prolotherapy in the same session.
Materials and Methods:
In this study, 10 adults with disc displacement and painful, hypermobile TMJ were selected. Arthrocentesis and prolotherapy were consecutively performed using a 30% dextrose solution that was simultaneously injected into five areas: posterior disc attachment, superior joint space, superior and inferior capsular attachments, and stylomandibular ligament. Paired
t
-test, McNemar test, and chi-square test were used to assess the maximum mouth opening, clicking sounds, pain, and subluxation of the TMJ. Patients with rheumatoid arthritis and parafunctional habits such as teeth clenching and grinding and biting of the cheeks or any other objects and those who had undergone surgery were excluded from this study.
Results:
A total of 10 participants (36.20 ± 7.06 years old, 7 women and 3 men) received a single treatment session of combined arthrocentesis and prolotherapy at the same office visit. Subluxation frequency and pain significantly decreased after the first week of treatment (
p
< 0.05). Subluxation also decreased at the 3-month follow-up (
p
< 0.05). Clicking sound values did not significantly change at any of the follow-up time points. Maximum mouth opening values decreased at all follow-up time points compared to baseline (
p
< 0.05).
Conclusion:
A single session of combined arthrocentesis and prolotherapy to treat symptomatic TMJ safely and significantly improved the subluxation and pain after 1 week and subluxation after 3 months compared to baseline status. The maximum mouth opening significantly decreased at all follow-up time points. Future studies assessing multiple treatment sessions are warranted.</description><subject>Adult</subject><subject>Arthrocentesis</subject><subject>Female</subject><subject>Glucose - administration & dosage</subject><subject>Glucose - therapeutic use</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original Articles</subject><subject>Orthopedic Procedures</subject><subject>Temporomandibular Joint Dysfunction Syndrome - therapy</subject><issn>1075-5535</issn><issn>1557-7708</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkctOwzAQRS0E4lFYskVesiDFTuokZleVtyqBaFlHjjMGo8QOtiPRf-CjcdXCls28dOZKMxehU0rGlJT8UshunBJajAnJyx10SBkrkqIg5W6sScESxjJ2gI68_yCETCY83UcHKY8bhPJD9P0CfmiDx1bhme1qbaC5wAtt3lpIFuC9tgZPXXh3VoIJ4LXHwjT4Gr6Csx7ws7OtDe_gRL_Cyjq8WHV9sJ0IWuIldL11sTGNrodWOPxotQmRMU0cwxWe4pmIKgtwGvwx2lOi9XCyzSP0enuznN0n86e7h9l0nsgsZyHGAmrgpVSpIk2ZMkWlEETmIs9VpupU1ZnMCGNNERf4pGSCKpWLScZozkuejdD5Rrd39nMAH6pOewltKwzYwVeUM0IZZ_F1I5RsUBmv9Q5U1TvdCbeqKKnWBlTRgGptQLU2IPJnW-mh7qD5o38_HoFsA6zHwphWx1tc-Ef2BzyklVQ</recordid><startdate>20171001</startdate><enddate>20171001</enddate><creator>Cezairli, Burak</creator><creator>Sivrikaya, Efe Can</creator><creator>Omezli, Mehmet Melih</creator><creator>Ayranci, Ferhat</creator><creator>Seyhan Cezairli, Neslihan</creator><general>Mary Ann Liebert, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20171001</creationdate><title>Results of Combined, Single-Session Arthrocentesis and Dextrose Prolotherapy for Symptomatic Temporomandibular Joint Syndrome: A Case Series</title><author>Cezairli, Burak ; Sivrikaya, Efe Can ; Omezli, Mehmet Melih ; Ayranci, Ferhat ; Seyhan Cezairli, Neslihan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c365t-c37ebe98cf2f0d825f1caa0c6a66f3fb2fb3c3055d7c369485a1ff6a435169893</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Arthrocentesis</topic><topic>Female</topic><topic>Glucose - administration & dosage</topic><topic>Glucose - therapeutic use</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Original Articles</topic><topic>Orthopedic Procedures</topic><topic>Temporomandibular Joint Dysfunction Syndrome - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cezairli, Burak</creatorcontrib><creatorcontrib>Sivrikaya, Efe Can</creatorcontrib><creatorcontrib>Omezli, Mehmet Melih</creatorcontrib><creatorcontrib>Ayranci, Ferhat</creatorcontrib><creatorcontrib>Seyhan Cezairli, Neslihan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of alternative and complementary medicine (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cezairli, Burak</au><au>Sivrikaya, Efe Can</au><au>Omezli, Mehmet Melih</au><au>Ayranci, Ferhat</au><au>Seyhan Cezairli, Neslihan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Results of Combined, Single-Session Arthrocentesis and Dextrose Prolotherapy for Symptomatic Temporomandibular Joint Syndrome: A Case Series</atitle><jtitle>The journal of alternative and complementary medicine (New York, N.Y.)</jtitle><addtitle>J Altern Complement Med</addtitle><date>2017-10-01</date><risdate>2017</risdate><volume>23</volume><issue>10</issue><spage>771</spage><epage>777</epage><pages>771-777</pages><issn>1075-5535</issn><eissn>1557-7708</eissn><abstract>Objective:
Arthrocentesis and prolotherapy are nonsurgical treatments for temporomandibular joint (TMJ) diseases. This study aimed to evaluate the treatment of hypermobility, pain, and displacement of the TMJ by consecutively performing arthrocentesis and prolotherapy in the same session.
Materials and Methods:
In this study, 10 adults with disc displacement and painful, hypermobile TMJ were selected. Arthrocentesis and prolotherapy were consecutively performed using a 30% dextrose solution that was simultaneously injected into five areas: posterior disc attachment, superior joint space, superior and inferior capsular attachments, and stylomandibular ligament. Paired
t
-test, McNemar test, and chi-square test were used to assess the maximum mouth opening, clicking sounds, pain, and subluxation of the TMJ. Patients with rheumatoid arthritis and parafunctional habits such as teeth clenching and grinding and biting of the cheeks or any other objects and those who had undergone surgery were excluded from this study.
Results:
A total of 10 participants (36.20 ± 7.06 years old, 7 women and 3 men) received a single treatment session of combined arthrocentesis and prolotherapy at the same office visit. Subluxation frequency and pain significantly decreased after the first week of treatment (
p
< 0.05). Subluxation also decreased at the 3-month follow-up (
p
< 0.05). Clicking sound values did not significantly change at any of the follow-up time points. Maximum mouth opening values decreased at all follow-up time points compared to baseline (
p
< 0.05).
Conclusion:
A single session of combined arthrocentesis and prolotherapy to treat symptomatic TMJ safely and significantly improved the subluxation and pain after 1 week and subluxation after 3 months compared to baseline status. The maximum mouth opening significantly decreased at all follow-up time points. Future studies assessing multiple treatment sessions are warranted.</abstract><cop>United States</cop><pub>Mary Ann Liebert, Inc</pub><pmid>29017019</pmid><doi>10.1089/acm.2017.0068</doi><tpages>7</tpages></addata></record> |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Adult Arthrocentesis Female Glucose - administration & dosage Glucose - therapeutic use Humans Male Middle Aged Original Articles Orthopedic Procedures Temporomandibular Joint Dysfunction Syndrome - therapy |
| title | Results of Combined, Single-Session Arthrocentesis and Dextrose Prolotherapy for Symptomatic Temporomandibular Joint Syndrome: A Case Series |
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