Efficiency of arthrocentesis treatment for different temporomandibular joint disorders
This study was performed to determine whether arthrocentesis therapy has different outcomes in three groups of patients with different temporomandibular disorders (TMDs). A clinical trial was conducted including 45 patients with 45 unilaterally affected joints divided into three groups (n=15): osteo...
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| Veröffentlicht in: | International journal of oral and maxillofacial surgery 2020-05, Vol.49 (5), p.621-627 |
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| creator | Polat, M.E. Yanik, S. |
| description | This study was performed to determine whether arthrocentesis therapy has different outcomes in three groups of patients with different temporomandibular disorders (TMDs). A clinical trial was conducted including 45 patients with 45 unilaterally affected joints divided into three groups (n=15): osteoarthritis (OA), disc displacement with reduction (DDWR), and disc displacement without reduction (DDWoR). All patients underwent the same arthrocentesis treatment protocol. The outcome variables, including visual analogue scale evaluations and measurements of mandibular motion (in millimetres), were recorded at baseline and at 1 and 6 months postoperative. Inter-group assessments showed significant short-term differences in joint sounds (P=0.016) and significant long-term differences in masticatory efficiency (P=0.046) and protrusive movement (P=0.048). The estimation of mean changes between baseline and long-term follow-up revealed significant differences in joint sounds (P |
| doi_str_mv | 10.1016/j.ijom.2019.08.017 |
| format | Article |
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A clinical trial was conducted including 45 patients with 45 unilaterally affected joints divided into three groups (n=15): osteoarthritis (OA), disc displacement with reduction (DDWR), and disc displacement without reduction (DDWoR). All patients underwent the same arthrocentesis treatment protocol. The outcome variables, including visual analogue scale evaluations and measurements of mandibular motion (in millimetres), were recorded at baseline and at 1 and 6 months postoperative. Inter-group assessments showed significant short-term differences in joint sounds (P=0.016) and significant long-term differences in masticatory efficiency (P=0.046) and protrusive movement (P=0.048). The estimation of mean changes between baseline and long-term follow-up revealed significant differences in joint sounds (P<0.001), disruption in daily activities (P=0.002), maximum mouth opening (P=0.008), and protrusive movement (P=0.002) between the groups. Arthrocentesis therapy may be useful to improve clinical symptoms and range of mandibular movement in patients with all three types of TMD. However, the benefit of arthrocentesis may be greater for patients with DDWoR than for those in the other groups.</description><identifier>ISSN: 0901-5027</identifier><identifier>EISSN: 1399-0020</identifier><identifier>DOI: 10.1016/j.ijom.2019.08.017</identifier><identifier>PMID: 31540790</identifier><language>eng</language><publisher>Denmark: Elsevier Ltd</publisher><subject>Arthrocentesis ; Humans ; Injections, Intra-Articular ; Joint Dislocations ; Osteoarthritis ; Range of Motion, Articular ; Temporomandibular Joint ; Temporomandibular Joint Disorders ; TMD ; treatment ; Treatment Outcome</subject><ispartof>International journal of oral and maxillofacial surgery, 2020-05, Vol.49 (5), p.621-627</ispartof><rights>2019 International Association of Oral and Maxillofacial Surgeons</rights><rights>Copyright © 2019 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-b29d0f2fbc1765851b8dcfd9f3bf54321f32bdb789b47e3e09d91127b21eb6f73</citedby><cites>FETCH-LOGICAL-c356t-b29d0f2fbc1765851b8dcfd9f3bf54321f32bdb789b47e3e09d91127b21eb6f73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0901502719313037$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31540790$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Polat, M.E.</creatorcontrib><creatorcontrib>Yanik, S.</creatorcontrib><title>Efficiency of arthrocentesis treatment for different temporomandibular joint disorders</title><title>International journal of oral and maxillofacial surgery</title><addtitle>Int J Oral Maxillofac Surg</addtitle><description>This study was performed to determine whether arthrocentesis therapy has different outcomes in three groups of patients with different temporomandibular disorders (TMDs). A clinical trial was conducted including 45 patients with 45 unilaterally affected joints divided into three groups (n=15): osteoarthritis (OA), disc displacement with reduction (DDWR), and disc displacement without reduction (DDWoR). All patients underwent the same arthrocentesis treatment protocol. The outcome variables, including visual analogue scale evaluations and measurements of mandibular motion (in millimetres), were recorded at baseline and at 1 and 6 months postoperative. Inter-group assessments showed significant short-term differences in joint sounds (P=0.016) and significant long-term differences in masticatory efficiency (P=0.046) and protrusive movement (P=0.048). The estimation of mean changes between baseline and long-term follow-up revealed significant differences in joint sounds (P<0.001), disruption in daily activities (P=0.002), maximum mouth opening (P=0.008), and protrusive movement (P=0.002) between the groups. Arthrocentesis therapy may be useful to improve clinical symptoms and range of mandibular movement in patients with all three types of TMD. However, the benefit of arthrocentesis may be greater for patients with DDWoR than for those in the other groups.</description><subject>Arthrocentesis</subject><subject>Humans</subject><subject>Injections, Intra-Articular</subject><subject>Joint Dislocations</subject><subject>Osteoarthritis</subject><subject>Range of Motion, Articular</subject><subject>Temporomandibular Joint</subject><subject>Temporomandibular Joint Disorders</subject><subject>TMD</subject><subject>treatment</subject><subject>Treatment Outcome</subject><issn>0901-5027</issn><issn>1399-0020</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LAzEQhoMotlb_gAfZo5ddJ0l3swEvUuoHFLyo17BJJpil29RkK_jv3bXVo6dhhud9YR5CLikUFGh10xa-DV3BgMoC6gKoOCJTyqXMARgckylIoHkJTEzIWUotAEhei1My4bScg5AwJW9L57zxuDFfWXBZE_v3GAxuekw-ZX3Epu-GLXMhZtY7h3Hceuy2IYau2Vivd-smZm3ww936FKLFmM7JiWvWCS8Oc0Ze75cvi8d89fzwtLhb5YaXVZ9rJi045rShoirrkuraGmel49qVc86o40xbLWqp5wI5grSSUiY0o6grJ_iMXO97tzF87DD1qvPJ4HrdbDDskmJMlvO6AqgGlO1RE0NKEZ3aRt818UtRUKNP1arRpxp9KqjV4HMIXR36d7pD-xf5FTgAt3sAhy8_PUaVfmyi9RFNr2zw__V_A33DiN4</recordid><startdate>202005</startdate><enddate>202005</enddate><creator>Polat, M.E.</creator><creator>Yanik, S.</creator><general>Elsevier Ltd</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>202005</creationdate><title>Efficiency of arthrocentesis treatment for different temporomandibular joint disorders</title><author>Polat, M.E. ; Yanik, S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-b29d0f2fbc1765851b8dcfd9f3bf54321f32bdb789b47e3e09d91127b21eb6f73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Arthrocentesis</topic><topic>Humans</topic><topic>Injections, Intra-Articular</topic><topic>Joint Dislocations</topic><topic>Osteoarthritis</topic><topic>Range of Motion, Articular</topic><topic>Temporomandibular Joint</topic><topic>Temporomandibular Joint Disorders</topic><topic>TMD</topic><topic>treatment</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Polat, M.E.</creatorcontrib><creatorcontrib>Yanik, S.</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>International journal of oral and maxillofacial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Polat, M.E.</au><au>Yanik, S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Efficiency of arthrocentesis treatment for different temporomandibular joint disorders</atitle><jtitle>International journal of oral and maxillofacial surgery</jtitle><addtitle>Int J Oral Maxillofac Surg</addtitle><date>2020-05</date><risdate>2020</risdate><volume>49</volume><issue>5</issue><spage>621</spage><epage>627</epage><pages>621-627</pages><issn>0901-5027</issn><eissn>1399-0020</eissn><abstract>This study was performed to determine whether arthrocentesis therapy has different outcomes in three groups of patients with different temporomandibular disorders (TMDs). A clinical trial was conducted including 45 patients with 45 unilaterally affected joints divided into three groups (n=15): osteoarthritis (OA), disc displacement with reduction (DDWR), and disc displacement without reduction (DDWoR). All patients underwent the same arthrocentesis treatment protocol. The outcome variables, including visual analogue scale evaluations and measurements of mandibular motion (in millimetres), were recorded at baseline and at 1 and 6 months postoperative. Inter-group assessments showed significant short-term differences in joint sounds (P=0.016) and significant long-term differences in masticatory efficiency (P=0.046) and protrusive movement (P=0.048). The estimation of mean changes between baseline and long-term follow-up revealed significant differences in joint sounds (P<0.001), disruption in daily activities (P=0.002), maximum mouth opening (P=0.008), and protrusive movement (P=0.002) between the groups. Arthrocentesis therapy may be useful to improve clinical symptoms and range of mandibular movement in patients with all three types of TMD. However, the benefit of arthrocentesis may be greater for patients with DDWoR than for those in the other groups.</abstract><cop>Denmark</cop><pub>Elsevier Ltd</pub><pmid>31540790</pmid><doi>10.1016/j.ijom.2019.08.017</doi><tpages>7</tpages></addata></record> |
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| ispartof | International journal of oral and maxillofacial surgery, 2020-05, Vol.49 (5), p.621-627 |
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| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Arthrocentesis Humans Injections, Intra-Articular Joint Dislocations Osteoarthritis Range of Motion, Articular Temporomandibular Joint Temporomandibular Joint Disorders TMD treatment Treatment Outcome |
| title | Efficiency of arthrocentesis treatment for different temporomandibular joint disorders |
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