Effect of arthrocentesis for temporomandibular joint disorder with TMJ pain. Effect of steroid injection on clinical outcome of arthrocentesis.

DOI 9 Citations 16 References
  • TOYODA Nagataka
    Second Department of Oral and Maxillofacial Surgery, Tsurumi University, School of Dental Medicine
  • ASADA Koichi
    Second Department of Oral and Maxillofacial Surgery, Tsurumi University, School of Dental Medicine
  • ARAI Tomohiko
    Second Department of Oral and Maxillofacial Surgery, Tsurumi University, School of Dental Medicine
  • TOKUTOMI Takehiko
    Second Department of Oral and Maxillofacial Surgery, Tsurumi University, School of Dental Medicine
  • SHIGA Takayuki
    Second Department of Oral and Maxillofacial Surgery, Tsurumi University, School of Dental Medicine
  • SAITO Takashi
    Second Department of Oral and Maxillofacial Surgery, Tsurumi University, School of Dental Medicine
  • ISHIBASHI Katsunori
    Second Department of Oral and Maxillofacial Surgery, Tsurumi University, School of Dental Medicine

Bibliographic Information

Other Title
  • 顎関節痛を有する顎関節症に対する関節腔洗浄療法の治療効果　　第１報　関節腔洗浄単独例とステロイド剤併用例との比較検討
  • Effect of steroid injection on clinical outcome of arthrocentesis
  • 第1報: 関節腔洗浄単独例とステロイド剤併用例との比較検討

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Description

The purpose of this study was to investigate the effect of the superior jointcompartment irrigation on TMD patients with TMJ pain. Arthrocentesis was performed in 49 TMD patients with unilateral TMJ pain resistan to conservative treatment. These patients were assigned nonartificially to two arthrocentesis tecnique groups. The 1st group (26 patients) was injected with a steroid solution after irrigation, and the 2nd group (23 patients) was only irrigated. The improvement rate of TMJ pain and maximal mouth opening (MMO) during 3 months after (1 week and 1, 2, and 3 months) arthrocentesis was compared in the two groups. The results were follows:<br>1) There was no significant difference between the improvement rate of the TMJ pain in the two groups at all times. The improvement rate was 76% in the 1st group and 71.5% in the 2nd group 3 months later.<br>2) There was no significant difference between the MMO in the two groups at all times. The MMO was 39.4mm in 1st group (pre-MMO: 32.2mm) and 40.6mm in 2nd group (pre-MMO: 32.4mm) 3 months later.

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