Arthrocentesis of Temporomandibular Joint Techniques: Literature Review
DOI:
https://doi.org/10.51699/cajmns.v6i4.2968Keywords:
Temporomandibular, Arthrocentesis, Displacement, Internal Derangements, Minimally Invasive TreatmentAbstract
Temporomandibular disorders (TMD) affect the masticatory system, causing pain, limited mouth opening, and negatively impacting daily activities and quality of life. Conservative treatments are commonly used, but when ineffective, minimally invasive procedures like arthrocentesis are considered. This technique, first introduced in 1987, involves the washing of the temporomandibular joint (TMJ) space to reduce inflammatory mediators and release adhesions, distinguishing it from arthroscopic methods. Over the years, variations in technique, including single-needle and double-needle methods, have been developed, along with advancements in imaging technologies like ultrasonography and cone beam computed tomography. Studies show that arthrocentesis is highly effective in treating conditions such as anterior disc displacement and internal derangements, with pain relief and improved mouth opening achieved in many cases. It has also been applied successfully to manage disc adhesions, synovitis, and osteoarthritis, often providing long-term relief. Arthrocentesis is considered a first-line surgical treatment for TMD, offering an effective, low-complication, and cost-efficient solution. This review underscores the significance of arthrocentesis as a valuable option for patients not responding to conservative treatment.
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