Evaluation of effusion and articular disc positioning after two different arthrocentesis techniques in patients with temporomandibular joint disc displacement without reduction

Abstract Conventional and modern methods of radiological imaging are often used in the diagnosis of temporomandibular joint disorders, and the CT technique is particularly characterized by an excellent visualization of bony structures. The aim of the study was to show the importance and role of CT in the evaluation of TMJ bone structures in both patients with articular disc displacement and in a group of healthy subjects. Both study groups were assessed with the use of the transverse plane. Herein, multi-slice spiral computed tomography was performed in 47 subjects. These individuals were qualified for CT by way of magnetic resonance imaging, due to their being diagnosed with a displacement of their temporomandibular joint disc. The product of our study is presented as a set of tables. These are comparisons of radiological parameters based on the shape, size and location of the mandibular head, in the examined patients, in a control group, and with regard to sex. The results of our work indicate that CT can be successfully used in the imaging of TMJ bone structures, specifically, the condylar process of the mandibular head and the joint socket. However, statistically significant differences of the utilized parameters between patients with articular disc displacement and controls, warrant further analysis of this issue.

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Natural Course of Untreated Symptomatic Temporomandibular Joint Disc Displacement without Reduction

Journal of Dental Research ◽

10.1177/00220345980770020401 ◽

1998 ◽

Vol 77 (2) ◽

pp. 361-365 ◽

Cited By ~ 155

Author(s):

K. Kurita ◽

P.-L. Westesson ◽

H. Yuasa ◽

M. Toyama ◽

J. Machida ◽

...

Keyword(s):

Temporomandibular Joint ◽

Natural Course ◽

Disc Displacement ◽

Temporomandibular Joint Disc

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Magnetic resonance imaging of partial temporomandibular joint disc displacement

Journal of Oral and Maxillofacial Surgery ◽

10.1016/0278-2391(89)90119-5 ◽

1989 ◽

Vol 47 (1) ◽

pp. 25-29 ◽

Cited By ~ 21

Author(s):

H.C.J. Kerstens ◽

R.P. Golding ◽

J. Valk ◽

W.A.M. van der Kwast

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Temporomandibular Joint ◽

Disc Displacement ◽

Resonance Imaging ◽

Temporomandibular Joint Disc

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Internet-based treatment for adolescents with symptomatic temporomandibular joint disc displacement with reduction. A randomized controlled clinical trial

Acta Odontologica Scandinavica ◽

10.1080/00016357.2021.1901983 ◽

2021 ◽

pp. 1-9

Author(s):

Kerstin Wahlund ◽

Ing-Marie Nilsson ◽

Alexandra Dimitrijevic Carlsson ◽

Bo Larsson ◽

Anders Wänman

Keyword(s):

Clinical Trial ◽

Temporomandibular Joint ◽

Controlled Clinical Trial ◽

Disc Displacement ◽

Randomized Controlled Clinical Trial ◽

Temporomandibular Joint Disc ◽

Randomized Controlled ◽

Disc Displacement With Reduction

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Management of Internal Derangement of Temporomandibular Joint Disc Displacement with Reduction Using Two Different Lines of Treatment

Brazilian Dental Science ◽

10.14295/bds.2021.v24i2.2080 ◽

2021 ◽

Vol 24 (2) ◽

pp. 8

Author(s):

Mohamed Ahmed Helal ◽

Shoroog Hassan Agou ◽

Amr Bayoumi ◽

Ahmed Imam ◽

Ali Habiballah Hassan

Keyword(s):

Range Of Motion ◽

Temporomandibular Joint ◽

Lower Cost ◽

Internal Derangement ◽

Disc Displacement ◽

Temporomandibular Joint Disc ◽

Non Invasive ◽

Anterior Disc Displacement ◽

Disc Displacement With Reduction

Objetive: This study was to compare the effectiveness of arthrocentesis versus the insertion of anterior repositioning splint (ARS) in improving the mandibular range of motion (MRM) for patients with the temporomandibular joint (TMJ) anterior disc displacement with reduction (ADDwR). Methods: 36 patients diagnosed as ADDwR were recruited and divided randomly into two groups. The first group (G1) was treated by arthrocentesis, and the second (G2) was treated using ARS. All patients were reexamined after six months. Results: Except that for protrusive movement, there were significant differences between the two groups for the percentage changes of the MRM as measured by the amount of pain free opening, unassisted opening, maximum assisted opening, right lateral and left lateral movements (p < 0.05). Conclusion: Within the context of the current study, the non-invasive, lower cost ARS, provided better results in improving the MRM when managing ADDwR cases. Keywords Arthrocentesis; Anterior repositioning splint; TMD; Internal derangement; Anterior disc displacement; Mandibular range of motion.

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