The study of the predictors in arthrocentesis and lavage of temporomandibular joint disorder : retrospective evaluation of anterior disc displacement without reduction.
- Author:
Cheol Hun KIM
1
;
Hie Seong HWANG
;
Sang Hun SIN
Author Information
1. Department of Dentistry, Medical college, Dong-A University. bbp2000@hanmail.net
- Publication Type:Original Article
- Keywords:
Arthrocentesis and lavage;
Temporomandibular joint disorders
- MeSH:
Humans;
Magnetic Resonance Imaging;
Mouth;
Pain, Postoperative;
Temporomandibular Joint Disorders*;
Temporomandibular Joint*;
Therapeutic Irrigation*
- From:Journal of the Korean Association of Oral and Maxillofacial Surgeons
2003;29(6):392-396
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to find the predictors for successful arthrocentesis for anterior disc displacement without reduction(ADD without Reduction) of the temporomandibular joint (TMJ). PATIENTS AND METHODS: Arthrocentesis and lavage was carried out in 25TMJs of 22patients whose MRI findings were all anterior disc displacement without reduction. The effectiveness of the treatment was evaluated in terms of the postoperative range of maximal mouth opening (MMO) and the degree of postoperative pain score. Predectors which was analyzed were age, duration of painful locking, MMO, the degree of pain, perioperative clicking and the amounts of irrigation fluid. RESULTS: 18cases (72%) was included to criteria for success. There were no significant differences in age, duration of locking, MMO and the degree of pain statistically. But In 15cases(83%) of successful cases, amouts of irrigated solution recovered to normal MMO were less than 150ml. And In 8cases (44%) of successful cases, perioperative clicking was appeared. CONCULSION: Amounts of irrigated solution recovered to normal MMO and the appeareance of perioperative clkicking may be predictors of the successful results of arthrocenetesis of ADD without reduction of TMJ.
