Efficacy of Arthrocentesis and Anterior Repositioning Splints in Treatment of Internal Derangement of TMJ: A Prospective Clinical Study

The aim of this study is to assess the efficacy of double puncture arthrocentesis and anterior repositioning splints in the treatment of internal derangement of temporomandibular joint. 35 patients with mean age of 36.6 years ± 10.2 years diagnosed with unilateral TMD who fell into Wilkes stage 2 an...

Full description

Saved in:

Bibliographic Details
Published in:	Indian journal of otolaryngology, and head, and neck surgery Vol. 75; no. 4; pp. 3116 - 3129
Main Authors:	Navaneetham, Anuradha, Vaibhav, N., Navaneetham, Romir, Balaraj, B. V., Roy, Niti P., Madhusudan, Shashank
Format:	Journal Article
Language:	English
Published:	New Delhi Springer India 01-12-2023 Springer Nature B.V
Subjects:	Head and Neck Surgery Maxillofacial surgery Medicine Medicine & Public Health Original Article Otorhinolaryngology Temporomandibular joint disorders Arthrocentesis Temporomandibular disorders Internal derangement Anterior repositioning splints
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	The aim of this study is to assess the efficacy of double puncture arthrocentesis and anterior repositioning splints in the treatment of internal derangement of temporomandibular joint. 35 patients with mean age of 36.6 years ± 10.2 years diagnosed with unilateral TMD who fell into Wilkes stage 2 and disc displacement with reduction with intermittent locking described by RDC/TMD were treated with Nitzan’s double puncture arthrocentesis and were given a anterior repositioning hard splint. The parameters following parameters were assessed at intervals of 1 week, 2 weeks, 1 month, 3 months and 6 months: pain, maximum inter-incisal mouth opening, Joint noise/click. Statistically significant ( p < 0.001) improvements were seen at all recorded intervals in all observed parameters. Simultaneous arthrocentesis and anterior repositioning splint therapy is effective in alleviating pain and improving mouth opening without discomfort in patients with unilateral painful TMD showing disc displacement with reduction with intermittent locking.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	2231-3796 0973-7707
DOI:	10.1007/s12070-023-03890-3