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Journal of Maxillofacial and Oral Surgery

Erschienen in:

03.01.2022 | Review Paper

Efficacy of Arthrocentesis and Stabilization Splints in Treatment of Temporomandibular Joint Disc Displacement Disorder Without Reduction: A Systematic Review and Meta-analysis

verfasst von: Bappaditya Bhattacharjee, Rathindra Nath Bera, Arju Verma, Romesh Soni, Atul Bhatnagar

Erschienen in: Journal of Maxillofacial and Oral Surgery | Ausgabe 1/2023

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Abstract

Background

Temporomandibular joint disc displacement disorders are a group of temporomandibular disorders beside from other inflammatory disorders and growth related disorders of joint. The purpose of this analysis was to evaluate the efficacy of arthrocentesis procedure in comparison with stabilization splints used for disc displacement disorders without reduction.

Materials and Methods

A systematic search was done in electronic databases (PubMed, Cochrane Central, Web of Science). In addition to this hand search of references and grey literatures was done. Qualities of randomized controlled clinical trials were assessed by Cochrane’s tool for Systematic Reviews of Interventions and the Newcastle–Ottawa Scale was followed to assess the prospective and retrospective studies. Outcome variables pain (VAS) and maximum mouth opening were assessed by the software review manager 5.03.

Results

A total of five studies were included in the review. Three studies showed greater improvement of symptoms in patients of arthrocentesis group in terms of maximum mouth opening, pain (VAS) value. Two other studies found no significant advantage of arthrocentesis over the other treatment protocol. The meta-analysis resulted in statistically significant difference between outcome variables favouring arthrocentesis group (VAS 1–10) (Mean Difference: 3.10; 95% CI 1.74, 4.45; P ≤ .00001, Mean difference: 2.00; 95% CI 0.29, 3.71; P = 0.02).

Conclusion

Arthrocentesis showed effective result in terms of increase in mouth opening and reduction of pain level compared to stabilization splint and other non-invasive approaches in patients with disc displacement disorders without reduction. Overall, results supported the rationale of using arthrocentesis in patients with disc displacement disorders without reduction.

Meghan K, Murphy BE, Regina F, MacBarb BS, Wong ME, Athanasiou KA (2013) Temporomandibular joint disorders: a review of etiology, clinical management, and tissue engineering strategies. Int J Oral Maxillofac Implants 28:e393–e414CrossRef

Okeson JP (2008) Management of temporomandibular disorders and occlusion. CV Mosby, St. Louis

Bell WE (1986) Temporomandibular disorders: classification, diagnosis, management. Year Book Medical, Chicago

Dawson PE (2007) Functional occlusion from TMJ to smile design. Elsevier Mosby, St. Louis Missouri

Solberg WK, Woo MW, Houston JB (1979) Prevalence of mandibular dysfunction in young adults. J Am Dent Assoc 98:5–34CrossRef

Carlsson GE (1999) Epidemiology and treatment need for temporomandibular disorders. J Orofac Pain 13:232–237

Nitzan DW, Dolwick MF, Martinez GA (1991) Temporomandibular joint arthrocentesis: a simplified treatment for severe, limited mouth opening. J Oral Maxillofac Surg 49:1163–1167CrossRef

Nishimura M, Segami N, Kaneyama K, Sato J, Fujimura K (2004) Comparison of cytokine level in synovial fluid between successful and unsuccessful cases in arthrocentesis of the temporomandibular joint. J Oral Maxillofac Surg 62:284–287CrossRef

Dimitroulis G, Dolwick MF, Martinez A (1995) Temporomandibular joint arthrocentesis and lavage for the treatment of closed lock: a follow-up study. Br J Oral Maxillofac Surg 33:23–26CrossRef

10.

Kaneyama K, Segami N, Nishimura M, Sato J, Fujimura K, Yoshimura H et al (2004) The ideal lavage volume for removing bradykinin, interleukin-6, and protein from the temporomandibular joint by arthrocentesis. J Oral Maxillofac Surg 62:657–661CrossRef

11.

Moses JJ, Sartoris D, Glass R, Tanaka T, Poker I (1989) The effect of arthroscopic surgical lysis and lavage of the superior joint space on TMJ disc position and mobility. J Oral Maxillofac Surg 47:674–678CrossRef

12.

Sembronio S, Albiero AM, Toro C, Robiony M, Politi M (2008) Is there a role for arthrocentesis in recapturing the displaced disc in patients with closed lock of the temporomandibular joint? Oral Surg Oral Med Oral Pathol Oral Radiol Endod 105:274–280CrossRef

13.

Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JPA et al (2009) The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med 6:e1000100CrossRef

14.

Lo CK, Mertz D, Loeb M (2014) Newcastle-Ottawa scale: comparing reviewers’ to authors’ assessments. BMC Med Res Methodol 14:45CrossRef

15.

Tatli U, Benlidayi ME, Ekren O, Salimov F (2017) Comparison of the effectiveness of three different treatment methods for temporomandibular joint disc displacement without reduction. Int J Oral Maxillofac Surg 46:603–609CrossRef

16.

Hosgor H, Bas B, Celenk C (2017) A comparison of the outcomes of four minimally invasive treatment methods for anterior disc displacement of the temporomandibular joint. Int J Oral Maxillofac Surg 46:1403–1410CrossRef

17.

Ohnuki T, Fukuda M, Nakata A, Nagai H, Takahashi T, Sasano T, Miyamoto Y (2006) Evaluation of the position, mobility, and morphology of the disc by MRI before and after four different treatments for temporomandibular joint disorders. Dentomaxillofac Radiol 35:103–109CrossRef

18.

Diraçoğlu D, Saral IB, Keklik B, Kurt H, Emekli U, Ozçakar L et al (2009) Arthrocentesis versus nonsurgical methods in the treatment of temporomandibular disc displacement without reduction. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 108:3–8CrossRef

19.

Malekzadeh BO, Cahlin BJ, Widmark G (2019) Conservative therapy versus arthrocentesis for the treatment of symptomatic disk displacement without reduction: a prospective randomized controlled study. Oral Surg Oral Med Oral Pathol Oral Radiol 128:18–24CrossRef

20.

Lee SH, Yoon HJ (2009) MRI findings of patients with temporomandibular joint internal derangement: before and after performance of arthrocentesis and stabilization splint. J Oral Maxillofac Surg 67:314–317CrossRef

21.

Ghanem WA (2011) Arthrocentesis and stabilizing splint are the treatment of choice for acute intermittent closed lock in patients with bruxism. J Craniomaxillofac Surg 39:256–260CrossRef

22.

Yucel MA, Gozneli R, Alkumru HN, Kulak-Ozkan Y (2014) Evaluating the additional effects of arthrocentesis on the condylar pathways of temporomandibular joint in patients with internal derangement treated with stabilizing splint. J Craniomaxillofac Surg 42:e86-90CrossRef

23.

Lee HS, Baek HS, Song DS, Kim HC, Kim HG, Kim BJ (2013) Effect of simultaneous therapy of arthrocentesis and occlusal splints on temporomandibular disorders: anterior disc displacement without reduction. J Korean Assoc Oral Maxillofac Surg 39:14–20CrossRef

24.

Bilici IS, Emes Y, Aybar B, Yalçın S (2018) Evaluation of the effects of occlusal splint, trigger point injection and arthrocentesis in the treatment of internal derangement patients with myofascial pain disorders. J Craniomaxillofac Surg 46:916–922CrossRef

25.

Tvrdy P, Heinz P, Zapletalova J, Pink R, Michl P (2015) Effect of combination therapy of arthrocentesis and occlusal splint on non-reducing temporomandibular joint disk displacement. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 159:677–680CrossRef

26.

Vos LM, Slater JJRH, Stegenga B (2014) Arthrocentesis as initial treatment for temporomandibular joint arthropathy: a randomized controlled trial. J Craniomaxillofac Surg 42:134–139CrossRef

27.

Murakami K, Hosaka H, Moriya Y, Segami N, Iizuka T (1995) Short-term treatment outcome study for the management of temporomandibular joint closed lock. A comparison of arthrocentesis to nonsurgical therapy and arthroscopic lysis and lavage. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 80:253–257CrossRef

28.

Machon V, Hirjak D, Lukas J (2011) Therapy of the osteoarthritis of the temporomandibular joint. J Craniomaxillofac Surg 39:127–130CrossRef

29.

Higgins JPT, Altman GD, Gøtzsche PC, Jüni P, Moher D, Oxman AD, Savovic J, Schulz KF, Weeks L, Sterne JAC (2011) The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. BMJ 343:d5928CrossRef

30.

Huddleston Slater JJ, Lobbezoo F, Onland-Moret NC, Naeije M (2007) Anterior disc displacement with reduction and symptomatic hypermobility in the human temporomandibular joint: prevalence rates and risk factors in children and teenagers. J Orofac Pain 21:55–62

31.

Greene CS (2006) Concepts of TMD etiology: effects on diagnosis and treatment. Quintessence, Chicago

32.

Kaplan A, Assel LA (1991) Temporomandibular disorders: diagnosis and treatment. W.B. Saunders Company, Philadelphia

33.

Vichaichalermvong S, Nilner M, Panmekiate S, Petersson A (1993) Clinical follow-up of patients with different disc positions. J Orofac Pain 7:61–67

34.

Manfredini D, Guarda-Nardini L, Winocur E, Piccotti F, Ahlberg J, Lobbezoo F (2011) Research diagnostic criteria for temporomandibular disorders: a systematic review of axis I epidemiologic findings. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 112:453–462CrossRef

35.

Poveda-Roda R, Bagan JV, Sanchis JM, Carbonell E (2012) Temporomandibular disorders. A case-control study. Med Oral Patol Oral Cir Bucal 17:e794–e800CrossRef

36.

Durham J, Exley C, Wassell R, Steele JG (2007) Management is a black art—professional ideologies with respect to temporomandibular disorders. Br Dent J 202:682–683CrossRef

37.

Al-Baghdadi M, Durham J, Araujo-Soares V, Robalino S, Errington L, Steele J (2014) TMJ disc displacement without reduction management: a systematic review. J Dent Res 93:37–51CrossRef

38.

Murakami KI, Iizuka T, Matsuki M, Ono T (1987) Recapturing the persistent anteriorly displaced disk by mandibular manipulation after pumping and hydraulic pressure to the upper joint cavity of the temporomandibular joint. Cranio 5:17–24CrossRef

39.

Guarda-Nardini L, Manfredini D, Ferronato G (2008) Arthrocentesis of the temporomandibular joint: a proposal for a single-needle technique. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 106:483–486CrossRef

40.

Al-Belasy FA, Dolwick MF (2007) Arthrocentesis for the treatment of temporomandibular joint closed lock: a review article. Int J Oral Maxillofac Surg 36:773–782CrossRef

41.

Sanromán JF (2004) Closed lock (MRI fixed disc): a comparison of arthrocentesis and arthroscopy. Int J Oral Maxillofac Surg 33:344–348CrossRef

42.

Tozoglu S, Al-Belasy FA, Dolwick MF (2011) A review of techniques of lysis and lavage of the TMJ. Br J Oral Maxillofac Surg 49:302–309CrossRef

43.

Shinjo H, Nakata K, Shino K, Hamada M, Nakamura N, Mae T et al (2002) Effect of irrigation solutions for arthroscopic surgery on intraarticular tissue: comparison in human meniscus-derived primary cell culture between lactate ringer’s solution and saline solution. J Orthop Res 20:1305–1310CrossRef

44.

Ebenezer V, Balakrishnan R, Vivek M, Elumalai M (2012) Usage of Ringer’s lactate treatment in temporomandibular joint disorder. Biomed Pharmacol J 5:345–349CrossRef

45.

Carlson CR, Bertrand P (1995) Self-regulation training manual. University Press, Lexington

46.

Ramfjord SP, Ash MM (1994) Reflections on the Michigan occlusal splint. J Oral Rehabil 21:491–500CrossRef

47.

Glaros AG, Owais Z, Lausten L (2007) Reduction in parafunctional activity: a potential mechanism for the effectiveness of splint therapy. J Oral Rehabil 34:97–104CrossRef

48.

Pficer JK, Dodic S, Lazic V, Trajkovic G, Milic N, Milicic B (2017) Occlusal stabilization splint for patients with temporomandibular disorders: meta-analysis of short and long term effects. PLoS ONE 12:e0171296CrossRef

49.

Forssell H, Kalso E (2004) Application of principles of evidence-based medicine to occlusal treatment for temporomandibular disorders: are there lessons to be learned? J Orofac Pain 18:9–22

50.

Ebrahim S, Montoya L, Busse JW, Carrasco-Labra A, Guyatt GH (2012) The effectiveness of splint therapy in patients with temporomandibular disorders: a systematic review and meta-analysis. J Am Dent Assoc 143:847–857CrossRef

51.

Turp JC, Komine F, Hugger A (2004) Efficacy of stabilization splints for the management of patients with masticatory muscle pain: a qualitative systematic review. Clin Oral Investig 8:179–195CrossRef

52.

Kreiner M, Betancor E, Clark GT (2001) Occlusal stabilization appliances—evidence of their efficacy. J Am Dent Assoc 132:770–777CrossRef

53.

Fricton J, Look JO, Wright E, Alencar FGP, Hong C, Lang M et al (2010) Systematic review and metaanalysis of randomized controlled trials evaluating intraoral orthopedic appliances for temporomandibular disorders. J Orofac Pain 24:237–254

54.

Al-Ani MZ, Davies SJ, Gray RJ, Sloan P, Glenny AM (2004) Stabilisation splint therapy for temporomandibular pain dysfunction syndrome. Cochrane Database Syst Rev 1:Cd002778

55.

Aggarwal VR, Lovell K, Peters S, Javidi H, Joughin A, Goldthorpe J (2011) Psychosocial interventions for the management of chronic orofacial pain. Cochrane Database Syst Rev 11:Cd008456

Titel: Efficacy of Arthrocentesis and Stabilization Splints in Treatment of Temporomandibular Joint Disc Displacement Disorder Without Reduction: A Systematic Review and Meta-analysis
verfasst von: Bappaditya Bhattacharjee
Rathindra Nath Bera
Arju Verma
Romesh Soni
Atul Bhatnagar
Publikationsdatum: 03.01.2022
Verlag: Springer India
Erschienen in: Journal of Maxillofacial and Oral Surgery / Ausgabe 1/2023
Print ISSN: 0972-8279
Elektronische ISSN: 0974-942X
DOI: https://doi.org/10.1007/s12663-021-01675-1

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Abstract

Background

Materials and Methods

Results

Conclusion

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