Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2015, 159(4):677-680 | DOI: 10.5507/bp.2014.044

Effect of combination therapy of arthrocentesis and occlusal splint on nonreducing temporomandibular joint disk displacement

Peter Tvrdya, Petr Heinza, Jana Zapletalovab, Richard Pinka, Petr Michla
a Department of Oral and Maxillofacial Surgery, University Hospital Olomouc, Czech Republic
b Department of Biophysics, Faculty of Medicine and Dentistry, Palacky University Olomouc

Objective: Arthrocentesis of the temporomandibular joint is a minimally invasive method of treatment located at the boundary between conservative and surgical therapy. It is usually performed on an out-patient basis under local anaesthesia. These days, arthrocentesis of the temporomandibular joint is used not only in cases of acute closed lock but also in the treatment of various temporomandibular disorders. The most frequent indication is acute anterior displacement of the articular disc without reduction. Treatment using occlusal splint is one of the most frequently used methods of conservative treatment. It is used mainly in the case of discopathies and myofascial pain.

Aim: The aim of the study was to confirm that simultaneous use of the occlusal splint and arthrocentesis makes the treatment more effective in the case of detected disc dislocation without reduction.

Materials, Methods and Results. From 2008 to 2013, 144 patients underwent arthrocentesis simultaneously using occlusal splint in the treatment of chronic closed lock. The study group consisted of a 130 (90.3%) women and 14 (9.7%) men. After 3 months of therapy, a good treatment outcome was found in 98 (68.1%) patients, 12 (85.7%) men and 86 (66.2%) women. The treatment did not have any effect in 46 (31.9%) patients, 2 (14.3%) men and 44 (33.8%) women.

Conclusion: The simultaneous use of the occlusal splint and arthrocentesis makes the treatment more effective in the case of detected joint disc dislocation without reduction.

Keywords: temporomandibular joint disorder, arthrocentesis, splint therapy

Received: April 9, 2014; Accepted: July 18, 2014; Prepublished online: August 18, 2014; Published: December 3, 2015  Show citation

ACS AIP APA ASA Harvard Chicago IEEE ISO690 MLA NLM Turabian Vancouver
Tvrdy, P., Heinz, P., Zapletalova, J., Pink, R., & Michl, P. (2015). Effect of combination therapy of arthrocentesis and occlusal splint on nonreducing temporomandibular joint disk displacement. Biomedical papers, 159(4), 677-680. doi: 10.5507/bp.2014.044
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Hye-Sung L, Hyun-Su B, Dong-Suk S, Hee-Chul K. Effect of simultaneous therapy of arthrocentesis and occlusal splints on temporomandibular disorders: anterior disc displacement without reduction. J Korean Assoc Oral Maxillofac Surg 2013;39(1):14-20. Go to original source... Go to PubMed...
    2. Yustin D, Neff P, Rieger MR, Hurst T. Characterization of 86 bruxing patients with long-term study of their management with occlusal devices and other forms of therapy. J Orofac Pain 1993;7:54-60. Go to PubMed...
    3. Nitzan DW. Intraarticular pressure in the functioning human temporomandibular joint and its alteration by uniform elevation of the occlusal plane. J Oral Maxillofac Surg 1994;52:671-9. Go to original source... Go to PubMed...
    4. Barkin S, Weinberg S. Internal derangements of the temporomandibular joint: the role of arthroscopic surgery and arthrocentesis. J Can Dent Assoc 2000;66:199-203. Go to PubMed...
    5. Nitzan DW, Dolwick MF, Martinez GA. Temporomandibular joint arthrocentesis: a simplified treatment for severe, limited mouth opening. J Oral Maxillofac Surg 1991;49:1163-7. Go to original source... Go to PubMed...
    6. Holmlund A, Hellsing G. Arthroscopy of the temporomandibular joint. An autopsy study. Int J Oral Surg 1985;14:169-75. Go to original source... Go to PubMed...
    7. McCain JP. Arthroscopy of the human temporomandibular joint. J. Oral Maxillofacial Surg 1988;46:648-55. Go to original source... Go to PubMed...
    8. Monje-Gil F, Nitzan D, Gonzales-Garcia R. Temporomandibular joint arthrocentesis. Review of the literature. Med Oral Patol Oral Cir Bucal 2012;17(4),575-81. Go to original source... Go to PubMed...
    9. Tozoglu S, Al- Belasy FA, Dolwick MF. A review of techniques of lysis and Lavage of the TMJ. Brit J Oral Maxillofac Surg 2011;49(4),302-9. Go to original source... Go to PubMed...
    10. Carraro JJ, Caffesse RG. Effect of occlusal splints on TMJ symptomatology. J Prosthet Dent 1978;40:563-6. Go to original source... Go to PubMed...
    11. Major PW, Nebbe B. Use and effectiveness of splint appliance therapy: review of literature. Cranio 1997;15:159-66. Go to original source... Go to PubMed...
    12. Lundh H, Westesson PL, Eriksson L, Brooks SL. Temporomandibular joint disk displacement without reduction. Treatment with flat occlusal splint versus no treatment. Oral Surg Oral Med Oral Pathol 1992;73:655-8. Go to original source... Go to PubMed...
    13. Sanders B. Arthroscopic surgery of the temporomandibular joint: treatment of internal derangement with persistent closed lock. Oral Surg Oral Med Oral Pathol 1986;62:361-72. Go to original source... Go to PubMed...
    14. Murakami KI, Iizuka T, Matsuki M, Ono T. Recapturing the persistent anteriorly displaced disk by mandibular manipulation after pumping and hydraulic pressure to the upper joint cavity of the temporomandibular joint. Cranio 1987;5:17-24. Go to original source... Go to PubMed...
    15. Nitzan DW, Dolwick MF, Heft MW. Arthroscopic lavage and lysis of the temporomandibular joint: a change in perspective. J Oral Maxillofac Surg 1990;48:798-801. Go to original source... Go to PubMed...
    16. Kropmans TJ, Dijkstra PU, Stegenga B, de Bont LG. Therapeutic outcome assessment in permanent temporomandibular joint disc displacement. J Oral Rehabil 1999;26:357-63. Go to original source... Go to PubMed...
    17. Machon V, Hirjak D, Lukas J. Therapy of the osteoarthritis of the temporomandibular joint. J Craniomaxillofacial Surg 2011;39(2):127-30. Go to original source... Go to PubMed...

    Return to the content