Comparison of single- and double-puncture arthrocentesis for the treatment of temporomandibular joint disorders: A six-month, prospective study

• Published in: Cranio Vol. 39; no. 2; p. 151
• Main Authors: Bayramoğlu, Zeynep, Tozoğlu, Sinan
• Format: Journal Article
• Language: English
• Published: England 04.03.2021
• Subjects: Arthrocentesis; Humans; Prospective Studies; Punctures; Range of Motion, Articular; Temporomandibular Joint - surgery; Temporomandibular Joint Disorders - surgery; Treatment Outcome; Arthrocentesis; temporomandibular joint disorders; traditional TMJ arthrocentesis; double-puncture technique; single-puncture technique
• ISSN: 2151-0903
• DOI: 10.1080/08869634.2019.1603796

: To compare the efficacies of single- and double-puncture arthrocentesis in patients with temporomandibular joint (TMJ) with closed lock (CL). : Arthrocentesis procedures were performed in 32 joints from 32 patients with magnetic resonance imaging-based diagnoses of anterior disc displacement without reduction. The patients were randomly divided into two groups according to the surgical procedure received (single-puncture arthrocentesis Type 1 or double-puncture). Maximum mouth opening, pain at rest, pain while chewing, pain at maximum mouth opening, tenderness level, and treatment tolerability were measured. Procedure duration and analgesic required were also considered. : The rates of improvement of the outcome variables were not significantly different between the two groups. However, the duration of the single-puncture arthrocentesis technique was significantly longer than the double-puncture ( ˂ 0.0001). : Both the single- and double-puncture technique are similarly tolerated and efficacious for the treatment of temporomandibular joint disorders.