J Korean Assoc Oral Maxillofac Surg.  2003 Dec;29(6):392-396.

The study of the predictors in arthrocentesis and lavage of temporomandibular joint disorder : retrospective evaluation of anterior disc displacement without reduction

• Kim CH
• Hwang HS
• Sin SH

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.

Keyword

Arthrocentesis and lavage; Temporomandibular joint disorders

MeSH Terms

Humans
Magnetic Resonance Imaging
Mouth
Pain, Postoperative
Temporomandibular Joint Disorders*
Temporomandibular Joint*
Therapeutic Irrigation*