Controversies in the management of arthrocentesis treatment of temporomandibular joint disorders: systematic review.

Q3 Medicine
Tubanza Mulongo Simplot, Nyimi Bushabu Fidele, Mantshumba Milolo Augustin, Paka Lubamba Grace, Muyembi Mwinaminayi Pierre, Zinio Mabanza Julia, Panoumvita Kapamona Junior
{"title":"Controversies in the management of arthrocentesis treatment of temporomandibular joint disorders: systematic review.","authors":"Tubanza Mulongo Simplot, Nyimi Bushabu Fidele, Mantshumba Milolo Augustin, Paka Lubamba Grace, Muyembi Mwinaminayi Pierre, Zinio Mabanza Julia, Panoumvita Kapamona Junior","doi":"10.25122/jml-2024-0402","DOIUrl":null,"url":null,"abstract":"<p><p>There is a paucity of evidence regarding whether the effective outcomes of arthrocentesis in the management of temporomandibular joint disorders (TMJD) result from its use as a single treatment or in association with adjunctive therapy. The study aimed to compare arthrocentesis alone (ACA) and arthrocentesis (AC) associated with adjunctive therapy (AAAT) to determine the most effective treatment strategy. A systematic review was conducted in September 2023 using PubMed/MEDLINE, Scopus, Web of Science, and the Cochrane Oral Health database. Outcomes assessed included pain, maximal interincisal opening (MIO)/maximum mouth opening (MMO), and joint sounds. A total of 28 studies comprising 1,216 patients treated with ACA or AAAT were included. Across these studies, 31 temporomandibular disorder diagnoses were reported, with temporomandibular joint osteoarthritis (TMJ-OA) being the most common (32.3%), followed by temporomandibular joint internal derangement (TMJ-ID) (19.4%) and disc displacement without reduction (DDwoR) (12.9%). Comparisons showed no significant differences between ACA and arthrocentesis combined with hyaluronic acid (AC + HA) or corticosteroids (AC + CS) in most studies. Arthrocentesis combined with platelet-rich plasma (AC + PRP) was superior to ACA but generally less effective than arthrocentesis combined with PRP and HA (AC + PRP + HA). The benefit of adjunctive therapy after AC remains controversial; however, an additional effect of two different adjunctive modalities after AC seems evident.</p>","PeriodicalId":16386,"journal":{"name":"Journal of Medicine and Life","volume":"18 8","pages":"721-731"},"PeriodicalIF":0.0000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12467456/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Medicine and Life","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.25122/jml-2024-0402","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0

Abstract

There is a paucity of evidence regarding whether the effective outcomes of arthrocentesis in the management of temporomandibular joint disorders (TMJD) result from its use as a single treatment or in association with adjunctive therapy. The study aimed to compare arthrocentesis alone (ACA) and arthrocentesis (AC) associated with adjunctive therapy (AAAT) to determine the most effective treatment strategy. A systematic review was conducted in September 2023 using PubMed/MEDLINE, Scopus, Web of Science, and the Cochrane Oral Health database. Outcomes assessed included pain, maximal interincisal opening (MIO)/maximum mouth opening (MMO), and joint sounds. A total of 28 studies comprising 1,216 patients treated with ACA or AAAT were included. Across these studies, 31 temporomandibular disorder diagnoses were reported, with temporomandibular joint osteoarthritis (TMJ-OA) being the most common (32.3%), followed by temporomandibular joint internal derangement (TMJ-ID) (19.4%) and disc displacement without reduction (DDwoR) (12.9%). Comparisons showed no significant differences between ACA and arthrocentesis combined with hyaluronic acid (AC + HA) or corticosteroids (AC + CS) in most studies. Arthrocentesis combined with platelet-rich plasma (AC + PRP) was superior to ACA but generally less effective than arthrocentesis combined with PRP and HA (AC + PRP + HA). The benefit of adjunctive therapy after AC remains controversial; however, an additional effect of two different adjunctive modalities after AC seems evident.

Abstract Image

关节置换术治疗颞下颌关节疾病的争议:系统回顾。
关于关节穿刺治疗颞下颌关节疾病(TMJD)的有效结果是由于其作为单一治疗还是与辅助治疗相关联,目前缺乏证据。本研究旨在比较单独关节穿刺(ACA)和关节穿刺(AC)联合辅助治疗(AAAT),以确定最有效的治疗策略。2023年9月,使用PubMed/MEDLINE、Scopus、Web of Science和Cochrane口腔健康数据库进行了系统评价。评估的结果包括疼痛、最大内脏开口(MIO)/最大张嘴(MMO)和关节声音。共纳入28项研究,包括1216例接受ACA或AAAT治疗的患者。在这些研究中,报告了31例颞下颌关节疾病的诊断,其中颞下颌关节骨性关节炎(TMJ-OA)最常见(32.3%),其次是颞下颌关节内脱位(TMJ-ID)(19.4%)和椎间盘无复位移位(DDwoR)(12.9%)。比较显示ACA与关节穿刺联合透明质酸(AC + HA)或皮质类固醇(AC + CS)在大多数研究中没有显著差异。关节穿刺联合富血小板血浆(AC + PRP)优于ACA,但通常不如关节穿刺联合PRP和HA (AC + PRP + HA)。AC术后辅助治疗的益处仍有争议;然而,两种不同的辅助方式在AC后的额外效果似乎很明显。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Journal of Medicine and Life
Journal of Medicine and Life Medicine-Medicine (all)
CiteScore
1.90
自引率
0.00%
发文量
202
期刊介绍: The Journal of Medicine and Life publishes peer-reviewed articles from various fields of medicine and life sciences, including original research, systematic reviews, special reports, case presentations, major medical breakthroughs and letters to the editor. The Journal focuses on current matters that lie at the intersection of biomedical science and clinical practice and strives to present this information to inform health care delivery and improve patient outcomes. Papers addressing topics such as neuroprotection, neurorehabilitation, neuroplasticity, and neuroregeneration are particularly encouraged, as part of the Journal''s continuous interest in neuroscience research. The Editorial Board of the Journal of Medicine and Life is open to consider manuscripts from all levels of research and areas of biological sciences, including fundamental, experimental or clinical research and matters of public health. As part of our pledge to promote an educational and community-building environment, our issues feature sections designated to informing our readers regarding exciting international congresses, teaching courses and relevant institutional-level events.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信