{"title":"关节置换术治疗颞下颌关节疾病的争议:系统回顾。","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":"{\"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}","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}
Controversies in the management of arthrocentesis treatment of temporomandibular joint disorders: systematic review.
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.
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.