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J Maxillofac Oral Surg. 2012 Mar;11(1):53-6. doi: 10.1007/s12663-011-0288-8. Epub 2011 Sep 20.

Arthrocentesis in TMJ Internal Derangement: A Prospective Study.

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1
PSM College of Dental Science, Akkikkavu PO, Thrissur DT, 680519 India.

Abstract

OBJECTIVES OF THE STUDY:

To evaluate improvement in symptoms following arthrocentesis: Pain, Maximum Mouth Opening, Clicking/Crepitation.

METHOD:

Eleven patients who reported to the department of Oral and Maxillofacial Surgery, M S Ramaiah Dental College, Bangalore clinically diagnosed to have Internal Derangement of the TMJ underwent Arthrocentesis. Patients were evaluated at the end of 1 week, 1 and 3 months and results tabulated.

RESULTS:

11 patients with clinically diagnosed Internal Derangement underwent Arthrocentesis and were followed up for 3 months. There was significant improvement in Pain, Maximum Mouth Opening and Clicking/Crepitation. All the results were statistically significant. There was no serious post operative complication.

CONCLUSION:

Arthrocentesis can be recommended as a simple chair-side procedure for the treatment of TMJ Internal Derangement refractory to conservative management.

KEYWORDS:

Arthrocentesis; Internal derangement; TMJ

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