Arthrocentesis of Temporomandibular Joints—A Clinical Comparative Study DOI Creative Commons

Marta Siewert,

Rafał Pokrowiecki, Paweł Zawadzki

et al.

Life, Journal Year: 2024, Volume and Issue: 14(12), P. 1594 - 1594

Published: Dec. 3, 2024

The objective of this study was to compare single-needle arthrocentesis with the conventional two-needle arthrocentesis, as well additional intracapsular injection hyaluronic acid or platelet-rich fibrin. A total 96 patients established osteoarthritis (OA) (n = 48) internal de-arrangement (DD) were assigned distension joint without medication (hyaluronic (HA) plasma (PRP)) performed every month over a period 6 months. maximum mouth opening and pain, measured by visual analog scale (VAS), compared. Each group exhibited significant improvement, i.e., decrease in pain an increase opening. single-puncture technique provided similar reduction approach but significantly better results terms when comparing OA DD cohorts; however, disc displacement achieved than OA. Intracapsular application contributed both HA PRP groups, fibrin being superior improvement.

Language: Английский

Pharmacological and non-pharmacological approaches to temporomandibular disorder chronic pain: a narrative review DOI Creative Commons

Fanny Jogna,

Adriana Graenicher A,

Quentin Rey-Millet

et al.

Pain Management, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 12

Published: May 8, 2025

Temporomandibular disorders (TMD) involve the temporomandibular joint and related structures, causing chronic pain, impaired jaw function, reduced quality of life. TMD has multifactorial origins, including mechanical, neuromuscular, inflammatory factors. Chronic pain is difficult to manage due its complex pathophysiology limited long-term effectiveness existing treatments. A combination pharmacological non-pharmacological strategies essential for optimal management. This narrative review provides an integrative overview current treatments TMD-associated pain. Pharmacological options discussed include analgesics, muscle relaxants, antidepressants, anticonvulsants, botulinum toxin injections. Non-pharmacological physical therapy, cognitive-behavioral acupuncture, lifestyle modifications. comprehensive literature search was conducted using PubMed, Embase.com, Cochrane, Evidence Alerts databases through October 2024. We focused on original research articles, randomized controlled trials, systematic reviews, meta-analyses. Effective management requires a multidisciplinary approach tailored individual needs. supports integration psychological therapies into treatment plans. Future should aim develop targeted interventions that address underlying mechanisms evaluate outcomes noninvasive therapies.

Language: Английский

Citations

0
Arthrocentesis of Temporomandibular Joints—A Clinical Comparative Study DOI Creative Commons

Marta Siewert,

Rafał Pokrowiecki, Paweł Zawadzki

et al.

Life, Journal Year: 2024, Volume and Issue: 14(12), P. 1594 - 1594

Published: Dec. 3, 2024

The objective of this study was to compare single-needle arthrocentesis with the conventional two-needle arthrocentesis, as well additional intracapsular injection hyaluronic acid or platelet-rich fibrin. A total 96 patients established osteoarthritis (OA) (n = 48) internal de-arrangement (DD) were assigned distension joint without medication (hyaluronic (HA) plasma (PRP)) performed every month over a period 6 months. maximum mouth opening and pain, measured by visual analog scale (VAS), compared. Each group exhibited significant improvement, i.e., decrease in pain an increase opening. single-puncture technique provided similar reduction approach but significantly better results terms when comparing OA DD cohorts; however, disc displacement achieved than OA. Intracapsular application contributed both HA PRP groups, fibrin being superior improvement.

Language: Английский

Citations

0