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ISSN 2063-5346
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EFFICACY OF ARTHROCENTESIS IN THE MANAGEMENT OF PATIENTS WITH TEMPOROMANDIBULAR JOINT INTERNAL DERANGEMENTS

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D. Angel Fastina Mary, Dr. M. P. Santhosh Kumar
» doi: 10.31838/ecb/2023.12.s2.164

Abstract

Objectives: One of the most fascinating and intricate synovial joints in the body is the temporomandibular joint. The temporomandibular joint's movements are controlled by a complex neurological mechanism, which is necessary for the system to operate correctly and effectively. Inconsistent muscle action or structural injury to any of the parts may result from a lack of such harmony. Arthrocentesis is an effective, simple, and minimally invasive treatment in patients with temporomandibular joint (TMJ) closed lock (CL). This study aims to evaluate the effectiveness of TMJ arthrocentesis procedure in patients with Internal derangement of temporomandibular joint. Materials and methods: 53 consecutive patients with TMJ issues underwent arthrocentesis using various type of solutions in this prospective clinical case series, assigned from December 2021 to march 2022 were reviewed. Preoperative pain scores, post-operative pain scores, pre-operative mouth opening, post-operative mouth opening, and type of solutions were used as outcome measures. This was followed by excel tabulation and imported in SPSS. Data analysis was assessed in SPSS software using paired t-tests were performed to compare clinical data between pre- and post-treatment and maximum effective solution used were determined using oneway ANOVA test by correlating with post-operative pain and mouth opening scores. Results: Preoperative pain score ranged from 1 to 9 and the mean of the Preoperative mouth opening score = 22.2-25.54. Post-Operative pain score ranged from 0.60 to 1.63 and the mean of the post-operative mouth opening score = 31.47-35.79. There was statistically significant association seen between Preoperative and Postoperative pain and mouth opening score (P<0.05). And maximum effective solution used were found to be dexamethasone. Conclusion: Within the limitations of this study, it can conclude that arthrocentesis is a simple, minimally invasive procedure with a relatively low risk of complications and significant clinical benefits in patients with TMJ disorders. And maximum effective solution used was found to be dexamethasone.

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