Retrospective Analysis of Different Treatment Techniques in Patients With Tempromandibuar Joint Pain and Dysfunction Syndrome
Project no. 365 · Status: Kapanmış · 2016
Summary
ID (internal derangement) is the clinical and pathological condition of disc displacement of the temporomandibular joint. Management of symptomatic cases involve conservative and surgical treatment options. Minimally invasive surgical procedures namely IA (intra-articular) injection, arthrocentesis and arthroscopy are promising techniques in the management of internal derangement. However patient selection algorithms, indications for minimally invasive procedures and details of the techniques should be further studied for safe and cost effective management of these cases. This manuscript aims to retrospectively analyze the significance of three different minimally invasive treatment options in the management of internal derangement of TMJ (temporomandibular joint). Appropriate inclusion and exclusion criteria were set. Case notes of 60 patients that were treated with IA injection, arthrocentesis or arhroscopic lysis and lavage for symptomatic internal derangement were retrospectively evaluated. Parameters recorded were pain-free inter-incisal opening, spontaneous pain and pain on function. Parameters recorded pre-operatively and at 3 months post-operatively were descriptively analysed. Minmally invasive treatment strategies reduce pain associated with internal derangement, however arthrosentesis and arthroscopy are more effective in increasing mouth opening compared to IA injection. As a conclusion surgical management of symptomatic internal derangement refractory to conservative treatment, should commence with the simplest minimally invasive treatment option possible and more complicated treatment options should be utilised if necessary in a stepped approach