| Effect of arthrocentesis on TMJ disturbance of mouth closure with loud clicking: a preliminary study. | |
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MedLine Citation:
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PMID: 11831339 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The objective of this study was to evaluate the short-term effect of arthrocentesis on temporomandibular joint disturbance of mouth closure with loud clicking compared to the effect of one-time pumping into the joint space previous to arthrography. Twenty-one consecutive patients (22 joints) with loud clicking during mouth closure were enrolled. All were unable to smoothly close the mouth without effort. Eleven patients (12 joints) were examined using magnetic resonance imaging (MRI) to determine disk position. They then underwent arthrocentesis. Ten patients (10 joints) underwent arthrography alone as controls. Six months later, changes in clicking and temporomandibular joint movement were analyzed and the disk position was re-examined. There was improvement of mouth closing and clicking occurred in nine joints from the arthrocentesis group and two joints from the control group, with a significant difference between the two groups. Arthrocentesis may be indicated for patients with temporomandibular joint dysfunction and loud clicking when mouth closing. |
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Authors:
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Tetsuya Yoda; Hideki Imai; Yu Shinjyo; Ichiro Sakamoto; Masato Abe; Shoji Enomoto |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Cranio : the journal of craniomandibular practice Volume: 20 ISSN: 0886-9634 ISO Abbreviation: Cranio Publication Date: 2002 Jan |
Date Detail:
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Created Date: 2002-02-07 Completed Date: 2002-05-09 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8609491 Medline TA: Cranio Country: United States |
Other Details:
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Languages: eng Pagination: 18-22 Citation Subset: D |
Affiliation:
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Department of Oral-Maxillofacial Surgery, Dentistry, and Orthodontics, University of Tokyo Hospital, Japan. yodat.ora@h-tokyo.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Anesthetics, Local / administration & dosage Anti-Inflammatory Agents, Non-Steroidal / therapeutic use Arthrography Contrast Media Diclofenac / therapeutic use Dislocations / pathology, radiography Female Fluoroscopy Follow-Up Studies Humans Iohexol / diagnostic use Lidocaine / administration & dosage Magnetic Resonance Imaging Male Mandible / physiopathology*, radiography Middle Aged Movement Occlusal Splints Paracentesis* Sound Statistics as Topic Statistics, Nonparametric Temporomandibular Joint Disk / pathology, radiography Temporomandibular Joint Disorders / pathology, radiography, therapy* Tomography, X-Ray |
| Chemical | |
Reg. No./Substance:
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0/Anesthetics, Local; 0/Anti-Inflammatory Agents, Non-Steroidal; 0/Contrast Media; 137-58-6/Lidocaine; 15307-86-5/Diclofenac; 66108-95-0/Iohexol |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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