Document Detail

Effect of arthrocentesis on TMJ disturbance of mouth closure with loud clicking: a preliminary study.
MedLine Citation:
PMID:  11831339     Owner:  NLM     Status:  MEDLINE    
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.
Tetsuya Yoda; Hideki Imai; Yu Shinjyo; Ichiro Sakamoto; Masato Abe; Shoji Enomoto
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Cranio : the journal of craniomandibular practice     Volume:  20     ISSN:  0886-9634     ISO Abbreviation:  Cranio     Publication Date:  2002 Jan 
Date Detail:
Created Date:  2002-02-07     Completed Date:  2002-05-09     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8609491     Medline TA:  Cranio     Country:  United States    
Other Details:
Languages:  eng     Pagination:  18-22     Citation Subset:  D    
Department of Oral-Maxillofacial Surgery, Dentistry, and Orthodontics, University of Tokyo Hospital, Japan.
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MeSH Terms
Anesthetics, Local / administration & dosage
Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
Contrast Media
Diclofenac / therapeutic use
Dislocations / pathology,  radiography
Follow-Up Studies
Iohexol / diagnostic use
Lidocaine / administration & dosage
Magnetic Resonance Imaging
Mandible / physiopathology*,  radiography
Middle Aged
Occlusal Splints
Statistics as Topic
Statistics, Nonparametric
Temporomandibular Joint Disk / pathology,  radiography
Temporomandibular Joint Disorders / pathology,  radiography,  therapy*
Tomography, X-Ray
Reg. No./Substance:
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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