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Evaluation of the long-term treatment effectiveness of arthrocentesis in patients with temporomandibular joint disc displacement without reduction: A retrospective study.
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Polat Nisa Nur, Ugurlu Kubra, Bas Burcu
Аннотация
OBJECTIVES: To evaluate the long-term effectiveness of arthrocentesis in patients with TMJ disc displacement without reduction (DDWoR) and to identify prognostic factors that may influence treatment outcomes.
METHODS: This study comprised 78 patients diagnosed with TMJ/DDWoR according to the DC/TMD and treated with arthrocentesis between 2014 and 2022. Patients were evaluated preoperatively, postoperatively, and at long-term follow-up using the Visual Analog Scale (VAS) for pain and maximum mouth opening (MMO) for function. Treatment success was assessed according to clinician-assessed criteria and patient self-evaluation.
RESULTS: Significant improvements in both pain and function were observed postoperatively and sustained through long-term follow-up (both p < .001). The success rate was 53.85% according to clinician-assessed criteria and 56.41% based on patient-reported outcomes. VAS scores were significantly associated with success outcomes across all time points (p < .05). Age showed a statistically significant positive association with self-evaluation success (p = .035).
CONCLUSION: Results support that arthrocentesis is an effective treatment option for patients with TMJ/DDWoR.
METHODS: This study comprised 78 patients diagnosed with TMJ/DDWoR according to the DC/TMD and treated with arthrocentesis between 2014 and 2022. Patients were evaluated preoperatively, postoperatively, and at long-term follow-up using the Visual Analog Scale (VAS) for pain and maximum mouth opening (MMO) for function. Treatment success was assessed according to clinician-assessed criteria and patient self-evaluation.
RESULTS: Significant improvements in both pain and function were observed postoperatively and sustained through long-term follow-up (both p < .001). The success rate was 53.85% according to clinician-assessed criteria and 56.41% based on patient-reported outcomes. VAS scores were significantly associated with success outcomes across all time points (p < .05). Age showed a statistically significant positive association with self-evaluation success (p = .035).
CONCLUSION: Results support that arthrocentesis is an effective treatment option for patients with TMJ/DDWoR.