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• W1998716647 abstract "Purpose: The purpose of this retrospective study was to determine the efficacy of arthrocentesis in restoring the functional capacity of osteoarthritic temperomandibular joints (TMJ). Patients and Methods: This study involved 36 patients (29 females, 7 males; age range, 16 to 54 years, mean, 37.36 ± 14.60 years) presenting with 38 dysfunctional joints that had not responded to conservative treatment. The postarthrocentesis status (follow-up period 6 to 62 months, mean 20.7 ± 20.5 months) of the TMJs was determined by patient self-evaluation using visual analog scales and clinical examination. Results: Of the 38 TMJs treated with arthrocentesis, 26 joints reacted favorably to the treatment; pain and dysfunction scores were reduced from 9.86 ± 0.73 to 3.39 ± 0.76 and from 11.34 ± 0.66 to 3.4 ± 0.69, respectively (P <.001). Self-assessed general improvement/deterioration was +4.90 ± 2.10 (on a scale of −7 to +7). Maximal mouth opening increased from 24.40 ± 2.70 mm to 43.20 ± 3.10 mm (P <.001). Lateral and protrusive jaw movements also increased in magnitude. In 14 patients in whom no improvement was noted, arthrocentesis acted as a diagnostic tool before surgical treatment. Conclusions: Arthrocentesis is a safe and rapid procedure that in many instances results in the osteoarthritic TMJs returning to a healthy functional state. Failure of arthrocentesis suggests that the painful limitation is most probably caused by changes such as fibrous adhesions or osteophytes that require surgical intervention for their removal. © 2001 American Association of Oral and Maxillofacial Surgeons" @default.
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• W1998716647 date "2001-10-01" @default.
• W1998716647 modified "2023-09-27" @default.
• W1998716647 title "The use of arthrocentesis for the treatment of osteoarthritic temporomandibular joints" @default.
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• W1998716647 doi "https://doi.org/10.1053/joms.2001.26716" @default.
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