Online ISSN: 2515-8260

Keywords : TMJ

A comparison of the efficacy of arthrocentesis alone and arthrocentesis with duloxetine in patients with TMJ pain

Dr. M. Vinuthna; Dr Nitin Bhagat; Dr. Afsal B; Dr Chethan Kumar D; Dr. Nimmy Elsa Samuel; Dr. Swaroop S

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 11, Pages 7842-7847

Background:Temporomandibular disorder (TMD) is a musculoskeletal disorder within the masticatory system. The present study was conducted to compare theefficacy of arthrocentesis alone and arthrocentesis withduloxetine in patients with TMJ pain.
Materials & Methods:40 patients with TMJ pain were randomly divided into two groups of 20 each. Group I patients were treated with arthrocentesis alone and group II with arthrocentesis followed by duloxetine 30 mg twice daily for 12-week therapy. Patients were followed up at regular interval at day 1, day 5, day 7, week 4, week 6 and week 12. Outcome assessment of pain and maximal mouth opening was done.
Results: There were 8 males in group I and 9 in ii and 12 females in group I and 11 in group II.VAS score in group I was 5.1, 5.8, 4.9, 4.5, 3.5, 3.3 and 3.0 and in group II was 6.0, 6.5, 4.3, 4.0, 3.2, 2.8 and 1.6 at Pre- op, day 1, day 5, day 7, week 4, week 6 and week 12 respectively. The maximum mouth opening (mm) pre- op, day 1, day 5, day 7, week 4, week 6 and 12 weeks was 34.2, 35.6, 38.4, 40.6, 41.2, 41.9 and 42.5 in group I and 35.4, 36.7, 38.9, 40.5, 42.6, 43.7 and 45.2 in group II respectively. The difference was significant (P< 0.05).Conclusion:Combination of duloxetine witharthrocentesis gave much better outcome than arthrocentesis alone in TMJ pain patients.


Amit Kumar Singh; Revathi Duraisamy

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 1907-1915

The objective of full mouth rehabilitation is not only the reconstruction and restoration but also to maintain the health of the entire stomatognathic system. Full mouth Rehabilitation can be defined as the reestablished state of functional and as well as biological efficiency where teeth with their periodontal structure, the muscle of mastication and the TMJ mechanism all function together and in synchronous harmony. Tooth material loss (wear) occurs as a natural process during the lifetime. In some cases tooth wear is severe and there will be a decrease in the vertical dimension. Hence it is mandatory to evaluate the vertical dimension before further treatment planning. So this present study aims to assess the patients requiring Full mouth Rehabilitation based on Turner and Missilarian classification. patient records were analyzed with the data of 86000 patients between June 2019 and March 2020 from this a sample size of 65 patients were selected for the study. Data tabulated with parameters such as age, name, gender, classification of Turner, and Missilarian classification and their categories. Data import to SPSS for statistical analysis. Descriptive statistics having a frequency, percentage, and chi square test done for association.Male is found to be slightly more prevalent than females. The most common age group affected were above 50 years of age group with categories-2 was more frequently seen. Chi-square test showed no Statistical significance between age/gender with the diagnosis of Turner and Missilarian categories since p value>0.005. Turner and Missilarian classification category 2 was found to be more in males above 50 years of age group. This study needs further extensive research with a large sample size in the future.