Online ISSN: 2515-8260

Keywords : arthrocentesis


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.

ARTHROCENTESIS LYSIS AND LAVAGE OF TEMPOROMANDIBULAR JOINT -REVIEW.

Dr.Vijay Ebenezer; Dr. Balakrishnan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 3, Pages 1854-1860

Temperomandibular joint pain and its disc disorder are the quite difficult in diagnosis and treatment planning where the pathological variation of the temporomandibular space infection varies from one region to the other. the adhesion of the temporomandibular joint space can be treated with arthrocentesis which was earlier done arthroscopy by ohinski and niten et al over 1991 in tmj.