Artrocentese da Articulação Temporomandibular como tratamento na dor e limitação de abertura bucal: Relato de caso

Laís Inês Silva Cardoso; Palena Araújo Pinto; Sérgio Éberson da Silva Maia; Ingrid Araújo Oliveira Consolaro; Thalita Santana

doi:10.18593/evid.34518

Authors

Laís Inês Silva Cardoso Universidade CEUMA https://orcid.org/0000-0002-6478-5439
Palena Araújo Pinto Universidade CEUMA https://orcid.org/0000-0002-5729-3495
Sérgio Éberson da Silva Maia Universidade de São Paulo, USP
Ingrid Araújo Oliveira Consolaro Universidade de São Paulo, USP https://orcid.org/0000-0002-4663-6405
Thalita Santana Universidade CEUMA https://orcid.org/0000-0002-2172-9031

DOI:

https://doi.org/10.18593/evid.34518

Keywords:

Temporomandibular Joint, Arthrocentesis, Temporomandibular Joint Disorders

Abstract

Temporomandibular disorders encompass joint changes may occur within the temporomandibular joint (TMJ), including those involving anterior displacement of the articular disc, resulting in pain and limited mouth opening. The arthrocentesis technique is effective in treating these symptoms, furthermore being a simple, low-cost and highly predictable technique. The aim of this work is to report the case of a patient with anterior disc displacement without reduction, associated with pain and limited mouth opening, treated with the arthrocentesis technique. Female patient, 28 years old, with facial pattern II, anterior open bite and complaining of “pain and difficulty opening the mouth”. Her initial mouth opening was 20mm, with pain complaint between 7 and 8 on the Visual Pain Scale (EVD). An isolated arthrocentesis technique was performed in both TMJs, under local anesthesia associated with intravenous sedation in the operating room. During the three-month postoperative follow-up, the patient improved mouth opening to 30 mm and pain close to 1 on the EVD. Therefore, the isolated arthrocentesis technique proved be effective in treating symptoms like pain and limited mouth opening in patients diagnosed with anterior displacement of the articular disc without reduction.

Downloads

Download data is not yet available.

Author Biographies

Palena Araújo Pinto, Universidade CEUMA

Dental surgeon, São Luís, MA

Master's student in Dentistry at CEUMA University

Sérgio Éberson da Silva Maia, Universidade de São Paulo, USP

Oral and Maxillofacial Surgeon, Araripina, PE Master's degree at the Hospital for Rehabilitation of Craniofacial Anomalies at the University of São Paulo – HRAC USP

Ingrid Araújo Oliveira Consolaro, Universidade de São Paulo, USP

Oral and Maxillofacial Surgeon, São Luís, MA

PhD in Stomatology from the University of São Paulo – USP

Thalita Santana, Universidade CEUMA

Oral and Maxillofacial Pathologist, São Luís, MA PhD in Oral and Maxillofacial Pathology from the University of São Paulo – USP

References

AK, KB. Complications Of Temporomandibular Joint Arthrocentesis. Sanamed. 2020; 15(1): 65–69

KA Briggs, O Breik, K Ito, AN Goss. Arthrocentesis in the management of internal derangement of the temporomandibular joint. Australian Dental Journal 2019; 64: 90–95.

CLAVERO MAG, et al. Influence of the type of anesthesia on 111 arthrocentesis in temporomandibular joint disorders: results of a prospective study. J Oral Med Oral Surg 2022; 28:3.

DOLWICK MF, WIDMER CG. Temporomandibular joint arthrocentesis: an evidence-based review. Front Oral Maxillofac Med 2020; 2:26

NITZAN DW, DOLWICK MF, MARTINEZ GA. Temporomandibular joint arthrocentesis: a simplified treatment for severe, limited mouth opening. J Oral Maxillofac Surg 1991; 49:1163-7.

GROSSMAN E, et al. The use of arthrocentesis in patients with temporomandibular joint disc displacement without reduction. Plos One. 2019; 14(2): e0212307.

DAVOUDI A, et al. Is arthrocentesis of temporomandibular joint with corticosteroids beneficial? A systematic review. Med Oral Patol Oral Cir Bucal. 2018 May 1;23 (3):e367-75.

GOPALAKRISHNAN V, et al. The use of intra-articular analgesics to improve outcomes after temporomandibular joint arthrocentesis: a review. Oral and Maxillofacial Surgery (2018) 22:357–364

HEO HA, YUNG HJ. Clinical outcomes of patients with bilateral anterior disc displacement without reduction and erosive change of the temporomandibular joint after performance of unilateral arthrocentesis and stabilisation splint therapy. J Oral Rehabil . 2020 Mar;47(3):307-312