Age, gender and parafunctional habits as prognostic factors for temporomandibular joint arthrocentesis

作者：Attia Haitham S; Mosleh Mohamed I; Jan Ahmed M; Shawky Maha M; Jadu Fatima M^*

来源：Cranio-The Journal of Craniomandibular Practice, 2018, 36(2): 121-127.

DOI：10.1080/08869634.2017.1292175

• Temporomandibular disorders
• prognostic factors
• arthrocentesis
• disc displacement without reduction
• hyaluronic acid
• TMJ
• TMD
• temporomandibular joints

Objective: Arthrocentesis is an effective procedure for management of symptomatic patients with temporomandibular joint (TMJ) anterior disc displacement without reduction (ADDWOR), but its prognostic factors are still under investigation.
Methods: Thirty-six patients with ADDWOR underwent arthrocentesis of the TMJ and hyaluronic acid injection.They were divided into groups based on three prognosticfactors: Age, gender, and the presence of parafunctional habits. The procedure outcome (success or failure) was based on pre-set criteria for improvement in pain and maximum mouth opening (MMO) one month preoperatively.
Results: Patients with parafunctional habits had a lower success rate than patients without these habits. Interesting trends were noted with age and gender as prognostic factors for arthrocentesis for patients with ADDWOR.
Conclusion: Arthrocentesis is an effective management method for symptomatic patients with ADDWOR at one-month post treatment, especially in the absence of parafunctional habits.

• 出版日期2018