This review of temporomandibular joint arthrocentesis versus conservative management for painful temporomandibular disorders (TMD) includes 7 RCTs. The findings suggest improvements in both pain and maximum mouth opening with arthrocentesis but these may not be clinically important.
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This review of TMJ lavage for temporomandibular disorders only included 5 small RCTs a majority of which were at high risk of bias. While the findings suggest a benefit from lavage this should be interpreted cautiously because of the limited quality of the available evidence.
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This review of intra-articular injections of hyaluronic acid (HA) for temporomandibular disorder only identified 8 small studies of limited quality providing no consensus that HA injections were better than other agents.
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This review looked at surgical approaches for the management of internal derangement of the temporomandibular joint. Seven studies were identified of which 3 were randomised trials. Benefits for some outcomes were found with both open and arthroscopic surgery. However the available evidence is limited.
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The review compares the effectiveness of arthroscopy and arthrocentesis for temporomandibular joint disorders that do not respond non-surgical approaches. Analysis suggests that arthrocentesis is slightly better but only a small number of small studies are available.
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It has been estimates that 20% to 30% of the adult population will experience temporomandibular joint dysfunction. The aim of this study was to assess the short-term efficacy of two treatments for patients with permanently displaced discs and temporomandibular disorder (TMD) pain. Adult patients( ≥ 18) with TMD pain and disk displacement without reduction (DDwoR) [read the full story…]
Temporomandibular disorders (TMDs) comprise a group of clinical problems that involve the masticatory muscles, the temporomandibular joint and associated structures, or both. They may also involve many organic, psychological and psychosocial factors. The aetiology of TMDs is still not clear. The aim of this Cochrane review was to assess the effectiveness of arthroscopy for the [read the full story…]
