Evaluation of the long-term treatment effectiveness of arthrocentesis in patients with temporomandibular joint disc displacement without reduction: A retrospective study
CRANIO-THE JOURNAL OF CRANIOMANDIBULAR & SLEEP PRACTICE, cilt.44, sa.4, ss.806-814, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 44 Sayı: 4
- Basım Tarihi: 2026
- Doi Numarası: 10.1080/08869634.2026.2615423
- Dergi Adı: CRANIO-THE JOURNAL OF CRANIOMANDIBULAR & SLEEP PRACTICE
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, CINAHL, EMBASE, MEDLINE, Biomedical Reference Collection: Corporate Edition (EBSCO)
- Sayfa Sayıları: ss.806-814
- Anahtar Kelimeler: Arthrocentesis, temporomandibular disorders, TMDs, TMJ disc displacements
- Ondokuz Mayıs Üniversitesi Adresli: Evet
Özet
Objectives: To evaluate the long-term effectiveness of arthrocentesis in patients with TMJ disc displacement without reduction (DDWoR) and to identify prognostic factors that may influence treatment outcomes. Methods: This study comprised 78 patients diagnosed with TMJ/DDWoR according to the DC/TMD and treated with arthrocentesis between 2014 and 2022. Patients were evaluated preoperatively, postoperatively, and at long-term follow-up using the Visual Analog Scale (VAS) for pain and maximum mouth opening (MMO) for function. Treatment success was assessed according to clinician-assessed criteria and patient self-evaluation. Results: Significant improvements in both pain and function were observed postoperatively and sustained through long-term follow-up (both p < .001). The success rate was 53.85% according to clinician-assessed criteria and 56.41% based on patient-reported outcomes. VAS scores were significantly associated with success outcomes across all time points (p < .05). Age showed a statistically significant positive association with self-evaluation success (p = .035). Conclusion: Results support that arthrocentesis is an effective treatment option for patients with TMJ/DDWoR.