Management of internal derangement of the temporomandibular joint: arthrocentesis

Alexandre Maranhão Menezes Neto, Fábio Wildson Gurgel Costa, Wagner Araújo De Negreiros, Mariana Gomes Coutinho, Eduardo Costa Studart Soares

Arthrocentesis is a minimally invasive surgical technique, with a high success rate and low risk, used in treatments of temporomandibular joint (TMJ) disorders. This technique works with lyses and washes in the upper compartment of the TMJ, to decrease intra-articular pressure, eliminate adhesions, remove inflammatory mediators and offer therapeutic action from direct-acting medications. The aim of the present study was to report the efficacy of arthrocentesis in a clinical case of a 49-year-old patient with temporomandibular dysfunction, treated in a Buccomaxillofacial Surgery and Traumatology department. Arthrocentesis is reported as the first choice for pain reduction treatment and functional deficit of TMJ when conservative treatment does not show results, in addition to producing effect more quickly. It is believed that the pressure wash technique allows lubrication of the joint space, tearing of adhesions as well as removing foreign bodies present, providing greater pain relief and resolution of the treatment. This results are corroborated by most of the clinical research studies reviewed in the present study.

Keywords: Temporomandibular joint. Arthrocentesis. Minimally invasive surgical procedures.

How to cite: Menezes Neto AM, Costa FWG, Negreiros WA, Coutinho MG, Soares ECS. Management of internal derangement of the temporomandibular joint: arthrocentesis. J Braz Coll Oral Maxillofac Surg. 2018 jan-abr;4(1):47-52. DOI: https://doi.org/10.14436/2358-2782.4.1.047-052.oar

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