Tvrdy Peter, Heinz Petr, Zapletalova Jana, Pink Richard, Michl Petr
Department of Oral and Maxillofacial Surgery, University Hospital Olomouc, Czech Republic.
Department of Biophysics, Faculty of Medicine and Dentistry, Palacky University Olomouc.
Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2015 Dec;159(4):677-80. doi: 10.5507/bp.2014.044. Epub 2014 Aug 18.
Arthrocentesis of the temporomandibular joint is a minimally invasive method of treatment located at the boundary between conservative and surgical therapy. It is usually performed on an out-patient basis under local anaesthesia. These days, arthrocentesis of the temporomandibular joint is used not only in cases of acute closed lock but also in the treatment of various temporomandibular disorders. The most frequent indication is acute anterior displacement of the articular disc without reduction. Treatment using occlusal splint is one of the most frequently used methods of conservative treatment. It is used mainly in the case of discopathies and myofascial pain.
The aim of the study was to confirm that simultaneous use of the occlusal splint and arthrocentesis makes the treatment more effective in the case of detected disc dislocation without reduction.
MATERIALS, METHODS AND RESULTS: From 2008 to 2013, 144 patients underwent arthrocentesis simultaneously using occlusal splint in the treatment of chronic closed lock. The study group consisted of a 130 (90.3%) women and 14 (9.7%) men. After 3 months of therapy, a good treatment outcome was found in 98 (68.1%) patients, 12 (85.7%) men and 86 (66.2%) women. The treatment did not have any effect in 46 (31.9%) patients, 2 (14.3%) men and 44 (33.8%) women.
The simultaneous use of the occlusal splint and arthrocentesis makes the treatment more effective in the case of detected joint disc dislocation without reduction.
颞下颌关节穿刺术是一种微创治疗方法，处于保守治疗和手术治疗的边界。通常在局部麻醉下门诊进行。如今，颞下颌关节穿刺术不仅用于急性闭口锁，还用于治疗各种颞下颌关节紊乱病。最常见的适应症是关节盘急性前移位且不可复。使用咬合板治疗是最常用的保守治疗方法之一。它主要用于椎间盘病变和肌筋膜疼痛的情况。
本研究的目的是证实对于检测到的关节盘不可复性移位病例，同时使用咬合板和关节穿刺术可使治疗更有效。
材料、方法和结果：2008年至2013年，144例患者在慢性闭口锁治疗中同时接受了咬合板辅助的关节穿刺术。研究组包括130名（90.3%）女性和14名（9.7%）男性。治疗3个月后，98例（68.1%）患者治疗效果良好，其中男性12例（85.7%），女性86例（66.2%）。46例（31.9%）患者治疗无效，其中男性2例（14.3%），女性44例（33.8%）。
对于检测到的关节盘不可复性移位病例，同时使用咬合板和关节穿刺术可使治疗更有效。
