Department of Oral and Maxillofacial, Dental School, Universidade de Pernambuco, Camaragibe, PE, Brazil.
Braz Oral Res. 2015;29:50. doi: 10.1590/1807-3107BOR-2015.vol29.0050.
The aim of this study was to evaluate the effectiveness and level of satisfaction of patients who underwent TMJ arthrocentesis under local anesthesia by considering the following parameters: joint pain, mouth opening, mastication, and satisfaction. Fourteen patients (13 women and one man; mean age, 37.6 years with TMJ arthralgia were selected. The patients underwent arthrocentesis under local anesthesia, and pain intensity was measured before, during, and 1 year after treatment using a visual analog pain scale (VAS 0-100 mm). A Likert scale was used to assess patients' opinion regarding the improvement of mouth opening and mastication. After treatment, patients were questioned on levels of satisfaction provided by arthrocentesis in regard to their quality of life. At the end of 1 year, patients showed a marked improvement in their pain clinical picture (p < 0.0001). Mouth opening and mastication, evaluated separately and then correlated (R2 = 0.925, p < 0.0001), also showed a marked improvement. When questioned, all patients reported being satisfied with the treatment outcome.
本研究旨在评估在局部麻醉下接受 TMJ 关节穿刺术的患者的疗效和满意度水平，考虑以下参数：关节疼痛、张口度、咀嚼功能和满意度。选择 14 名（13 名女性和 1 名男性）患有 TMJ 关节痛的患者接受局部麻醉下的关节穿刺术，并使用视觉模拟疼痛量表（VAS 0-100mm）在治疗前、治疗期间和治疗后 1 年测量疼痛强度。使用李克特量表评估患者对张口度和咀嚼功能改善的看法。治疗后，询问患者对关节穿刺术在改善生活质量方面提供的满意度水平。在 1 年末，患者的疼痛临床症状明显改善（p<0.0001）。张口度和咀嚼功能分别评估后相关（R2=0.925，p<0.0001），也有明显改善。当被问及治疗结果时，所有患者均报告对治疗结果满意。
