Davoudi A, Khaki H, Mohammadi I, Daneshmand M, Tamizifar A, Bigdelou M, Ansaripoor F
Vakilabad Blvd, Azadi Sqr, Mashhad University of Medical Sciences, Mashad, Iran,
Med Oral Patol Oral Cir Bucal. 2018 May 1;23(3):e367-e375. doi: 10.4317/medoral.21925.
Temporomandibular disorders (TMDs) are musculoskeletal conditions that can inhibit the normal function of temporomandibular joints (TMJs) and affect the patient's quality of life, negatively. Arthrocentesis (AC) is a minimally invasive surgical procedure used for treating TMDs. The aim of present paper is to evaluate the advantages of administrating corticosteroid (CS) during AC by reviewing high quality released articles.
Searching on Cochrane Library, Web of Science, Google Scholar, PubMed, ProQuest, and Scopus databases were performed with focusing on proper key words. Related titles and abstracts, up to December 2017, were screened and selected based on inclusion criteria. The full text of all randomized controlled trials (RCTs) was extensively read and subjected to quality assessments.
After initial search, a total of 2067 articles were included into the study. Finally, 7 studies were reliable enough in methodology and randomization to be included into the study. All of the observed studies showed improvements in jaw functions and pain relief with no statistical differences in both AC and control groups. One study reported painless maximum incisal opening in CS group than the control group.
Based on available RCTs, the AC of TMJ with CS seems to result in similar findings to other therapeutic drugs, with no significant differences.
颞下颌关节紊乱病（TMDs）是一种肌肉骨骼疾病，会抑制颞下颌关节（TMJs）的正常功能，并对患者的生活质量产生负面影响。关节穿刺术（AC）是一种用于治疗TMDs的微创手术。本文的目的是通过回顾高质量的已发表文章来评估在关节穿刺术中使用皮质类固醇（CS）的优势。
在Cochrane图书馆、科学网、谷歌学术、PubMed、ProQuest和Scopus数据库中进行搜索，重点关注合适的关键词。根据纳入标准筛选并选择截至2017年12月的相关标题和摘要。对所有随机对照试验（RCTs）的全文进行了广泛阅读并进行质量评估。
经过初步搜索，共有2067篇文章纳入本研究。最后，7项研究在方法学和随机化方面足够可靠，可纳入本研究。所有观察到的研究均显示，关节穿刺术组和对照组的下颌功能均有改善，疼痛均有缓解，且无统计学差异。一项研究报告称，皮质类固醇组的最大切牙开口无痛，优于对照组。
基于现有的随机对照试验，颞下颌关节联合皮质类固醇进行关节穿刺术的结果似乎与其他治疗药物相似，无显著差异。
