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Quintessence Publishing: Journals: CMF


Journal of Craniomandibular Function

Editor in Chief: Prof. Dr. Wolfgang B. Freesmeyer, Berlin

Official publication of the International Society of Computerized Dentistry

ISSN 1868-4149


Spring 2011
Volume 3 , Issue 1

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Arthrocentesis in temporomandibular joint inflammatory-degenerative disease: a randomized and controlled trial

Manfredini, Daniele / Rancitelli, Davide / Guarda-Nardini, Luca

Pages: 41 - 46

The aim of the present investigation was to compare the effectiveness of six treatment protocols providing TMJ arthrocentesis with or without additional drugs to manage symptoms in patients with inflammatory-degenerative TMJ disease over a three-months follow up period. Different combinations of single-needle and two-needle arthrocenteses, alone or with injection of corticosteroids or hyaluronic acid immediately following the joint lavage, were adopted in 72 patients. The protocol providing five weekly low-molecular weight hyaluronic acid injections, immediately following a classical two-needle arthrocentesis, was superior to all the other treatments to reduce pain-related symptoms in patients with inflammatorydegenerative TMJ disease. This was even if treatment effects were not significantly different with respect to those achieved with other protocols.

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