Is Single Puncture Arthrocentesis Type-1 Superior to Double Puncture Arthrocentesis in Temporomandibular Joint Disc Displacement Without Reduction?
Purpose: The aim of the study was to compare the effectiveness of single puncture arthrocentesis type-1 (SPA Type-1) and double puncture arthrocentesis (DPA) in patients with disc displacement without reduction (DDwoR) of the temporomandibular joint (TMJ). Materials and Methods: This randomized pros...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Fatih TAŞKESEN [verfasserIn] Burak CEZAİRLİ [verfasserIn] |
|---|
| Format: |
E-Artikel |
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| Sprache: |
Englisch ; Türkisch |
| Erschienen: |
2022 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
In: Ahi Evran Medical Journal - Kirsehir Ahi Evran University, 2021, 6(2022), 1, Seite 40-47 |
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| Übergeordnetes Werk: |
volume:6 ; year:2022 ; number:1 ; pages:40-47 |
| Links: |
|---|
| DOI / URN: |
10.46332/aemj.917134 |
|---|
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DOAJ03732621X |
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| 520 | |a Purpose: The aim of the study was to compare the effectiveness of single puncture arthrocentesis type-1 (SPA Type-1) and double puncture arthrocentesis (DPA) in patients with disc displacement without reduction (DDwoR) of the temporomandibular joint (TMJ). Materials and Methods: This randomized prospective study included 36 consecutive patients who had TMJ arthrocentesis either with DPA or SPA Type-1. Several outcome parameters, such as pain on function, maximum mouth opening, and chewing efficiency were recorded at baseline and multiple follow-up assessments. Additionally, treatment tolerability, easiness and duration of the procedures and analgesics required postoperatively were also evaluated. The difference between the groups at each time point and percentages of sixth month-baseline changes were determined by the Mann-Whitney U test. Wilcoxon test was used for intra-group evaluation of variables according to baseline. Statistical significance level was accepted as p <0.05. Results: The rates of improvement of the outcome variables were not significantly different between the two groups ( <0.05). However, the duration of the DPA technique was significantly shorter than the SPA Type-1 (p˂0.0001). The ease of the procedure was statistically significantly higher in SPA Type-1 (p<0.001). Treatment tolerability was statistically higher in DPA than SPA Type-1 in one day and one-week period however was similar in the one-month period. Conclusion: Both SPA Type-1 and DPA techniques are similarly effective in DDwoR. SPA Type-1 may be considered the first treatment modality in DDwoR due to its advantages over DPA as low morbidity and easiness. | ||
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10.46332/aemj.917134 doi (DE-627)DOAJ03732621X (DE-599)DOAJab6efff4a6c94c9ba491c9ed46726c41 DE-627 ger DE-627 rakwb eng tur Fatih TAŞKESEN verfasserin aut Is Single Puncture Arthrocentesis Type-1 Superior to Double Puncture Arthrocentesis in Temporomandibular Joint Disc Displacement Without Reduction? 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose: The aim of the study was to compare the effectiveness of single puncture arthrocentesis type-1 (SPA Type-1) and double puncture arthrocentesis (DPA) in patients with disc displacement without reduction (DDwoR) of the temporomandibular joint (TMJ). Materials and Methods: This randomized prospective study included 36 consecutive patients who had TMJ arthrocentesis either with DPA or SPA Type-1. Several outcome parameters, such as pain on function, maximum mouth opening, and chewing efficiency were recorded at baseline and multiple follow-up assessments. Additionally, treatment tolerability, easiness and duration of the procedures and analgesics required postoperatively were also evaluated. The difference between the groups at each time point and percentages of sixth month-baseline changes were determined by the Mann-Whitney U test. Wilcoxon test was used for intra-group evaluation of variables according to baseline. Statistical significance level was accepted as p <0.05. Results: The rates of improvement of the outcome variables were not significantly different between the two groups (𝑝<0.05). However, the duration of the DPA technique was significantly shorter than the SPA Type-1 (p˂0.0001). The ease of the procedure was statistically significantly higher in SPA Type-1 (p<0.001). Treatment tolerability was statistically higher in DPA than SPA Type-1 in one day and one-week period however was similar in the one-month period. Conclusion: Both SPA Type-1 and DPA techniques are similarly effective in DDwoR. SPA Type-1 may be considered the first treatment modality in DDwoR due to its advantages over DPA as low morbidity and easiness. arthrocentesis temporomandibular joint temporomandibular joint disc Medicine R Burak CEZAİRLİ verfasserin aut In Ahi Evran Medical Journal Kirsehir Ahi Evran University, 2021 6(2022), 1, Seite 40-47 (DE-627)1771285311 26199203 nnns volume:6 year:2022 number:1 pages:40-47 https://doi.org/10.46332/aemj.917134 kostenfrei https://doaj.org/article/ab6efff4a6c94c9ba491c9ed46726c41 kostenfrei https://dergipark.org.tr/tr/download/article-file/1709284 kostenfrei https://doaj.org/toc/2619-9203 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2022 1 40-47 |
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10.46332/aemj.917134 doi (DE-627)DOAJ03732621X (DE-599)DOAJab6efff4a6c94c9ba491c9ed46726c41 DE-627 ger DE-627 rakwb eng tur Fatih TAŞKESEN verfasserin aut Is Single Puncture Arthrocentesis Type-1 Superior to Double Puncture Arthrocentesis in Temporomandibular Joint Disc Displacement Without Reduction? 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose: The aim of the study was to compare the effectiveness of single puncture arthrocentesis type-1 (SPA Type-1) and double puncture arthrocentesis (DPA) in patients with disc displacement without reduction (DDwoR) of the temporomandibular joint (TMJ). Materials and Methods: This randomized prospective study included 36 consecutive patients who had TMJ arthrocentesis either with DPA or SPA Type-1. Several outcome parameters, such as pain on function, maximum mouth opening, and chewing efficiency were recorded at baseline and multiple follow-up assessments. Additionally, treatment tolerability, easiness and duration of the procedures and analgesics required postoperatively were also evaluated. The difference between the groups at each time point and percentages of sixth month-baseline changes were determined by the Mann-Whitney U test. Wilcoxon test was used for intra-group evaluation of variables according to baseline. Statistical significance level was accepted as p <0.05. Results: The rates of improvement of the outcome variables were not significantly different between the two groups (𝑝<0.05). However, the duration of the DPA technique was significantly shorter than the SPA Type-1 (p˂0.0001). The ease of the procedure was statistically significantly higher in SPA Type-1 (p<0.001). Treatment tolerability was statistically higher in DPA than SPA Type-1 in one day and one-week period however was similar in the one-month period. Conclusion: Both SPA Type-1 and DPA techniques are similarly effective in DDwoR. SPA Type-1 may be considered the first treatment modality in DDwoR due to its advantages over DPA as low morbidity and easiness. arthrocentesis temporomandibular joint temporomandibular joint disc Medicine R Burak CEZAİRLİ verfasserin aut In Ahi Evran Medical Journal Kirsehir Ahi Evran University, 2021 6(2022), 1, Seite 40-47 (DE-627)1771285311 26199203 nnns volume:6 year:2022 number:1 pages:40-47 https://doi.org/10.46332/aemj.917134 kostenfrei https://doaj.org/article/ab6efff4a6c94c9ba491c9ed46726c41 kostenfrei https://dergipark.org.tr/tr/download/article-file/1709284 kostenfrei https://doaj.org/toc/2619-9203 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2022 1 40-47 |
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10.46332/aemj.917134 doi (DE-627)DOAJ03732621X (DE-599)DOAJab6efff4a6c94c9ba491c9ed46726c41 DE-627 ger DE-627 rakwb eng tur Fatih TAŞKESEN verfasserin aut Is Single Puncture Arthrocentesis Type-1 Superior to Double Puncture Arthrocentesis in Temporomandibular Joint Disc Displacement Without Reduction? 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose: The aim of the study was to compare the effectiveness of single puncture arthrocentesis type-1 (SPA Type-1) and double puncture arthrocentesis (DPA) in patients with disc displacement without reduction (DDwoR) of the temporomandibular joint (TMJ). Materials and Methods: This randomized prospective study included 36 consecutive patients who had TMJ arthrocentesis either with DPA or SPA Type-1. Several outcome parameters, such as pain on function, maximum mouth opening, and chewing efficiency were recorded at baseline and multiple follow-up assessments. Additionally, treatment tolerability, easiness and duration of the procedures and analgesics required postoperatively were also evaluated. The difference between the groups at each time point and percentages of sixth month-baseline changes were determined by the Mann-Whitney U test. Wilcoxon test was used for intra-group evaluation of variables according to baseline. Statistical significance level was accepted as p <0.05. Results: The rates of improvement of the outcome variables were not significantly different between the two groups (𝑝<0.05). However, the duration of the DPA technique was significantly shorter than the SPA Type-1 (p˂0.0001). The ease of the procedure was statistically significantly higher in SPA Type-1 (p<0.001). Treatment tolerability was statistically higher in DPA than SPA Type-1 in one day and one-week period however was similar in the one-month period. Conclusion: Both SPA Type-1 and DPA techniques are similarly effective in DDwoR. SPA Type-1 may be considered the first treatment modality in DDwoR due to its advantages over DPA as low morbidity and easiness. arthrocentesis temporomandibular joint temporomandibular joint disc Medicine R Burak CEZAİRLİ verfasserin aut In Ahi Evran Medical Journal Kirsehir Ahi Evran University, 2021 6(2022), 1, Seite 40-47 (DE-627)1771285311 26199203 nnns volume:6 year:2022 number:1 pages:40-47 https://doi.org/10.46332/aemj.917134 kostenfrei https://doaj.org/article/ab6efff4a6c94c9ba491c9ed46726c41 kostenfrei https://dergipark.org.tr/tr/download/article-file/1709284 kostenfrei https://doaj.org/toc/2619-9203 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2022 1 40-47 |
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10.46332/aemj.917134 doi (DE-627)DOAJ03732621X (DE-599)DOAJab6efff4a6c94c9ba491c9ed46726c41 DE-627 ger DE-627 rakwb eng tur Fatih TAŞKESEN verfasserin aut Is Single Puncture Arthrocentesis Type-1 Superior to Double Puncture Arthrocentesis in Temporomandibular Joint Disc Displacement Without Reduction? 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose: The aim of the study was to compare the effectiveness of single puncture arthrocentesis type-1 (SPA Type-1) and double puncture arthrocentesis (DPA) in patients with disc displacement without reduction (DDwoR) of the temporomandibular joint (TMJ). Materials and Methods: This randomized prospective study included 36 consecutive patients who had TMJ arthrocentesis either with DPA or SPA Type-1. Several outcome parameters, such as pain on function, maximum mouth opening, and chewing efficiency were recorded at baseline and multiple follow-up assessments. Additionally, treatment tolerability, easiness and duration of the procedures and analgesics required postoperatively were also evaluated. The difference between the groups at each time point and percentages of sixth month-baseline changes were determined by the Mann-Whitney U test. Wilcoxon test was used for intra-group evaluation of variables according to baseline. Statistical significance level was accepted as p <0.05. Results: The rates of improvement of the outcome variables were not significantly different between the two groups (𝑝<0.05). However, the duration of the DPA technique was significantly shorter than the SPA Type-1 (p˂0.0001). The ease of the procedure was statistically significantly higher in SPA Type-1 (p<0.001). Treatment tolerability was statistically higher in DPA than SPA Type-1 in one day and one-week period however was similar in the one-month period. Conclusion: Both SPA Type-1 and DPA techniques are similarly effective in DDwoR. SPA Type-1 may be considered the first treatment modality in DDwoR due to its advantages over DPA as low morbidity and easiness. arthrocentesis temporomandibular joint temporomandibular joint disc Medicine R Burak CEZAİRLİ verfasserin aut In Ahi Evran Medical Journal Kirsehir Ahi Evran University, 2021 6(2022), 1, Seite 40-47 (DE-627)1771285311 26199203 nnns volume:6 year:2022 number:1 pages:40-47 https://doi.org/10.46332/aemj.917134 kostenfrei https://doaj.org/article/ab6efff4a6c94c9ba491c9ed46726c41 kostenfrei https://dergipark.org.tr/tr/download/article-file/1709284 kostenfrei https://doaj.org/toc/2619-9203 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2022 1 40-47 |
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10.46332/aemj.917134 doi (DE-627)DOAJ03732621X (DE-599)DOAJab6efff4a6c94c9ba491c9ed46726c41 DE-627 ger DE-627 rakwb eng tur Fatih TAŞKESEN verfasserin aut Is Single Puncture Arthrocentesis Type-1 Superior to Double Puncture Arthrocentesis in Temporomandibular Joint Disc Displacement Without Reduction? 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose: The aim of the study was to compare the effectiveness of single puncture arthrocentesis type-1 (SPA Type-1) and double puncture arthrocentesis (DPA) in patients with disc displacement without reduction (DDwoR) of the temporomandibular joint (TMJ). Materials and Methods: This randomized prospective study included 36 consecutive patients who had TMJ arthrocentesis either with DPA or SPA Type-1. Several outcome parameters, such as pain on function, maximum mouth opening, and chewing efficiency were recorded at baseline and multiple follow-up assessments. Additionally, treatment tolerability, easiness and duration of the procedures and analgesics required postoperatively were also evaluated. The difference between the groups at each time point and percentages of sixth month-baseline changes were determined by the Mann-Whitney U test. Wilcoxon test was used for intra-group evaluation of variables according to baseline. Statistical significance level was accepted as p <0.05. Results: The rates of improvement of the outcome variables were not significantly different between the two groups (𝑝<0.05). However, the duration of the DPA technique was significantly shorter than the SPA Type-1 (p˂0.0001). The ease of the procedure was statistically significantly higher in SPA Type-1 (p<0.001). Treatment tolerability was statistically higher in DPA than SPA Type-1 in one day and one-week period however was similar in the one-month period. Conclusion: Both SPA Type-1 and DPA techniques are similarly effective in DDwoR. SPA Type-1 may be considered the first treatment modality in DDwoR due to its advantages over DPA as low morbidity and easiness. arthrocentesis temporomandibular joint temporomandibular joint disc Medicine R Burak CEZAİRLİ verfasserin aut In Ahi Evran Medical Journal Kirsehir Ahi Evran University, 2021 6(2022), 1, Seite 40-47 (DE-627)1771285311 26199203 nnns volume:6 year:2022 number:1 pages:40-47 https://doi.org/10.46332/aemj.917134 kostenfrei https://doaj.org/article/ab6efff4a6c94c9ba491c9ed46726c41 kostenfrei https://dergipark.org.tr/tr/download/article-file/1709284 kostenfrei https://doaj.org/toc/2619-9203 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2022 1 40-47 |
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Fatih TAŞKESEN |
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Is Single Puncture Arthrocentesis Type-1 Superior to Double Puncture Arthrocentesis in Temporomandibular Joint Disc Displacement Without Reduction? arthrocentesis temporomandibular joint temporomandibular joint disc |
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is single puncture arthrocentesis type-1 superior to double puncture arthrocentesis in temporomandibular joint disc displacement without reduction? |
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Is Single Puncture Arthrocentesis Type-1 Superior to Double Puncture Arthrocentesis in Temporomandibular Joint Disc Displacement Without Reduction? |
| abstract |
Purpose: The aim of the study was to compare the effectiveness of single puncture arthrocentesis type-1 (SPA Type-1) and double puncture arthrocentesis (DPA) in patients with disc displacement without reduction (DDwoR) of the temporomandibular joint (TMJ). Materials and Methods: This randomized prospective study included 36 consecutive patients who had TMJ arthrocentesis either with DPA or SPA Type-1. Several outcome parameters, such as pain on function, maximum mouth opening, and chewing efficiency were recorded at baseline and multiple follow-up assessments. Additionally, treatment tolerability, easiness and duration of the procedures and analgesics required postoperatively were also evaluated. The difference between the groups at each time point and percentages of sixth month-baseline changes were determined by the Mann-Whitney U test. Wilcoxon test was used for intra-group evaluation of variables according to baseline. Statistical significance level was accepted as p <0.05. Results: The rates of improvement of the outcome variables were not significantly different between the two groups (𝑝<0.05). However, the duration of the DPA technique was significantly shorter than the SPA Type-1 (p˂0.0001). The ease of the procedure was statistically significantly higher in SPA Type-1 (p<0.001). Treatment tolerability was statistically higher in DPA than SPA Type-1 in one day and one-week period however was similar in the one-month period. Conclusion: Both SPA Type-1 and DPA techniques are similarly effective in DDwoR. SPA Type-1 may be considered the first treatment modality in DDwoR due to its advantages over DPA as low morbidity and easiness. |
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Purpose: The aim of the study was to compare the effectiveness of single puncture arthrocentesis type-1 (SPA Type-1) and double puncture arthrocentesis (DPA) in patients with disc displacement without reduction (DDwoR) of the temporomandibular joint (TMJ). Materials and Methods: This randomized prospective study included 36 consecutive patients who had TMJ arthrocentesis either with DPA or SPA Type-1. Several outcome parameters, such as pain on function, maximum mouth opening, and chewing efficiency were recorded at baseline and multiple follow-up assessments. Additionally, treatment tolerability, easiness and duration of the procedures and analgesics required postoperatively were also evaluated. The difference between the groups at each time point and percentages of sixth month-baseline changes were determined by the Mann-Whitney U test. Wilcoxon test was used for intra-group evaluation of variables according to baseline. Statistical significance level was accepted as p <0.05. Results: The rates of improvement of the outcome variables were not significantly different between the two groups (𝑝<0.05). However, the duration of the DPA technique was significantly shorter than the SPA Type-1 (p˂0.0001). The ease of the procedure was statistically significantly higher in SPA Type-1 (p<0.001). Treatment tolerability was statistically higher in DPA than SPA Type-1 in one day and one-week period however was similar in the one-month period. Conclusion: Both SPA Type-1 and DPA techniques are similarly effective in DDwoR. SPA Type-1 may be considered the first treatment modality in DDwoR due to its advantages over DPA as low morbidity and easiness. |
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Purpose: The aim of the study was to compare the effectiveness of single puncture arthrocentesis type-1 (SPA Type-1) and double puncture arthrocentesis (DPA) in patients with disc displacement without reduction (DDwoR) of the temporomandibular joint (TMJ). Materials and Methods: This randomized prospective study included 36 consecutive patients who had TMJ arthrocentesis either with DPA or SPA Type-1. Several outcome parameters, such as pain on function, maximum mouth opening, and chewing efficiency were recorded at baseline and multiple follow-up assessments. Additionally, treatment tolerability, easiness and duration of the procedures and analgesics required postoperatively were also evaluated. The difference between the groups at each time point and percentages of sixth month-baseline changes were determined by the Mann-Whitney U test. Wilcoxon test was used for intra-group evaluation of variables according to baseline. Statistical significance level was accepted as p <0.05. Results: The rates of improvement of the outcome variables were not significantly different between the two groups (𝑝<0.05). However, the duration of the DPA technique was significantly shorter than the SPA Type-1 (p˂0.0001). The ease of the procedure was statistically significantly higher in SPA Type-1 (p<0.001). Treatment tolerability was statistically higher in DPA than SPA Type-1 in one day and one-week period however was similar in the one-month period. Conclusion: Both SPA Type-1 and DPA techniques are similarly effective in DDwoR. SPA Type-1 may be considered the first treatment modality in DDwoR due to its advantages over DPA as low morbidity and easiness. |
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