Arthrocentic Lavage with Piroxicam Injection in the Treatment of Anterior Disc Displaced TMJ with Closed Lock
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 1
Abstract
Background: Arthrocentesis is an effective mode of treatment for closed lock jaws of TMJ when conservative methods have failed. Mouth opening is seen to increase in patients with restricted mouth opening due to close lock. Arthrocentesis is a joint lavage which washes out the inflammatory mediators, provides instant relieve from pain and has long lasting effects. Aim: The aim of this study was to evaluate the efficacy of arthrocentic lavage with piroxicam injection in the treatment of anterior disc displaced TMJ with closed lock. Materials and Methods: A female patient 18 years old with clinical and radiological diagnosis of TMJ dysfunction (TMJD), based on clinical diagnostic criteria were included in the study and underwent arthrocentesis followed by injection of piroxicam. Patient was treated with piroxicam injection following arthrocentesis to benefit from its anti-inflammatory characteristics. Post-operative and after one month mouth opening was recorded. Results: There was significant improvement in pain, range of motion, and joint sounds. Mouth opening was 34 mm immediately after surgery and 37 mm after one month of surgery. Conclusion: Arthrocentic lavage with piroxicam injection is safe, simple, minimally invasive and effective for the treatment of anterior disc displaced temporomandibular joint with closed lock.
Authors and Affiliations
Dr. Pranshu Kumar Pathak, Prof. Awadhesh Kumar Singh, Dr. Sudhanshu Agrawal, Dr. Dipti Singh, Dr. Dhananjay Kumar Mali, Dr. Uday Kumar
Keywords
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- EP ID EP444212
- DOI 10.9790/0853-1801142124.
- Views 70
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