Version 1
: Received: 5 August 2020 / Approved: 6 August 2020 / Online: 6 August 2020 (10:36:53 CEST)
How to cite:
Li, D.T.S.; Wong, N.S.M.; Li, S.K.Y.; McGrath, C.P.; Leung, Y.Y. Timing of Arthrocentesis in the Management of Temporomandibular Disorders:A Systematic Review and Meta-analysis. Preprints2020, 2020080155. https://doi.org/10.20944/preprints202008.0155.v1
Li, D.T.S.; Wong, N.S.M.; Li, S.K.Y.; McGrath, C.P.; Leung, Y.Y. Timing of Arthrocentesis in the Management of Temporomandibular Disorders:A Systematic Review and Meta-analysis. Preprints 2020, 2020080155. https://doi.org/10.20944/preprints202008.0155.v1
Li, D.T.S.; Wong, N.S.M.; Li, S.K.Y.; McGrath, C.P.; Leung, Y.Y. Timing of Arthrocentesis in the Management of Temporomandibular Disorders:A Systematic Review and Meta-analysis. Preprints2020, 2020080155. https://doi.org/10.20944/preprints202008.0155.v1
APA Style
Li, D.T.S., Wong, N.S.M., Li, S.K.Y., McGrath, C.P., & Leung, Y.Y. (2020). Timing of Arthrocentesis in the Management of Temporomandibular Disorders:A Systematic Review and Meta-analysis. Preprints. https://doi.org/10.20944/preprints202008.0155.v1
Chicago/Turabian Style
Li, D.T.S., Colman Patrick McGrath and Yiu Yan Leung. 2020 "Timing of Arthrocentesis in the Management of Temporomandibular Disorders:A Systematic Review and Meta-analysis" Preprints. https://doi.org/10.20944/preprints202008.0155.v1
Abstract
The aim of this study was to assess the best timing to perform arthrocentesis in the management of temporomandibular disorders with regards to conservative treatment. A systematic search based on PRISMA guidelines, including a computer search with specific keywords, reference list search, and manual search was done. Relevant articles were selected after 3 search rounds for final review based on 6 predefined inclusion criteria, followed by a round of critical appraisal. Eleven publications, including 5 randomized controlled trials and 6 prospective clinical studies informed this review. The studies were divided into 3 groups based on the timing of arthrocentesis: 1). Arthrocentesis as the initial treatment, 2). Early arthrocentesis, and 3). Late arthrocentesis. Meta-analyses compared the efficacy of improvement in mouth opening and pain reduction in the 3 groups. The results were statistically significant and favoured early arthrocentesis, followed by late arthrocentesis in terms of both improvements in mouth opening and pain reduction. All 3 groups showed improvement in mouth opening and pain reduction. We conclude that early arthrocentesis may be able to produce the best clinical results, while arthrocentesis before attempting conservative treatment may produce less favourable outcomes.
Medicine and Pharmacology, Dentistry and Oral Surgery
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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