Abstract
The aim of this study was to assess the best timing to perform arthrocentesis in the
management of temporomandibular disorders with regard to conservative treatment. A
systematic search based on PRISMA guidelines, including a computer search with specific
keywords, reference list search, and manual search was performed. Relevant articles
were selected after three search rounds for final review based on six predefined inclusion
criteria, followed by a round of critical appraisal. Eleven publications, including
eight randomized controlled trials and three prospective clinical studies, were included
in the review. The studies were divided into three groups based on the timing of arthrocentesis:
(1) arthrocentesis as the initial treatment; (2) early arthrocentesis; and (3) late
arthrocentesis. Meta-analysis was carried out to compare the efficacy of improvement
in mouth opening and pain reduction in the three groups. All three groups showed improvement
in mouth opening and pain reduction, with forest plots suggesting that arthrocentesis
performed within 3 months of conservative treatment might produce beneficial results.
We conclude that there is a knowledge gap in the current literature regarding the
preferable timing to perform arthrocentesis in the management of temporomandibular
disorders, and more high-quality randomized controlled trials are required to shed
light on this subject.
Key words
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Article info
Publication history
Published online: February 15, 2021
Accepted:
January 20,
2021
Identification
Copyright
© 2021 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.
