Temporomandibular Joint Minimally Invasive Procedures in the Pediatric Population: A Prospective Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Minimally Invasive TMJ Surgery
2.2.1. Double-Puncture TMJ Arthrocentesis
2.2.2. TMJ Arthroscopy
2.3. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Good | No pain or only mild pain level (VAS ≤ 2 on a 0–10 scale) and MMO ≥ 35 mm |
Acceptable | No pain or only mild pain level (VAS ≤ 2 on a 0–10 scale) and MMO ≥ 30 mm and <35 mm |
Failure | Constant or moderate pain (VAS > 2 on a 0–10 scale) and/or MMO < 30 mm |
Number of Patients | 26 | |
---|---|---|
Sex | Number of patients (%) | |
Female | 18 (69.2%) | |
Male | 8 (30.8%) | |
Mean age (mean ± SD) | 14.81 ± 2.30 (10–17) | |
Parafunctional habits | Number of patients (%) | |
Awake bruxism | 13 (50.0%) | |
Sleep bruxism | 7 (26.9%) | |
Past orofacial treatments/events | Number of patients (%) | |
Orthodontic treatment | 8 (30.77%) | |
Wisdom teeth removal | 2 (7.69%) | |
Facial trauma | 2 (7.69%) | |
Other comorbidities | Number of patients (%) | |
Asthma | 4 (15.39%) | |
Allergic rhinitis | 1 (3.85%) | |
Depression | 1 (3.85%) | |
Joints affected by arthrogenous disorder | Number of joints (%) | |
Total | 48 (92.31%) | |
Right side only | 0 (0%) | |
Left side only | 4 (15.38%) | |
Bilateral | 22 (84.62%) | |
Arthrogenous diagnosis | Number of joints (%) | |
DDwoR + arthralgia | 10 (20.83%) | |
DDwR | 9 (18.75%) | |
Arthralgia | 8 (16.67%) | |
DDwR + arthralgia | 7 (14.58%) | |
DDwoR | 4 (8.33%) | |
DDwoR + OA | 3 (6.25%) | |
DDwoR + OA + arthralgia | 2 (4.17%) | |
DDwR + OA + arthralgia | 2 (4.17%) | |
DDwoR+ condylar resorption | 1 (2.08%) | |
DDwR + condylar resorption + arthralgia | 1 (2.08%) | |
DDwoR + disc perforation | 1 (2.08%) | |
Myogenous diagnosis | Number of patients (%) | |
Myalgia | 18 (69.23%) | |
I | 3 (11.54%) | |
II | 7 (26.92%) | |
III | 8 (30.77%) | |
Treatment performed | Number of joints (%) | |
TMJ arthrocentesis | 32 (66.67%) | |
TMJ arthroscopy | 16 (33.33%) | |
Follow-up period (days) | 419.2 ± 363.5 (31–1277 days) |
Success Rate | ||
---|---|---|
A Single Minimally Invasive TMJ Surgery | Minimally Invasive TMJ Surgery + Additional Arthrocentesis | |
Good–acceptable | 20 (75.92%) | 22 (84.62%) |
Failure | 6 (23.08%) | 4 (15.38%) |
VAS Pain | MMO | ||||||||
---|---|---|---|---|---|---|---|---|---|
Minimally Invasive TMJ Surgery | N Joints (%) | Preoperative VAS Pain, M ± SD | p | Postoperative VAS Pain, M ± SD | p | Preoperative MMO, M ± SD | p | Posoperative MMO, M ± SD | p |
TMJ arthrocentesis | 32 (66.67%) | 4.04 ± 2.70 | 0.84 | 0.52 ± 1.65 | 0.89 | 35.65 ± 7.75 | 0.86 | 43.76 ± 5.11 | 0.45 |
TMJ arthroscopy | 16 (33.33%) | 3.76 ± 3.03 | 0.47 ± 1.38 | 37.56 ± 10.68 | 41.44 ± 4.93 |
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Ângelo, D.F.; Lopes, C.S.; Sanz, D.; Faria-Teixeira, M.C.; Marques, R.; Maffia, F.; Cardoso, H.J. Temporomandibular Joint Minimally Invasive Procedures in the Pediatric Population: A Prospective Study. J. Clin. Med. 2024, 13, 672. https://doi.org/10.3390/jcm13030672
Ângelo DF, Lopes CS, Sanz D, Faria-Teixeira MC, Marques R, Maffia F, Cardoso HJ. Temporomandibular Joint Minimally Invasive Procedures in the Pediatric Population: A Prospective Study. Journal of Clinical Medicine. 2024; 13(3):672. https://doi.org/10.3390/jcm13030672
Chicago/Turabian StyleÂngelo, David Faustino, Cláudia Sacramento Lopes, David Sanz, Maria Cristina Faria-Teixeira, Rute Marques, Francesco Maffia, and Henrique José Cardoso. 2024. "Temporomandibular Joint Minimally Invasive Procedures in the Pediatric Population: A Prospective Study" Journal of Clinical Medicine 13, no. 3: 672. https://doi.org/10.3390/jcm13030672