Temporomandibular Joint Minimally Invasive Procedures in the Pediatric Population: A Prospective Study
Over recent years, temporomandibular joint (TMJ) minimally invasive procedures, such as arthrocentesis and arthroscopy, have been appointed as an initial TMJ intra-articular treatment. Both procedures present safe and effective clinical results in managing temporomandibular disorders (TMD) by reduci...
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| Format: | Article |
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MDPI AG
2024-01-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/13/3/672 |
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| author | David Faustino Ângelo Cláudia Sacramento Lopes David Sanz Maria Cristina Faria-Teixeira Rute Marques Francesco Maffia Henrique José Cardoso |
| author_facet | David Faustino Ângelo Cláudia Sacramento Lopes David Sanz Maria Cristina Faria-Teixeira Rute Marques Francesco Maffia Henrique José Cardoso |
| author_sort | David Faustino Ângelo |
| collection | DOAJ |
| description | Over recent years, temporomandibular joint (TMJ) minimally invasive procedures, such as arthrocentesis and arthroscopy, have been appointed as an initial TMJ intra-articular treatment. Both procedures present safe and effective clinical results in managing temporomandibular disorders (TMD) by reducing pain and improving mouth opening. The use of these techniques in adults is validated in the literature. However, data on the safety and effectiveness of minimally invasive TMJ interventions in pediatric patients are scarce. This study aims to investigate the effectiveness of TMJ arthrocentesis and arthroscopy in the pediatric population. A prospective study was conducted at Instituto Português da Face (IPF) in Lisbon, Portugal, including patients treated for TMD from 1 June 2019 to 30 June 2023. In the present study, 26 patients (17 female and 9 male) were included, representing a total of 48 joints operated. A statistically significant reduction was observed in the primary outcome, TMJ pain, from 3.93 ± 2.80 preoperatively (mean ± SD) to 0.50 ± 1.53 (mean ± SD) postoperatively (<i>p</i> < 0.05). An improvement in the secondary outcome, maximum mouth opening, from 36.92 ± 8.79 preoperatively to 42.96 ± 5.07 postoperatively, was observed (<i>p</i> < 0.05). The overall success rate was 84.62%. This prospective study showed that TMJ arthrocentesis and arthroscopy appear to benefit pediatric patients with TMD, significantly lowering pain and improving MMO without relevant postoperative complications. |
| first_indexed | 2024-03-08T03:55:04Z |
| format | Article |
| id | doaj.art-d2eb793083804be892501be725f1a275 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-08T03:55:04Z |
| publishDate | 2024-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-d2eb793083804be892501be725f1a2752024-02-09T15:15:31ZengMDPI AGJournal of Clinical Medicine2077-03832024-01-0113367210.3390/jcm13030672Temporomandibular Joint Minimally Invasive Procedures in the Pediatric Population: A Prospective StudyDavid Faustino Ângelo0Cláudia Sacramento Lopes1David Sanz2Maria Cristina Faria-Teixeira3Rute Marques4Francesco Maffia5Henrique José Cardoso6Instituto Português da Face, 1500-493 Lisboa, PortugalFaculty of Medicine, Lisboa University, 1649-028 Lisboa, PortugalInstituto Português da Face, 1500-493 Lisboa, PortugalFaculty of Medicine, Lisboa University, 1649-028 Lisboa, PortugalInstituto Português da Face, 1500-493 Lisboa, PortugalInstituto Português da Face, 1500-493 Lisboa, PortugalInstituto Português da Face, 1500-493 Lisboa, PortugalOver recent years, temporomandibular joint (TMJ) minimally invasive procedures, such as arthrocentesis and arthroscopy, have been appointed as an initial TMJ intra-articular treatment. Both procedures present safe and effective clinical results in managing temporomandibular disorders (TMD) by reducing pain and improving mouth opening. The use of these techniques in adults is validated in the literature. However, data on the safety and effectiveness of minimally invasive TMJ interventions in pediatric patients are scarce. This study aims to investigate the effectiveness of TMJ arthrocentesis and arthroscopy in the pediatric population. A prospective study was conducted at Instituto Português da Face (IPF) in Lisbon, Portugal, including patients treated for TMD from 1 June 2019 to 30 June 2023. In the present study, 26 patients (17 female and 9 male) were included, representing a total of 48 joints operated. A statistically significant reduction was observed in the primary outcome, TMJ pain, from 3.93 ± 2.80 preoperatively (mean ± SD) to 0.50 ± 1.53 (mean ± SD) postoperatively (<i>p</i> < 0.05). An improvement in the secondary outcome, maximum mouth opening, from 36.92 ± 8.79 preoperatively to 42.96 ± 5.07 postoperatively, was observed (<i>p</i> < 0.05). The overall success rate was 84.62%. This prospective study showed that TMJ arthrocentesis and arthroscopy appear to benefit pediatric patients with TMD, significantly lowering pain and improving MMO without relevant postoperative complications.https://www.mdpi.com/2077-0383/13/3/672minimally invasive surgical procedurestemporomandibular joint disordersarthroscopyTMJ arthrocentesispediatrics |
| spellingShingle | David Faustino Ângelo Cláudia Sacramento Lopes David Sanz Maria Cristina Faria-Teixeira Rute Marques Francesco Maffia Henrique José Cardoso Temporomandibular Joint Minimally Invasive Procedures in the Pediatric Population: A Prospective Study Journal of Clinical Medicine minimally invasive surgical procedures temporomandibular joint disorders arthroscopy TMJ arthrocentesis pediatrics |
| title | Temporomandibular Joint Minimally Invasive Procedures in the Pediatric Population: A Prospective Study |
| title_full | Temporomandibular Joint Minimally Invasive Procedures in the Pediatric Population: A Prospective Study |
| title_fullStr | Temporomandibular Joint Minimally Invasive Procedures in the Pediatric Population: A Prospective Study |
| title_full_unstemmed | Temporomandibular Joint Minimally Invasive Procedures in the Pediatric Population: A Prospective Study |
| title_short | Temporomandibular Joint Minimally Invasive Procedures in the Pediatric Population: A Prospective Study |
| title_sort | temporomandibular joint minimally invasive procedures in the pediatric population a prospective study |
| topic | minimally invasive surgical procedures temporomandibular joint disorders arthroscopy TMJ arthrocentesis pediatrics |
| url | https://www.mdpi.com/2077-0383/13/3/672 |
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