Arthrocentesis for temporomandibular joint pain dysfunction syndrome

Area of Science:

• Oral and Maxillofacial Surgery
• Pain Management
• Rheumatology

Background:

• Refractory temporomandibular joint (TMJ) pain presents significant management challenges.
• Conventional conservative measures offer variable success in treating TMJ pain.
• Identifying effective treatments for persistent TMJ pain is crucial.

Purpose of the Study:

• To evaluate the efficacy of temporomandibular joint (TMJ) arthrocentesis followed by intra-articular morphine infusion for refractory TMJ pain.
• To assess arthrocentesis as a minimally invasive alternative to more aggressive procedures.
• To determine the long-term pain relief potential of this combined TMJ treatment.

Main Methods:

• TMJ arthrocentesis of the upper joint space was performed in over 500 patients.
• Intra-articular morphine infusion was administered following arthrocentesis.
• Patient outcomes, including pain reduction, were assessed post-procedure.

Main Results:

• Approximately 90% of patients reported beneficial outcomes from the procedure.
• Significant pain reduction was frequently observed up to 1 year after TMJ arthrocentesis.
• The technique demonstrated minimal morbidity.

Conclusions:

• TMJ arthrocentesis with intra-articular morphine is recommended as an effective, minimally invasive option for refractory TMJ pain.
• This approach offers a viable alternative for patients unresponsive to conservative TMJ pain management.
• Further research is warranted to fully elucidate the role of intra-articular morphine in TMJ treatment.