A artrocentese da articulação temporomandibular no tratamento do deslocamento anterior do disco sem redução: revisão de literatura

Abstract

erca do tema mostram -se necessários/ Resumo : Pain and dysfunction in the oral and maxillofacial complex are complaints which afflict nearly 20% of the population of Western countries. Specifically, the pain from temporomandibular joint (TMJ) has muscular origin in about 85% of patients, the other 15% derived from intrarticular pathologies, such as anterior disk displacement without reduction. In the mid-80s, a new approach was described for the treatment of patients with limited mouth opening resulting from anterior disk displacement without reduction -the arthrocentesis- that fills a middle ground between the two treatment modalities: the conservative and surgery. The objective of this paper is to review the literature on the arthrocentesis aiming to evaluate its efficacy in the treatment of anterior disk displacement without reduction; its mode of action; its advantages; and its limitations above other available methods of treatment. It was concluded that arthrocentesis is a suitable tecnique for the treatment of anterior disk displacement without reduction, with the advantages of technical simplicity, low cost, reduced postoperative morbidity and potential for complications, plus the ability to be performed on an outpatient basis under local anesthesia. It is likely that their effectiveness is related to the action of washing and removal of inflammatory mediators within the join space, however, more stules on the subject appear to be necessary.