A long-term evaluation of arthroscopy of the temporomandibular joint using holmium YAG laser
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Brazilian journal of oral sciences (Online) |
Texto Completo: | https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8641027 |
Resumo: | The aim of this in vivo study was report the long-term results of arthroscopic laser surgery for treatment of TMJ internal drangements (Wilkes class II-III). This report included 45 patients (42 women and 03 men) with an average age of 36.7 years old (14 to 66 years). There were 69 joints involved. The criteria for inclusion were patients who had complained of TMJ pain and dysfunction and had remained refractory to nonsurgical treatment for at least 3 months without resolution of the problem. All patients filled out a questionnaire preoperatively and postoperativelly for assessment of their signs and symptoms. The range of interincisal opening was measured preoperatively and at 1, 7, 30, and 60 days after the surgery. The postoperative questionnaire, radiographic evaluation, and the last measure of range of motion were performed with one year or more after the surgical procedures. The preoperatively and postoperativelly scores were compared and tested for statistically significant differences by the paired t-test (P>0.05). Forty-five patients (69 joints) have been followed postoperativelly for an average of 28.6 months. Maximal interincisal opening improved from a mean of 25.95mm to 35.91mm (+9.96mm) in seven days after the surgery; to 39.86mm (+3.95mm) after thirty day and; to 40.92mm (+1.06mm) after 60 days. The last measurement of maximal interincisal opening made after one year or more showed a mean of 42.15mm. All postoperative VAS pain scores showed a statistical significant improvement (p<0.05). The overall success rate for arthroscopy arthroplasty with Holmium YAG laser was 93.3% (42 of 45 patients) in a mean follow-up of 28.6 months. No complications were observed. Based on the results we can conclude that arthroscopic arthroplasty with Holmium laser is a safe and effective tool for the treatment of TMJ internal derangements. |
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oai:ojs.periodicos.sbu.unicamp.br:article/8641027 |
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UNICAMP-8 |
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Brazilian journal of oral sciences (Online) |
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A long-term evaluation of arthroscopy of the temporomandibular joint using holmium YAG laserTemporomandibular JointInternal Derangements of the Temporomandibular JointArthroscopyHolmium YAG Laser.The aim of this in vivo study was report the long-term results of arthroscopic laser surgery for treatment of TMJ internal drangements (Wilkes class II-III). This report included 45 patients (42 women and 03 men) with an average age of 36.7 years old (14 to 66 years). There were 69 joints involved. The criteria for inclusion were patients who had complained of TMJ pain and dysfunction and had remained refractory to nonsurgical treatment for at least 3 months without resolution of the problem. All patients filled out a questionnaire preoperatively and postoperativelly for assessment of their signs and symptoms. The range of interincisal opening was measured preoperatively and at 1, 7, 30, and 60 days after the surgery. The postoperative questionnaire, radiographic evaluation, and the last measure of range of motion were performed with one year or more after the surgical procedures. The preoperatively and postoperativelly scores were compared and tested for statistically significant differences by the paired t-test (P>0.05). Forty-five patients (69 joints) have been followed postoperativelly for an average of 28.6 months. Maximal interincisal opening improved from a mean of 25.95mm to 35.91mm (+9.96mm) in seven days after the surgery; to 39.86mm (+3.95mm) after thirty day and; to 40.92mm (+1.06mm) after 60 days. The last measurement of maximal interincisal opening made after one year or more showed a mean of 42.15mm. All postoperative VAS pain scores showed a statistical significant improvement (p<0.05). The overall success rate for arthroscopy arthroplasty with Holmium YAG laser was 93.3% (42 of 45 patients) in a mean follow-up of 28.6 months. No complications were observed. Based on the results we can conclude that arthroscopic arthroplasty with Holmium laser is a safe and effective tool for the treatment of TMJ internal derangements.Universidade Estadual de Campinas2015-10-16info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/864102710.20396/bjos.v1i2.8641027Brazilian Journal of Oral Sciences; v. 1 n. 2 (2002): Jul./Sept.; 54-59Brazilian Journal of Oral Sciences; Vol. 1 No. 2 (2002): Jul./Sept.; 54-591677-3225reponame:Brazilian journal of oral sciences (Online)instname:Universidade Estadual de Campinas (UNICAMP)instacron:UNICAMPporhttps://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8641027/8551Mazzonetto, RenatoSardinha, Sandra de Cássia SantanaSpagnoli, Daniel B.info:eu-repo/semantics/openAccess2016-02-25T09:33:01Zoai:ojs.periodicos.sbu.unicamp.br:article/8641027Revistahttps://periodicos.sbu.unicamp.br/ojs/index.php/bjos/PUBhttps://periodicos.sbu.unicamp.br/ojs/index.php/bjos/oaibrjorals@fop.unicamp.br||brjorals@fop.unicamp.br1677-32251677-3217opendoar:2016-02-25T09:33:01Brazilian journal of oral sciences (Online) - Universidade Estadual de Campinas (UNICAMP)false |
dc.title.none.fl_str_mv |
A long-term evaluation of arthroscopy of the temporomandibular joint using holmium YAG laser |
title |
A long-term evaluation of arthroscopy of the temporomandibular joint using holmium YAG laser |
spellingShingle |
A long-term evaluation of arthroscopy of the temporomandibular joint using holmium YAG laser Mazzonetto, Renato Temporomandibular Joint Internal Derangements of the Temporomandibular Joint Arthroscopy Holmium YAG Laser. |
title_short |
A long-term evaluation of arthroscopy of the temporomandibular joint using holmium YAG laser |
title_full |
A long-term evaluation of arthroscopy of the temporomandibular joint using holmium YAG laser |
title_fullStr |
A long-term evaluation of arthroscopy of the temporomandibular joint using holmium YAG laser |
title_full_unstemmed |
A long-term evaluation of arthroscopy of the temporomandibular joint using holmium YAG laser |
title_sort |
A long-term evaluation of arthroscopy of the temporomandibular joint using holmium YAG laser |
author |
Mazzonetto, Renato |
author_facet |
Mazzonetto, Renato Sardinha, Sandra de Cássia Santana Spagnoli, Daniel B. |
author_role |
author |
author2 |
Sardinha, Sandra de Cássia Santana Spagnoli, Daniel B. |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Mazzonetto, Renato Sardinha, Sandra de Cássia Santana Spagnoli, Daniel B. |
dc.subject.por.fl_str_mv |
Temporomandibular Joint Internal Derangements of the Temporomandibular Joint Arthroscopy Holmium YAG Laser. |
topic |
Temporomandibular Joint Internal Derangements of the Temporomandibular Joint Arthroscopy Holmium YAG Laser. |
description |
The aim of this in vivo study was report the long-term results of arthroscopic laser surgery for treatment of TMJ internal drangements (Wilkes class II-III). This report included 45 patients (42 women and 03 men) with an average age of 36.7 years old (14 to 66 years). There were 69 joints involved. The criteria for inclusion were patients who had complained of TMJ pain and dysfunction and had remained refractory to nonsurgical treatment for at least 3 months without resolution of the problem. All patients filled out a questionnaire preoperatively and postoperativelly for assessment of their signs and symptoms. The range of interincisal opening was measured preoperatively and at 1, 7, 30, and 60 days after the surgery. The postoperative questionnaire, radiographic evaluation, and the last measure of range of motion were performed with one year or more after the surgical procedures. The preoperatively and postoperativelly scores were compared and tested for statistically significant differences by the paired t-test (P>0.05). Forty-five patients (69 joints) have been followed postoperativelly for an average of 28.6 months. Maximal interincisal opening improved from a mean of 25.95mm to 35.91mm (+9.96mm) in seven days after the surgery; to 39.86mm (+3.95mm) after thirty day and; to 40.92mm (+1.06mm) after 60 days. The last measurement of maximal interincisal opening made after one year or more showed a mean of 42.15mm. All postoperative VAS pain scores showed a statistical significant improvement (p<0.05). The overall success rate for arthroscopy arthroplasty with Holmium YAG laser was 93.3% (42 of 45 patients) in a mean follow-up of 28.6 months. No complications were observed. Based on the results we can conclude that arthroscopic arthroplasty with Holmium laser is a safe and effective tool for the treatment of TMJ internal derangements. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-10-16 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8641027 10.20396/bjos.v1i2.8641027 |
url |
https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8641027 |
identifier_str_mv |
10.20396/bjos.v1i2.8641027 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8641027/8551 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Universidade Estadual de Campinas |
publisher.none.fl_str_mv |
Universidade Estadual de Campinas |
dc.source.none.fl_str_mv |
Brazilian Journal of Oral Sciences; v. 1 n. 2 (2002): Jul./Sept.; 54-59 Brazilian Journal of Oral Sciences; Vol. 1 No. 2 (2002): Jul./Sept.; 54-59 1677-3225 reponame:Brazilian journal of oral sciences (Online) instname:Universidade Estadual de Campinas (UNICAMP) instacron:UNICAMP |
instname_str |
Universidade Estadual de Campinas (UNICAMP) |
instacron_str |
UNICAMP |
institution |
UNICAMP |
reponame_str |
Brazilian journal of oral sciences (Online) |
collection |
Brazilian journal of oral sciences (Online) |
repository.name.fl_str_mv |
Brazilian journal of oral sciences (Online) - Universidade Estadual de Campinas (UNICAMP) |
repository.mail.fl_str_mv |
brjorals@fop.unicamp.br||brjorals@fop.unicamp.br |
_version_ |
1800216398222327808 |