Journal de la douleur et du soulagement

Abstrait

The Disc Positioning after Arthroscopic Lysis and Lavage of the Temporomandibular Joint

Paulo Alexandre da Silva*, Leonard Duarte Moreira and Fernando Silva Freire

The symptomatic disc displacement of the temporomandibular joint (TMJ) can be treated by many ways, like oclusal splints, physiotherapy, arthrocentesis, arthroscopy and open surgery. TMJ Arthroscopic Lysis and Lavage (ALL) has showed good results in these cases. The aimed of this study were to observe the disc positioning after the procedure and the improvement of pain and mouth opening. 38 (6 men and 32 women) with 54 symptomatic disc displacement were included in this study. The results showed improvement of the disc positioning in 37 TMJ (68.51%), mouth opening in 33 patients (86.84%) and pain 35 in patients 35 patients (92.7%). In conclusion ALL can improve the disc positioning, mouth opening and pain in patients with symptomatic TMJ disc displacement.