Background: Temporomandibular joint osteoarthritis (TMJ-OA) is a degenerative disease and manifests itself with pain and limitation of movement in the jaws. Arthrocentesis alone or in combination with intraarticular injections is one of the most commonly used treatment methods in these patients. The aim of the study is to examine the effectiveness of arthrocentesis plus tenoxicam injection and to compare it with arthrocentesis alone in patients with TMJ-OA. Methods: Thirty patients with TMJ-OA who were treated randomly with either arthrocentesis plus tenoxicam injection (TX group) or arthrocentesis alone (control group) were examined. Maximum mouth opening (MMO), visual analog scale (VAS) pain values, and joint sounds were the outcome variables, which were evaluated at pre-treatment and at 1, 4, 12, and 24 weeks after treatment. Statistical significance was set at p < 0.05. Results: The gender distribution and mean age were not significantly different between the two groups. Pain values (p < 0.001), MMO (p < 0.001), and joint sounds (p < 0.001) improved significantly in both groups. However, there was no significant difference between the groups in terms of outcome variables [pain (p = 0.085), MMO (p = 0.174), joint sounds (p = 0.131)]. Conclusions: Arthrocentesis plus tenoxicam injection showed no better outcomes in terms of MMO, pain, and joint sounds compared with arthrocentesis alone in patients with TMJ-OA. Trial registration: Injection of Tenoxicam Versus Arthrocentesis Alone in the Treatment of Temporomandibular Joint Osteoarthritis, NCT05497570. Registered 11 May 2022. Retrospectively registered, https://register.clinicaltrials.gov/prs/app/action/SelectProtocol?sid=S000CD7A&selectaction=Edit&uid=U0006FC4&ts=6&cx=f3anuq

Objective: To compare the efficacies of single- and double-puncture arthrocentesis in patients with temporomandibular joint (TMJ) with closed lock (CL). Methods: Arthrocentesis procedures were performed in 32 joints from 32 patients with magnetic resonance imaging-based diagnoses of anterior disc displacement without reduction. The patients were randomly divided into two groups according to the surgical procedure received (single-puncture arthrocentesis Type 1 or double-puncture). Maximum mouth opening, pain at rest, pain while chewing, pain at maximum mouth opening, tenderness level, and treatment tolerability were measured. Procedure duration and analgesic required were also considered. Results: The rates of improvement of the outcome variables were not significantly different between the two groups. However, the duration of the single-puncture arthrocentesis technique was significantly longer than the double-puncture (p ˂ 0.0001). Conclusion: Both the single- and double-puncture technique are similarly tolerated and efficacious for the treatment of temporomandibular joint disorders.

Article: The findings of impacted and transmigrated maxillary and mandibular canines: a retrospective cone beam computed tomography study - Minerva Dental and Oral Science 2023 April;72(2):90-8 - Minerva Medica - Journals

Amaç: Bu çalışmanın amacı; Diş Hekimliği Fakültesi öğrencilerinin temporomandibular eklem disfonksiyonu( TMD) prevalansını ölçmek ve anksiyete ve depresyon ile ilişkisini değerlendirmektir. Materyal-Metot: XXX Üniversitesi Diş Hekimliği Fakültesi öğrencilerinden 244 kız, 194 erkek olmak üzere toplam 438 gönüllü öğrencinin Fonseca anketi yardımıyla Temporomandibular eklem disfonksiyonu prevalansı değerlendirilmiştir. TMD olanlarda puanlarına göre Hafif (20-40 puan), Orta (45-65) ve Şiddetli TMD (70-100) olarak üçe sınıflandırılmıştır. Ayrıca bu öğrencilerde Hastane Anksiyete ve Depresyon Ölçeği(HAD) kullanılarak depresyon ve anksiyete riski belirlenmiş ve TMD ile depresyon ve anksiyete arasındaki ilişki değerlendirilmiştir. Verilerin analizinde SPSS (Statistical Package Program for Social Science) 23.0 programı yazılımı kullanılmıştır. Anlamlılık düzeyi için p değeri (p<0.05) olarak kabul edilmiştir. Bulgular: Ankete katılan öğrencilerin Fonseca anketine göre % 72,3 ’ünde herhangi bir düzeyde TMD prevalansı saptanmıştır. Erkek öğrencilerde TMD prevalansı %64,4 iken kız öğrencilerde %78,7 'dir. Hastane Anksiyete ve Depresyon Ölçeğine göre öğrencilerin %50,9’unun anksiyete açısından, %58,9’unun depresyon açısından risk altında olduğu belirlenmiştir. Şiddetli TMD skorları en yüksek 4. Sınıfta görülürken, depresyon ve anksiyete riski en yüksek sınıfın da 4. Sınıf olduğu belirlenmiştir. Sonuç: Elde edilen bulgular Atatürk Üniversitesi Diş hekimliği Fakültesi öğrencilerinde yüksek oranda TMD, anksiyete ve depresyon prevalansı olduğunu göstermektedir. Yüksek TMD skoru olanlarda, yüksek depresyon ve anksiyete skorları bulunmuştur. Bu sonuç anksiyete ve depresyonun TMD ile pozitif ilişkili olduğunu göstermektedir.

Dental radiology has shown great developments in recent years. In addition to conventional radiography techniques, advanced imaging techniques are frequently used in dental radiology when necessary. Magnetic Resonance Imaging (MRI) is an advanced imaging technique that is frequently used because of its high soft tissue resolution and no risk of ionizing radiation. However, it should be noted that MRI also has some risks. Ultrasonography (USG) is a very useful technique for imaging foreign bodies especially superficial ones. The purpose of this case report was to present the USG diagnosis and subsequent surgical removal of a metallic foreign body that interferes with MRI in a cheek of 40 years old female. At the same time, it was aimed to draw attention to the disadvantages of metals for MRI and the role of USG in detecting superficial foreign bodies.