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Temporomandibular Joint Injection
Donald V. La Barge, III, MD, MBA
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KEY FACTS

  • Terminology

    • Preprocedure

      • Procedure

        • Post Procedure

          TERMINOLOGY

          • Abbreviations

            • Temporomandibular joint (TMJ)
          • Definitions

            • Percutaneous arthrocentesis and viscosupplementation therapy for osteoarthritis of TMJ
            • Alternative procedures: Percutaneous corticosteroid or botulinum toxin injection for pain relief in TMJ osteoarthritis

          PREPROCEDURE

          • Indications

            • Contraindications

              • Getting Started

                PROCEDURE

                • Patient Position/Location

                  • Equipment Preparation

                    • Procedure Steps

                      • Findings and Reporting

                        • Alternative Procedures/Therapies

                          POST PROCEDURE

                          • Expected Outcome

                            • Things to Do

                              • Things to Avoid

                                OUTCOMES

                                • Problems

                                  • Complications

                                    Selected References

                                    1. Bergstrand S et al: Long-term effectiveness of arthrocentesis with and without hyaluronic acid injection for treatment of temporomandibular joint osteoarthritis. J Oral Sci. 61(1):82-8, 2019
                                    2. Champs B et al: US-guided temporomandibular joint injection: validation of an in-plane longitudinal approach. J Stomatol Oral Maxillofac Surg. 120(1):67-70, 2019
                                    3. Marzook HAM et al: Intra-articular injection of a mixture of hyaluronic acid and corticosteroid versus arthrocentesis in TMJ internal derangement. J Stomatol Oral Maxillofac Surg. ePub, 2019
                                    4. Fritz J et al: MRI-guided injection procedures of the temporomandibular joints in children and adults: technique, accuracy, and safety. AJR Am J Roentgenol. 193(4):1148-54, 2009
                                    5. Guo C et al: Arthrocentesis and lavage for treating temporomandibular joint disorders. Cochrane Database Syst Rev. (4):CD004973, 2009
                                    6. Manfredini D et al: Single-needle temporomandibular joint arthrocentesis with hyaluronic acid injections. Preliminary data after a five-injection protocol. Minerva Stomatol. 58(10):471-8, 2009
                                    7. Manfredini D et al: Temporomandibular joint osteoarthritis: an open label trial of 76 patients treated with arthrocentesis plus hyaluronic acid injections. Int J Oral Maxillofac Surg. 38(8):827-34, 2009
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Preprocedure

                                        • Procedure

                                          • Post Procedure

                                            TERMINOLOGY

                                            • Abbreviations

                                              • Temporomandibular joint (TMJ)
                                            • Definitions

                                              • Percutaneous arthrocentesis and viscosupplementation therapy for osteoarthritis of TMJ
                                              • Alternative procedures: Percutaneous corticosteroid or botulinum toxin injection for pain relief in TMJ osteoarthritis

                                            PREPROCEDURE

                                            • Indications

                                              • Contraindications

                                                • Getting Started

                                                  PROCEDURE

                                                  • Patient Position/Location

                                                    • Equipment Preparation

                                                      • Procedure Steps

                                                        • Findings and Reporting

                                                          • Alternative Procedures/Therapies

                                                            POST PROCEDURE

                                                            • Expected Outcome

                                                              • Things to Do

                                                                • Things to Avoid

                                                                  OUTCOMES

                                                                  • Problems

                                                                    • Complications

                                                                      Selected References

                                                                      1. Bergstrand S et al: Long-term effectiveness of arthrocentesis with and without hyaluronic acid injection for treatment of temporomandibular joint osteoarthritis. J Oral Sci. 61(1):82-8, 2019
                                                                      2. Champs B et al: US-guided temporomandibular joint injection: validation of an in-plane longitudinal approach. J Stomatol Oral Maxillofac Surg. 120(1):67-70, 2019
                                                                      3. Marzook HAM et al: Intra-articular injection of a mixture of hyaluronic acid and corticosteroid versus arthrocentesis in TMJ internal derangement. J Stomatol Oral Maxillofac Surg. ePub, 2019
                                                                      4. Fritz J et al: MRI-guided injection procedures of the temporomandibular joints in children and adults: technique, accuracy, and safety. AJR Am J Roentgenol. 193(4):1148-54, 2009
                                                                      5. Guo C et al: Arthrocentesis and lavage for treating temporomandibular joint disorders. Cochrane Database Syst Rev. (4):CD004973, 2009
                                                                      6. Manfredini D et al: Single-needle temporomandibular joint arthrocentesis with hyaluronic acid injections. Preliminary data after a five-injection protocol. Minerva Stomatol. 58(10):471-8, 2009
                                                                      7. Manfredini D et al: Temporomandibular joint osteoarthritis: an open label trial of 76 patients treated with arthrocentesis plus hyaluronic acid injections. Int J Oral Maxillofac Surg. 38(8):827-34, 2009