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Clinical and demographic factors associated with the effectiveness of temporomandibular joint arthroscopy

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Abstract

Purpose

High success rates and minimal complications have consolidated arthroscopy as the therapeutic alternative of choice for minimally invasive treatment of internal disorders (ID) of the temporomandibular joint (TMJ). However, there is no certainty regarding the demographic and clinical factors associated with the technique’s success or failure. This study was performed to analyze the effectiveness of arthroscopy regarding pain and the mandibular dynamics and also to determine whether variables such as age, sex, and preoperative Wilkes stage influence the results.

Methods

A retrospective study was conducted involving 92 patients with ID of the TMJ between September 2017 and February 2020. In all cases, a first stage of intra-articular lysis and lavage was executed. As needed, a phase of operative arthroscopy or arthroscopic discopexy was implemented.

Results

A total of 152 arthroscopies were performed. Both the variation in pain and mouth opening in patients with ID of the TMJ treated were statistically significant for the follow-up periods studied. Better results were observed for patients with lower Wilkes stages. No association with age was found.

Conclusion

Based on the results, we recommend early intervention as soon as an ID in the TMJ is detected.

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Data availability

The data that support the findings of this study are available on request from the corresponding author F.S The data are not publicly available due to them containing information that could compromise research participant privacy/consent.

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Acknowledgements

The authors thank Prof. Dr. Benjamín Martinez for assistance with the statistical analysis.

Funding

The author(s) received no financial support for the research, authorship, and/or publication of this article.

Author information

Authors and Affiliations

  1. Department of Maxillofacial Surgery, Hospital del Trabajador, ACHS, Santiago, Chile

    Carlos Gaete, Christian Droguett & Felipe Sáez

  2. Private Practice, Oral and Maxillofacial Surgery at Clinica Santa Maria and Clinica Universidad de los Andes, Santiago, Chile

    Carlos Gaete

  3. Private Practice, Oral and Maxillofacial Surgery at Clinica Dávila and MEDS, Santiago, Chile

    Christian Droguett

  4. Department of Oral and Maxillofacial Surgery, Universidad de los Andes, Santiago, Chile

    Felipe Sáez & Paula Astorga

Authors
  1. Carlos Gaete
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  2. Christian Droguett
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  4. Paula Astorga
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by Carlos Gaete, Christian Droguett, Felipe Sáez and Paula Astorga. The first draft of the manuscript was written by Felipe Sáez and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Felipe Sáez.

Ethics declarations

Ethics approval and consent to participate

This study was approved by the hospital ethics board, which complies with the Declaration of Helsinki. The patients accepted for this study approved and signed an informed consent form allowing clinical photographs to be published.

Consent for publication

Patients signed informed consent regarding publishing their data and photographs

Competing interests

The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: one of the authors (C.G) received a speaking fee from Johnson & Johnson. However Johnson & Johnson played no role in data analysis or preparation of the manuscript.

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Gaete, C., Droguett, C., Sáez, F. et al. Clinical and demographic factors associated with the effectiveness of temporomandibular joint arthroscopy. Oral Maxillofac Surg 28, 405–411 (2024). https://doi.org/10.1007/s10006-023-01158-2

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  • DOI: https://doi.org/10.1007/s10006-023-01158-2

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