Impact of different anesthetic approaches on the outcomes of temporomandibular joint arthrocentesis: a systematic review.

Autor: da Silva FM; Graduate Dentistry Program, Ibirapuera University, São Paulo, Brazil., Serrano RV; Graduate Dentistry Program, Ibirapuera University, São Paulo, Brazil., Sato FRL; Department of Oral Surgery and Diagnosis, São Paulo State University, São José dos Campos, São Paulo, Brazil., de Moraes LOC; Discipline of Descriptive and Topographic Anatomy, Department of Morphology and Genetics, Federal University of São Paulo, São Paulo, Brazil., Campos L; Graduate Program in Implantology, University of Santo Amaro, São Paulo, Brazil., Palma LF; Graduate Dentistry Program, Ibirapuera University, São Paulo, Brazil. luizfelipep@hotmail.com.
Jazyk: angličtina
Zdroj: Oral and maxillofacial surgery [Oral Maxillofac Surg] 2023 Dec; Vol. 27 (4), pp. 591-600. Date of Electronic Publication: 2022 Jul 14.
DOI: 10.1007/s10006-022-01100-y
Abstrakt: Purpose: To assess the impact of different types of anesthesia on the outcomes of arthrocentesis of the TMJ.
Methods: Electronic databases were searched to identify peer-reviewed studies, followed by reference list search and further hand-searching. Randomized clinical trials and controlled studies were considered for inclusion when comparing at least two anesthetic approaches. The risk of bias was assessed using the Cochrane risk of bias tool.
Results: Of a total of 506 potentially eligible studies, only a randomized controlled clinical trial and an observational study were included. The former compared some outcomes of arthrocentesis under local and general anesthesia and the latter under sedation and general anesthesia. Moreover, both studies were judged as "high risk of bias."
Conclusions: In general, there appears to be a slight trend toward better outcomes of arthrocentesis for internal TMJ derangements (Wilkes grades I to III) when performed under general anesthesia; however, given that the available evidence is remarkably limited and a high risk of bias was detected within the included studies, a definitive statement cannot be made.
(© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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