Evaluation of Patient Comfort and Impact of Different Anesthesia Techniques on the Temporomandibular Joint Arthrocentesis Applications by Comparing Gow-Gates Mandibular Block Anesthesia with Auriculotemporal Nerve Block.

Autor: Atalı O; Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Marmara University, Istanbul 34854, Turkey., Özçelik E; Private Practice, Bursa 16000, Turkey., Gönül O; Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Marmara University, Istanbul 34854, Turkey., Garip H; Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Marmara University, Istanbul 34854, Turkey.
Jazyk: angličtina
Zdroj: Pain research & management [Pain Res Manag] 2022 Aug 31; Vol. 2022, pp. 4206275. Date of Electronic Publication: 2022 Aug 31 (Print Publication: 2022).
DOI: 10.1155/2022/4206275
Abstrakt: Aim: Temporomandibular disorders (TMDs) are clinical situations that are characterized by pain, sound, and irregular movements of the temporomandibular joints. The most common method in the treatment of TMDs is arthrocentesis. This study aims to compare the effect of conventional extraoral auriculotemporal nerve block (ANB) and Gow-Gates (GG) mandibular anesthesia techniques on patient comfort in an arthrocentesis procedure.
Materials and Methods: We performed this study on 40 patients who underwent TMJ arthrocentesis with ANB ( n  = 20) or GG ( n  = 20) mandibular anesthesia techniques at the Marmara University Faculty of Dentistry between 2016 and 2019. The predictor variable was the type of an anesthesia technique, and the outcome variables included were pain, maximum mouth opening (MMO), and protrusive movement (PM). They were compared at the preoperative period and 3 rd and 6 th month periods. Statistical analysis included means with standard deviations, a one-way ANOVA for continuous data, and the results were evaluated at the significance level of p < 0.05.
Results: No statistically significant difference was observed between the VAS values, MMO, and PM averages of preoperative, 3 rd and 6 th months of ANB and GG ( p =0.142, p =0.209, and p =0.148).
Conclusion: Both anesthesia techniques have provided effective results in terms of pain and functional jaw movements in the postoperative period in arthrocentesis treatment.
Competing Interests: The authors declare that they have no conflicts of interest regarding the publication of this paper.
(Copyright © 2022 Onur Atalı et al.)
Databáze: MEDLINE
Externí odkaz: