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Does Articular Pressure Change Vital Signs During Temporomandibular Joint Arthrocentesis?

Year 2024, Volume: 17 Issue: 1, 129 - 136, 28.03.2024

Fatih Çelik Samih Diyarbakır Murat Kaya Elif Çelik

https://doi.org/10.18185/erzifbed.1351751

Abstract

Objective: The aim of this study was to compare the vital signs as mean arterial pressure and heart rate of patients undergoing two different temporomandibular joint (TMJ) arthrocentesis techniques.
Methods: Thirty patients received TMJ arthrocentesis with either double puncture arthrocentesis (DPA) or single puncture arthrocentesis (SPA). Blood pressure and heart rate were assessed preoperatively, during the application of local anesthesia, and at needle insertion into the joint cavity, the 5th and 10th minute of the procedure, and the end of the procedure.
Results: The heart rate and mean arterial pressure were highest during anesthesia and needle insertion (P <0.05). Heart rate and mean arterial pressure scores were statistically higher in SPA group.
Conclusion: It is necessary to be more cautious in patients receiving SPA as blood pressure and heart rate may increase.

Keywords

Temporomandibular Joint Arthrocentesis blood pressure heart rate

Ethical Statement

This study was approved from the Erzincan Binali Yildirim University School of Medicine Clinical Research Ethics Committee (2020/03-16)

Thanks

The authors would like to thank Dr. Fatih TAŞKESEN for his contribution to the planning and writing of this study.

References

  • [1] M. Onishi, Arthroscopy of the temporomandibular joint (author’s transl), Kokubyo Gakkai Zasshi 42, 207 (1975).
  • [2] D. W. Nitzan, M. F. Dolwick, and G. A. Martinez, Temporomandibular Joint Arthrocentesis: A Simplified Treatment for Severe, Limited Mouth Opening, J Oral Maxillofac Surg 49, 1163 (1991).
  • [3] A. R. Öreroğlu, Ö. Özkaya, M. B. Öztürk, D. Bingöl, and M. Akan, Concentric-Needle Cannula Method for Single-Puncture Arthrocentesis in Temporomandibular Joint Disease: An Inexpensive and Feasible Technique, Journal of Oral and Maxillofacial Surgery 69, 2334 (2011).
  • [4] L. Guarda-Nardini, D. Manfredini, and G. Ferronato, Arthrocentesis of the Temporomandibular Joint: A Proposal for a Single-Needle Technique, Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 106, 483 (2008).
  • [5] S. Tozoglu, F. A. Al-Belasy, and M. F. Dolwick, A Review of Techniques of Lysis and Lavage of the TMJ, British Journal of Oral and Maxillofacial Surgery 49, 302 (2011).
  • [6] M. F. Şentürk, T. Yazıcı, Y. Fındık, and T. Baykul, Intraoperative Comparison of Single- and Double-Puncture Techniques in Temporomandibular Joint Arthrocentesis, International Journal of Oral and Maxillofacial Surgery 47, 1060 (2018).
  • [7] F. Taşkesen and B. Cezaı̇ rlı̇ , Is Single Puncture Arthrocentesis Type-1 Superior to Double Puncture Arthrocentesis in Temporomandibular Joint Disc Displacement Without Reduction?, Ahi Evran Med J 6, 1 (2022).
  • [8] W. Talaat, M. M. Ghoneim, and M. Elsholkamy, Single-Needle Arthrocentesis (Shepard Cannula) vs. Double-Needle Arthrocentesis for Treating Disc Displacement without Reduction, CRANIO® 34, 296 (2016).
  • [9] E. Grossmann, P. Guilherme Vargas Pasqual, R. L. Poluha, L. C. V. Iwaki, L. Iwaki Filho, and Ê. T. Setogutti, Single-Needle Arthrocentesis with Upper Compartment Distension versus Conventional Two-Needle Arthrocentesis: Randomized Clinical Trial, Pain Research and Management 2017, e2435263 (2017).
  • [10] F. Taşkesen and B. Cezairli, Comparing Anxiety Levels and Patient Comfort during Single- and Double-Puncture Arthrocentesis, CRANIO® 0, 1 (2021).
  • [11] M. H. J. Hollander, J. Schortinghuis, and A. Vissink, Changes in Heart Rate during Third Molar Surgery, International Journal of Oral and Maxillofacial Surgery 45, 1652 (2016).
  • [12] Z. Qin, C. Zhou, Y. Zhu, Y. Wang, H. Cao, W. Li, and Z. Huang, Virtual Reality for Hypertension in Tooth Extraction: A Randomized Trial, J Dent Res 101, 400 (2022).
  • [13] Y. Chen and J. Hawkins, Effects of Music Listening to Reduce Preprocedural Dental Anxiety in Special Needs Patients, Complement Ther Clin Pract 42, 101279 (2021).
  • [14] J. Fernandez-Aguilar, I. Guillén, M. T. Sanz, and M. Jovani-Sancho, Patient’s Pre- Operative Dental Anxiety Is Related to Diastolic Blood Pressure and the Need for Post- Surgical Analgesia, Sci Rep 10, 9170 (2020).
  • [15] R. O. Abu Hantash, M. H. Abu Younis, and M. M. Aker, Dental Anxiety and Fear among Medical Field Students at Al Quds University, (2014).
  • [16] H. Erten, Z. Z. Akarslan, and E. Bodrumlu, Dental Fear and Anxiety Levels of Patients Attending a Dental Clinic, Quintessence Int 37, 304 (2006).
  • [17] S. A. Nagori, S. K. Roy Chowdhury, H. Thukral, A. Jose, and A. Roychoudhury, Single Puncture versus Standard Double Needle Arthrocentesis for the Management of Temporomandibular Joint Disorders: A Systematic Review, Journal of Oral Rehabilitation 45, 810 (2018).
  • [18] A. Sindel, F. Uzuner, M. Sindel, and S. Tozoğlu, Comparison of the Efficiency of Irrigation of Single and Double-Needle Techniques of Temporomandibular Joint Arthrocentesis: A Cadaver Study, CRANIO® 35, 405 (2017).
  • [19] L. Guarda-Nardini, G. Ferronato, and D. Manfredini, Two-Needle vs. Single-Needle Technique for TMJ Arthrocentesis plus Hyaluronic Acid Injections: A Comparative Trial over a Six-Month Follow Up, International Journal of Oral and Maxillofacial Surgery 41, 506 (2012).
  • [20] F. S. Folle, R. L. Poluha, E. T. Setogutti, and E. Grossmann, Double Puncture versus Single Puncture Arthrocentesis for the Management of Unilateral Temporomandibular Joint Disc Displacement without Reduction: A Randomized Controlled Trial, Journal of Cranio-Maxillofacial Surgery 46, 2003 (2018).
  • [21] Z. Bayramoğlu and S. Tozoğlu, Comparison of Single- and Double-Puncture Arthrocentesis for the Treatment of Temporomandibular Joint Disorders: A Six-Month, Prospective Study, CRANIO® 39, 151 (2021).
  • [22] J. Torres-Gaya, A. Boscà-Ramón, M. Marqués-Mateo, A. Valverde-Navarro, M. M. García-San Segundo, and M. Puche-Torres, Temporomandibular Joint Arthrocentesis Guided by Ultrasonography: An Anatomical Study, Journal of Stomatology, Oral and Maxillofacial Surgery 122, e27 (2021).

Temporomandibular Eklem Artrosentezinde Eklem Basıncı Yaşamsal Bulguları Değiştirir mi?

Year 2024, Volume: 17 Issue: 1, 129 - 136, 28.03.2024

Fatih Çelik Samih Diyarbakır Murat Kaya Elif Çelik

https://doi.org/10.18185/erzifbed.1351751

Abstract

Amaç: Bu çalışmanın amacı, iki farklı temporomandibular eklem (TME) artrosentez tekniği uygulanan hastaların ortalama arter basıncı ve kalp hızı gibi yaşamsal bulgularını karşılaştırmaktır.
Yöntemler: Otuz hastaya; çift iğne girişli artrosentez veya tek iğne girişli artrosentez yöntemleri ile TME artrosentezi uygulandı. Kan basıncı ve kalp hızı ameliyat öncesinde, lokal anestezi uygulaması sırasında, iğnenin eklem boşluğuna yerleştirilmesi sırasında, işlemin 5. ve 10. dakikalarında ve işlemin sonunda değerlendirildi.
Sonuçlar: Kalp hızı ve ortalama arter basıncı anestezi ve iğne girişi sırasında en yüksekti (P<0.05). Kalp hızı ve ortalama arter basıncı skorları tek iğne girişli artrosentez yapılan hasta grubunda istatistiksel olarak daha yüksekti.
Sonuç: Tek iğne girişi ile artrosentez yapılan hastalarda kan basıncı ve kalp hızı artabileceğinden daha dikkatli olmak gerekir.

Keywords

temporomandibular eklem artrosentez nabız ortalama tansiyon

Ethical Statement

Bu çalışma Erzincan Binali Yıldırım Üniversitesi Tıp Fakültesi Klinik Araştırmalar Etik Kurulu tarafından onaylanmıştır (2020/03-16)

Thanks

Yazarlar, bu çalışmanın planlanması ve yazılmasındaki katkılarından dolayı Dr. Fatih TAŞKESEN'e teşekkür eder

References

  • [1] M. Onishi, Arthroscopy of the temporomandibular joint (author’s transl), Kokubyo Gakkai Zasshi 42, 207 (1975).
  • [2] D. W. Nitzan, M. F. Dolwick, and G. A. Martinez, Temporomandibular Joint Arthrocentesis: A Simplified Treatment for Severe, Limited Mouth Opening, J Oral Maxillofac Surg 49, 1163 (1991).
  • [3] A. R. Öreroğlu, Ö. Özkaya, M. B. Öztürk, D. Bingöl, and M. Akan, Concentric-Needle Cannula Method for Single-Puncture Arthrocentesis in Temporomandibular Joint Disease: An Inexpensive and Feasible Technique, Journal of Oral and Maxillofacial Surgery 69, 2334 (2011).
  • [4] L. Guarda-Nardini, D. Manfredini, and G. Ferronato, Arthrocentesis of the Temporomandibular Joint: A Proposal for a Single-Needle Technique, Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 106, 483 (2008).
  • [5] S. Tozoglu, F. A. Al-Belasy, and M. F. Dolwick, A Review of Techniques of Lysis and Lavage of the TMJ, British Journal of Oral and Maxillofacial Surgery 49, 302 (2011).
  • [6] M. F. Şentürk, T. Yazıcı, Y. Fındık, and T. Baykul, Intraoperative Comparison of Single- and Double-Puncture Techniques in Temporomandibular Joint Arthrocentesis, International Journal of Oral and Maxillofacial Surgery 47, 1060 (2018).
  • [7] F. Taşkesen and B. Cezaı̇ rlı̇ , Is Single Puncture Arthrocentesis Type-1 Superior to Double Puncture Arthrocentesis in Temporomandibular Joint Disc Displacement Without Reduction?, Ahi Evran Med J 6, 1 (2022).
  • [8] W. Talaat, M. M. Ghoneim, and M. Elsholkamy, Single-Needle Arthrocentesis (Shepard Cannula) vs. Double-Needle Arthrocentesis for Treating Disc Displacement without Reduction, CRANIO® 34, 296 (2016).
  • [9] E. Grossmann, P. Guilherme Vargas Pasqual, R. L. Poluha, L. C. V. Iwaki, L. Iwaki Filho, and Ê. T. Setogutti, Single-Needle Arthrocentesis with Upper Compartment Distension versus Conventional Two-Needle Arthrocentesis: Randomized Clinical Trial, Pain Research and Management 2017, e2435263 (2017).
  • [10] F. Taşkesen and B. Cezairli, Comparing Anxiety Levels and Patient Comfort during Single- and Double-Puncture Arthrocentesis, CRANIO® 0, 1 (2021).
  • [11] M. H. J. Hollander, J. Schortinghuis, and A. Vissink, Changes in Heart Rate during Third Molar Surgery, International Journal of Oral and Maxillofacial Surgery 45, 1652 (2016).
  • [12] Z. Qin, C. Zhou, Y. Zhu, Y. Wang, H. Cao, W. Li, and Z. Huang, Virtual Reality for Hypertension in Tooth Extraction: A Randomized Trial, J Dent Res 101, 400 (2022).
  • [13] Y. Chen and J. Hawkins, Effects of Music Listening to Reduce Preprocedural Dental Anxiety in Special Needs Patients, Complement Ther Clin Pract 42, 101279 (2021).
  • [14] J. Fernandez-Aguilar, I. Guillén, M. T. Sanz, and M. Jovani-Sancho, Patient’s Pre- Operative Dental Anxiety Is Related to Diastolic Blood Pressure and the Need for Post- Surgical Analgesia, Sci Rep 10, 9170 (2020).
  • [15] R. O. Abu Hantash, M. H. Abu Younis, and M. M. Aker, Dental Anxiety and Fear among Medical Field Students at Al Quds University, (2014).
  • [16] H. Erten, Z. Z. Akarslan, and E. Bodrumlu, Dental Fear and Anxiety Levels of Patients Attending a Dental Clinic, Quintessence Int 37, 304 (2006).
  • [17] S. A. Nagori, S. K. Roy Chowdhury, H. Thukral, A. Jose, and A. Roychoudhury, Single Puncture versus Standard Double Needle Arthrocentesis for the Management of Temporomandibular Joint Disorders: A Systematic Review, Journal of Oral Rehabilitation 45, 810 (2018).
  • [18] A. Sindel, F. Uzuner, M. Sindel, and S. Tozoğlu, Comparison of the Efficiency of Irrigation of Single and Double-Needle Techniques of Temporomandibular Joint Arthrocentesis: A Cadaver Study, CRANIO® 35, 405 (2017).
  • [19] L. Guarda-Nardini, G. Ferronato, and D. Manfredini, Two-Needle vs. Single-Needle Technique for TMJ Arthrocentesis plus Hyaluronic Acid Injections: A Comparative Trial over a Six-Month Follow Up, International Journal of Oral and Maxillofacial Surgery 41, 506 (2012).
  • [20] F. S. Folle, R. L. Poluha, E. T. Setogutti, and E. Grossmann, Double Puncture versus Single Puncture Arthrocentesis for the Management of Unilateral Temporomandibular Joint Disc Displacement without Reduction: A Randomized Controlled Trial, Journal of Cranio-Maxillofacial Surgery 46, 2003 (2018).
  • [21] Z. Bayramoğlu and S. Tozoğlu, Comparison of Single- and Double-Puncture Arthrocentesis for the Treatment of Temporomandibular Joint Disorders: A Six-Month, Prospective Study, CRANIO® 39, 151 (2021).
  • [22] J. Torres-Gaya, A. Boscà-Ramón, M. Marqués-Mateo, A. Valverde-Navarro, M. M. García-San Segundo, and M. Puche-Torres, Temporomandibular Joint Arthrocentesis Guided by Ultrasonography: An Anatomical Study, Journal of Stomatology, Oral and Maxillofacial Surgery 122, e27 (2021).
There are 22 citations in total.

Details

Primary Language English
Subjects Pharmacology and Pharmaceutical Sciences (Other)
Journal Section Makaleler
Authors

Fatih Çelik 0000-0001-6806-8480

Samih Diyarbakır 0000-0001-6755-7741

Murat Kaya 0000-0001-8269-930X

Elif Çelik 0000-0002-5059-9432

Early Pub Date March 27, 2024
Publication Date March 28, 2024
Published in Issue Year 2024 Volume: 17 Issue: 1

Cite

APA Çelik, F., Diyarbakır, S., Kaya, M., Çelik, E. (2024). Does Articular Pressure Change Vital Signs During Temporomandibular Joint Arthrocentesis?. Erzincan University Journal of Science and Technology, 17(1), 129-136. https://doi.org/10.18185/erzifbed.1351751
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