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Arthrocentesis is done by an oral and maxillofacial surgeon, who uses needles to withdraw fluid from and/or inject fluid or medicine into a joint space. Arthrocentesis of the temporomandibular joint is used:
Arthrocentesis seems to work for people who have severe closed lock of the temporomandibular joint.1
Arthrocentesis is done using local anesthetic, with or without a sedative. Injection of fluid into the joint can serve to:
At the end of the procedure, corticosteroids or local anesthetic may be injected into the joint. This can be particularly helpful in cases of temporomandibular disorder related to rheumatoid arthritis.
After the procedure, nonsteroidal anti-inflammatory drugs (NSAIDs) are used to control pain. And jaw exercises are started during recovery.
CitationsTucker MR, et al. (2008). Management of temporomandibular disorders. In JR Hupp et al., eds., Contemporary Oral and Maxillofacial Surgery, 5th ed., pp. 629–649. St. Louis: Mosby Elsevier.
Last Revised: January 11, 2012
Author: Healthwise Staff
Medical Review: Adam Husney, MD - Family Medicine & Arden Christen, DDS, MSD, MA, FACD - Dentistry
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