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
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
After the procedure, nonsteroidal anti-inflammatory drugs (NSAIDs) are used to control pain. And jaw exercises
are started during recovery.
Tucker 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.
January 11, 2012
Adam Husney, MD - Family Medicine
& Arden Christen, DDS, MSD, MA, FACD - Dentistry
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