The effect of arthrocentesis of the temporomandibular joint in patients with rheumatoid arthritis

Abstract

Purpose: This study evaluated the objective and subjective changes in a group of rheumatoid arthritic (RA) patients with temporomandibular joint (TMJ) complaints who were subjected to joint lysis and lavage.

Patients and methods: Twelve females with previous documented RA underwent baseline assessment with erythrocyte sedimentation rate, physical examination of TMJ function, and a visual analog pain scale (VAPS). The VAPS and jaw function changes were recorded at 2-week intervals for 6 weeks after lysis and lavage under local anesthesia in an ambulatory setting.

Results: All patients showed statistically significant post-treatment improvement in their pain, and function was enhanced.

Conclusion: TMJ arthrocentisis is a useful adjunct in the short-term management of the symptoms of rheumatoid arthritis.