Current approaches to guided arthrocentesis of the temporomandibular joint: A review; [Современные подходы для управляемого артроцентеза височно-нижнечелюстного сустава (обзор)]

Arthrocentesis is one of the most frequently used minimally invasive treatments for internal disorders of the temporomandibular joint (TMJ). However, the peculiarities of the anatomical structure of this joint, as well as the proximity of the superficial temporal artery and facial nerve branches to it may lead to the development of local and general complications during manipulations in the joint. To reduce the risks of general and local complications during arthrocentesis, modern navigation techniques should be used. The aim of the study: Based on a literature search, evaluate the effectiveness of TMJ arthrocentesis using various navigation systems. Materials and methods. Google Academy, PubMed, Science, and eLibrary (Russia) were used to find the necessary information. Any available information on guided systems used in TMJ arthrocentesis was searched in Russian and English. The present study also includes case reports. Results. Selected articles and clinical case reports meeting the included search criteria were carefully reviewed and analyzed. Clinical cases using MRI, CBCT, ultrasound, intraoperative 3D control systems, and individually printed 3D guided hole templates for TMJ arthrocentesis are now described. Conclusion. The current level of knowledge and availability of diagnostic modalities (MRI, ultrasound, and CBCT) allows their full use as guided systems for TMJ arthrocentesis. Managed arthrocentesis is designed to prevent a number of possible complications, as well as to reduce intraarticular tissue trauma and reduce intervention time. The use of individually printed 3D cutaneous templates may be one of the most promising, easy to plan and apply methods that greatly simplify TMJ arthrocentesis, especially for novice practitioners. © Clinical Dentistry LLC. All Rights Reserved.