Evaluation of Patient Comfort and Impact of Different Anesthesia Techniques on the Temporomandibular Joint Arthrocentesis Applications by Comparing Gow-Gates Mandibular Block Anesthesia with Auriculotemporal Nerve Block

Aim. Temporomandibular disorders (TMDs) are clinical situations that are characterized by pain, sound, and irregular movements of the temporomandibular joints. The most common method in the treatment of TMDs is arthrocentesis. This study aims to compare the effect of conventional extraoral auriculot...

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Main Authors: Onur Atalı, Elif Özçelik, Onur Gönül, Hasan Garip
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Pain Research and Management
Online Access:http://dx.doi.org/10.1155/2022/4206275
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author Onur Atalı
Elif Özçelik
Onur Gönül
Hasan Garip
author_facet Onur Atalı
Elif Özçelik
Onur Gönül
Hasan Garip
author_sort Onur Atalı
collection DOAJ
description Aim. Temporomandibular disorders (TMDs) are clinical situations that are characterized by pain, sound, and irregular movements of the temporomandibular joints. The most common method in the treatment of TMDs is arthrocentesis. This study aims to compare the effect of conventional extraoral auriculotemporal nerve block (ANB) and Gow-Gates (GG) mandibular anesthesia techniques on patient comfort in an arthrocentesis procedure. Materials and Methods. We performed this study on 40 patients who underwent TMJ arthrocentesis with ANB (n = 20) or GG (n = 20) mandibular anesthesia techniques at the Marmara University Faculty of Dentistry between 2016 and 2019. The predictor variable was the type of an anesthesia technique, and the outcome variables included were pain, maximum mouth opening (MMO), and protrusive movement (PM). They were compared at the preoperative period and 3rd and 6th month periods. Statistical analysis included means with standard deviations, a one-way ANOVA for continuous data, and the results were evaluated at the significance level of p<0.05. Results. No statistically significant difference was observed between the VAS values, MMO, and PM averages of preoperative, 3rd and 6th months of ANB and GG (p=0.142, p=0.209, and p=0.148). Conclusion. Both anesthesia techniques have provided effective results in terms of pain and functional jaw movements in the postoperative period in arthrocentesis treatment.
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publishDate 2022-01-01
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spelling doaj-art-098624d0f36d4a4db45d6300dff3d6b12025-02-03T05:50:38ZengWileyPain Research and Management1918-15232022-01-01202210.1155/2022/4206275Evaluation of Patient Comfort and Impact of Different Anesthesia Techniques on the Temporomandibular Joint Arthrocentesis Applications by Comparing Gow-Gates Mandibular Block Anesthesia with Auriculotemporal Nerve BlockOnur Atalı0Elif Özçelik1Onur Gönül2Hasan Garip3Department of Oral and Maxillofacial SurgeryPrivate PracticeDepartment of Oral and Maxillofacial SurgeryDepartment of Oral and Maxillofacial SurgeryAim. Temporomandibular disorders (TMDs) are clinical situations that are characterized by pain, sound, and irregular movements of the temporomandibular joints. The most common method in the treatment of TMDs is arthrocentesis. This study aims to compare the effect of conventional extraoral auriculotemporal nerve block (ANB) and Gow-Gates (GG) mandibular anesthesia techniques on patient comfort in an arthrocentesis procedure. Materials and Methods. We performed this study on 40 patients who underwent TMJ arthrocentesis with ANB (n = 20) or GG (n = 20) mandibular anesthesia techniques at the Marmara University Faculty of Dentistry between 2016 and 2019. The predictor variable was the type of an anesthesia technique, and the outcome variables included were pain, maximum mouth opening (MMO), and protrusive movement (PM). They were compared at the preoperative period and 3rd and 6th month periods. Statistical analysis included means with standard deviations, a one-way ANOVA for continuous data, and the results were evaluated at the significance level of p<0.05. Results. No statistically significant difference was observed between the VAS values, MMO, and PM averages of preoperative, 3rd and 6th months of ANB and GG (p=0.142, p=0.209, and p=0.148). Conclusion. Both anesthesia techniques have provided effective results in terms of pain and functional jaw movements in the postoperative period in arthrocentesis treatment.http://dx.doi.org/10.1155/2022/4206275
spellingShingle Onur Atalı
Elif Özçelik
Onur Gönül
Hasan Garip
Evaluation of Patient Comfort and Impact of Different Anesthesia Techniques on the Temporomandibular Joint Arthrocentesis Applications by Comparing Gow-Gates Mandibular Block Anesthesia with Auriculotemporal Nerve Block
Pain Research and Management
title Evaluation of Patient Comfort and Impact of Different Anesthesia Techniques on the Temporomandibular Joint Arthrocentesis Applications by Comparing Gow-Gates Mandibular Block Anesthesia with Auriculotemporal Nerve Block
title_full Evaluation of Patient Comfort and Impact of Different Anesthesia Techniques on the Temporomandibular Joint Arthrocentesis Applications by Comparing Gow-Gates Mandibular Block Anesthesia with Auriculotemporal Nerve Block
title_fullStr Evaluation of Patient Comfort and Impact of Different Anesthesia Techniques on the Temporomandibular Joint Arthrocentesis Applications by Comparing Gow-Gates Mandibular Block Anesthesia with Auriculotemporal Nerve Block
title_full_unstemmed Evaluation of Patient Comfort and Impact of Different Anesthesia Techniques on the Temporomandibular Joint Arthrocentesis Applications by Comparing Gow-Gates Mandibular Block Anesthesia with Auriculotemporal Nerve Block
title_short Evaluation of Patient Comfort and Impact of Different Anesthesia Techniques on the Temporomandibular Joint Arthrocentesis Applications by Comparing Gow-Gates Mandibular Block Anesthesia with Auriculotemporal Nerve Block
title_sort evaluation of patient comfort and impact of different anesthesia techniques on the temporomandibular joint arthrocentesis applications by comparing gow gates mandibular block anesthesia with auriculotemporal nerve block
url http://dx.doi.org/10.1155/2022/4206275
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AT elifozcelik evaluationofpatientcomfortandimpactofdifferentanesthesiatechniquesonthetemporomandibularjointarthrocentesisapplicationsbycomparinggowgatesmandibularblockanesthesiawithauriculotemporalnerveblock
AT onurgonul evaluationofpatientcomfortandimpactofdifferentanesthesiatechniquesonthetemporomandibularjointarthrocentesisapplicationsbycomparinggowgatesmandibularblockanesthesiawithauriculotemporalnerveblock
AT hasangarip evaluationofpatientcomfortandimpactofdifferentanesthesiatechniquesonthetemporomandibularjointarthrocentesisapplicationsbycomparinggowgatesmandibularblockanesthesiawithauriculotemporalnerveblock