Dental and Medical Problems

Dent Med Probl
Index Copernicus (ICV 2021) – 132.50
MEiN – 70 pts
CiteScore (2021) – 2.0
JCI (2021) – 0.5
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ISSN 1644-387X (print)
ISSN 2300-9020 (online)
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Dental and Medical Problems

2022, vol. 59, nr 4, October-December, p. 647–656

doi: 10.17219/dmp/146820

Publication type: review

Language: English

License: Creative Commons Attribution 3.0 Unported (CC BY 3.0)

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De Nordenflycht D, Tesch RdS. Advantages of ultrasound guidance for TMJ arthrocentesis and intra-articular injection: A narrative review. Dent Med Probl. 2022;59(4):647–656. doi:10.17219/dmp/146820

Advantages of ultrasound guidance for TMJ arthrocentesis and intra-articular injection: A narrative review

Diego De Nordenflycht1,A,B,C,D,E,F, Ricardo De Souza Tesch2,B,C,D,E,F

1 Faculty of Dentistry, Universidad Andres Bello, Viña del Mar, Chile

2 Regenerative Medicine Laboratory, Petrópolis Medical School, Brazil


Ultrasound (US) is a widely available, low-cost, non-invasive, and safe medical imaging method that enables real-time observation. Ultrasound offers several advantages for dentomaxillofacial images, such as portability, the possibility of dynamic and repeated examinations, patient comfort, and availability. It is a useful tool for recognizing the temporomandibular joint (TMJ) structures and their involvement during the course of different pathological processes, such as articular disk displacement, joint effusion and cortical erosion. In addition to its diagnostic use, US has been proposed as an auxiliary tool in minimally invasive procedures for arthrogenic temporomandibular disorders (TMD) to achieve an accurate puncture, recognize joint spaces and reduce surgical trauma. While US is widely used for large joints to visualize internal structures and guide the injection, this technique has only recently gained popularity for the TMJ procedures. Hence, the literature on this topic is scarce. The present review describes the potential advantages and the clinical technique of US guidance for TMJ arthrocentesis and intra-articular injection (IAI).

Key words

ultrasonography, temporomandibular joint disorders, arthrocentesis, interventional ultrasonography

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