# Can arthrocentesis help reduce the displaced disc in patients with closed lock of the temporomandibular joint? A case review

**Authors:** Jordi Borrás-Ferreres, Cosme Gay-Escoda

PMC · DOI: 10.4317/jced.62613 · Journal of Clinical and Experimental Dentistry · 2025-04-01

## TL;DR

This study examines if arthrocentesis can reduce a displaced disc in a patient with a locked temporomandibular joint and improve mouth opening and reduce pain.

## Contribution

The study investigates the effectiveness of arthrocentesis in reducing a displaced disc in a specific case of closed lock.

## Key findings

- Arthrocentesis was found to reduce the displaced disc in a patient with closed lock.
- The procedure improved mouth opening and reduced joint pain in the patient.

## Abstract

Arthrocentesis (joint lavage and lysis) and hydraulic distension of the temporomandibular joint have been described as effective options for reducing joint pain and improving function in patients with limited mouth opening (closed lock) due to disc displacement without reduction, fundamentally in the acute phase of the disorder. Despite controversy, some studies suggest that in addition to improving the range of opening and reducing joint pain, the disc can also be reduced in some cases.
The present study was carried out to determine whether arthrocentesis could reduce the displaced disc in a woman with 6 weeks of closed lock, and to assess its efficacy in improving mouth opening and reducing joint pain.

Key words:Arthrocentesis, closed lock, disc displacement, limited mouth opening, disc reduction, disc recapture.

## Full-text entities

- **Diseases:** disc displacement (MESH:D007405), joint pain (MESH:D018771), disc (MESH:D055959)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12077826/full.md

## References

18 references — full list in the complete paper: https://tomesphere.com/paper/PMC12077826/full.md

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Source: https://tomesphere.com/paper/PMC12077826