title: Single puncture for TMJ arthrocentesis: An effective technique for hydraulic distention of the superior joint space.
abstract: Temporomandibular joint arthrocentesis is a method of flushing out the synovial fluid that is currently performed by providing a double puncture to the upper joint space. The traditional 2-needle technique has some restrictions, such as the difficulty in performing it in the presence of intra-articular adherences and in the female patients, because the space is very small. The adoption of a single-needle for fluid injection might have some advantages with respect to the traditional 2-needle approach in terms of easily, time of execution and tolerability. We describe a single needle technique and we recommend the use.
authors.affiliation: Hospital Israelita Albert Einstein and Post-graduate program (Oral and maxillofacial surgery) Araçatuba Dental School-UNESP, UNINOVE Medical and Dental School and Santo Amaro University-Dental Implants Post Graduate Program, Sao Paulo, Brazil.
authors.forename: Elio Hitoshi
authors.initials: EH
authors.lastname: Shinohara
authors.forename: Shajadi Carlos
authors.initials: SC
authors.lastname: Pardo-Kaba
authors.forename: Marcelo Zillo
authors.initials: MZ
authors.lastname: Martini
authors.forename: Fernando Kendi
authors.initials: FK
authors.lastname: Horikawa