{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T17:58:19Z","timestamp":1759514299340},"reference-count":25,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2015,5,25]],"date-time":"2015-05-25T00:00:00Z","timestamp":1432512000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>The present randomised controlled study compared the 3\u2010year outcome of local anaesthetics with anaesthetics and lavage in patients suffering from painful temporomandibular joint (<jats:styled-content style=\"fixed-case\">TMJ<\/jats:styled-content>) locking. The study included 45 patients referred for treatment of temporomandibular disorders (<jats:styled-content style=\"fixed-case\">TMD<\/jats:styled-content>) to the Department of Orofacial Pain and Jaw Function, Faculty of Odontology, Malm\u00f6 University, Malm\u00f6, Sweden. All patients received a history questionnaire and clinical examination according to the Research Diagnostic Criteria for <jats:styled-content style=\"fixed-case\">TMD<\/jats:styled-content>, panoramic radiographs and magnetic resonance imaging at baseline. Twenty\u2010five patients were randomised to <jats:italic>anaesthetics alone<\/jats:italic> and 20 patients to <jats:italic>anaesthetics and lavage<\/jats:italic>. Three years after treatment, we sent the 37 patients who were available for follow\u2010up a questionnaire that evaluated pain intensity, physical and emotional functioning, and global improvement. Thirty\u2010four patients responded. The primary outcome was defined as \u2265\u00a030% pain relief. In an intention\u2010to\u2010treat analysis, 28 of 45 patients (62%) reported \u2265\u00a030% pain relief at the follow\u2010up. At 3\u00a0years, improvement in pain relief, physical functioning, emotional functioning and global improvement differed non\u2010significantly between <jats:italic>local anaesthetics<\/jats:italic> and <jats:italic>anaesthetics and lavage<\/jats:italic>. Compared with baseline, significant improvements (<jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0\u00b705) in pain intensity, physical functioning, emotional functioning and global changes had occurred in both groups after 3\u00a0years. Because outcome measurements in the <jats:italic>local anaesthetics and lavage<\/jats:italic> and the <jats:italic>local anaesthetics<\/jats:italic> groups differed non\u2010significantly 3\u00a0years after treatment of painful <jats:styled-content style=\"fixed-case\">TMJ<\/jats:styled-content> disc displacement without reduction, use of lavage (50\u00a0mL saline) has an equivalent effect as local anaesthetics.<\/jats:p>","DOI":"10.1111\/joor.12311","type":"journal-article","created":{"date-parts":[[2015,5,25]],"date-time":"2015-05-25T21:09:52Z","timestamp":1432588192000},"page":"742-750","source":"Crossref","is-referenced-by-count":9,"title":["Questionable effect of lavage for treatment of painful jaw movements at disc displacement without reduction: a 3\u2010year randomised controlled follow\u2010up"],"prefix":"10.1111","volume":"42","author":[{"given":"Z.","family":"Baker","sequence":"first","affiliation":[{"name":"Department of Orofacial Pain and Jaw Function Faculty of Odontology 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