{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T04:32:15Z","timestamp":1781670735905,"version":"3.54.5"},"reference-count":35,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2021,7,23]],"date-time":"2021-07-23T00:00:00Z","timestamp":1626998400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare intra\u2010operative and postoperative outcomes between the single\u2010puncture and the standard double\u2010puncture techniques of arthrocentesis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      PubMed, Embase, ScienceDirect and CENTRAL databases were searched from inception up to 31\n                      <jats:sup>st<\/jats:sup>\n                      August 2020. Randomised controlled trials (RCTs), prospective and retrospective studies conducted on patients with temporomandibular joint disorders comparing any type of single\u2010puncture arthrocentesis with standard double\u2010puncture arthrocentesis and reporting intra\u2010operative\/postoperative outcomes were included. Assessment of the risk of bias was done with the Cochrane Collaboration risk assessment tool.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirteen studies were included (12 were RCTs). Analysis of a limited number of studies indicated no difference in pain or maximal mouth opening (MMO) between the single\u2010puncture type\u20101 or type\u20102 and the double\u2010puncture technique at various follow\u2010up intervals. Pooled analysis (four studies) demonstrated that the single\u2010puncture type\u20102 technique requires significantly less operating time as compared to the double\u2010puncture method. No such difference was noted between single\u2010puncture type\u20101 and double\u2010puncture techniques. Analysis of two studies indicated significantly reduced intra\u2010operative needle relocations with the single\u2010puncture techniques. Studies were not of high quality with concerns of bias in randomisation, allocation concealment and blinding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Limited data indicate no difference in pain or MMO with single\u2010 or double\u2010puncture techniques of arthrocentesis. Amongst the three techniques, the single\u2010puncture type\u20102 technique has the advantages of significantly lower operating time and reduced intra\u2010operative needle relocations and it may be the preferred method of TMJ arthrocentesis in clinical practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.13228","type":"journal-article","created":{"date-parts":[[2021,7,17]],"date-time":"2021-07-17T16:15:10Z","timestamp":1626538510000},"page":"1056-1065","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Comparison of outcomes with the single\u2010puncture and double\u2010puncture techniques of arthrocentesis of the temporomandibular joint: An updated systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"48","author":[{"given":"Shakil Ahmed","family":"Nagori","sequence":"first","affiliation":[{"name":"Oral &amp; Maxillofacial surgeon 21 Corps Dental Unit 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