{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T16:01:30Z","timestamp":1762358490523,"version":"build-2065373602"},"reference-count":0,"publisher":"SWISS DENTAL JOURNAL SSO","issue":"03","license":[{"start":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T00:00:00Z","timestamp":1762214400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Swiss Dent. J. SSO"],"abstract":"<jats:p>The aim of this study was to compare the efficacy of viscosupplementation and arthrocentesis in the management of patients with disc displacement without reduction (DDwR). This review critically analysed randomized clinical trials, following PRISMA guidelines and with a protocol registered in PROSPERO (CRD42025650126). A comprehensive search was carried out in PubMed, Scopus, Web of Science, Cochrane, Embase, and Google Scholar. The PICOS framework guided the inclusion criteria, considering Population, Intervention, Comparator, Outcome, and Study design. Keywords such as \u201cTemporomandibular Joint Dysfunction Syndrome\u201d, \u201cTemporomandibular Joint\u201d, \u201cTemporomandibular Joint Disc\u201d, \u201cArthrocentesis\u201d, and \u201cViscosupplementation\u201d were used, individually and in combination. After screening and applying eligibility criteria, five study articles were included and assessed for risk of bias, level of evidence, and reported clinical outcomes. Both techniques were efficacious in controlling pain and improving the range of jaw opening. Arthrocentesis alone showed satisfactory results, but its association with viscosupplementation, especially with the use of Hyaluronic Acid (HA) or Injectable Platelet Rich Plasma (I-PRF), enhanced clinical effects. The choice of material for viscosupplementation appeared to have a direct impact on clinical outcomes. However, most of the study articles evaluated presented a high risk of bias, demonstrating the need for further research with greater methodological rigor for the scientific consolidation of these protocols. Although arthrocentesis remains a well-established management approach, viscosupplementation has emerged as a promising alternative, especially when combined with biomaterials, offering potential for improving patient outcomes in clinical practice.<\/jats:p>","DOI":"10.61872\/sdj-2025-03-03","type":"journal-article","created":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T08:04:59Z","timestamp":1762243499000},"page":"29-45","source":"Crossref","is-referenced-by-count":0,"title":["Viscosupplementation compared to arthrocentesis in the management of disc displacement without reduction","Viscosuppl\u00e9mentation par rapport \u00e0 l'arthrocent\u00e8se dans la prise en charge du d\u00e9placement discal sans r\u00e9duction : une revue syst\u00e9matique","Viskosupplementation im Vergleich zur Arthrozentese bei der Behandlung von Bandscheibenvorf\u00e4llen ohne Reposition: eine systematische \u00dcbersicht"],"prefix":"10.61872","volume":"135","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-3059-5342","authenticated-orcid":false,"given":"Marta de C\u00e1ssia Silva","family":"Lopes","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5210-8132","authenticated-orcid":false,"given":"Luiza Sana","family":"Souza","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6999-5398","authenticated-orcid":false,"given":"Olga Dumont","family":"Flecha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7991-1012","authenticated-orcid":false,"given":"Jos\u00e9 Cristiano Ramos","family":"Gl\u00f3ria","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8381-408X","authenticated-orcid":false,"given":"Karine Ta\u00eds Aguiar","family":"Tavano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5059-612X","authenticated-orcid":false,"given":"Brender","family":"Leonan-Silva","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"48141","published-online":{"date-parts":[[2025,11,4]]},"container-title":["SWISS DENTAL JOURNAL SSO \u2013 Science and Clinical Topics"],"original-title":[],"link":[{"URL":"https:\/\/www.swissdentaljournal.org\/article\/download\/9395\/7734","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.swissdentaljournal.org\/article\/download\/9395\/7734","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T15:58:06Z","timestamp":1762358286000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.swissdentaljournal.org\/article\/view\/9395"}},"subtitle":["a systematic review"],"short-title":[],"issued":{"date-parts":[[2025,11,4]]},"references-count":0,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2025,9,23]]}},"URL":"https:\/\/doi.org\/10.61872\/sdj-2025-03-03","relation":{},"ISSN":["2296-6501","2296-6498"],"issn-type":[{"type":"electronic","value":"2296-6501"},{"type":"print","value":"2296-6498"}],"subject":[],"published":{"date-parts":[[2025,11,4]]}}}