Proinflammatory cytokines in temporomandibular joint synovial fluid before and after arthrocentesis

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009 May;107(5):e1-4. doi: 10.1016/j.tripleo.2009.02.006.

Abstract

Objective: The aim of this study was to evaluate the levels of interleukin (IL)-1beta, IL-6, IL-8, IL-11, and tumor necrosis factor (TNF)-alpha in temporomandibular joint (TMJ) synovial fluid of the patients with internal derangement before and 2 weeks after arthrocentesis.

Study design: Forty TMJs of 35 patients (29 females and 6 males, mean age 22.9 years) were included to the study. TMJs were divided into 2 groups: disc displacement with reduction (Group 1, n = 24) and disc displacement without reduction (Group 2, n = 16). Synovial fluid samples were obtained before and 2 weeks after arthrocentesis. IL-1beta, IL-6, IL-8, IL-11, and TNF-alpha concentrations were measured by using specific kits.

Results: Two weeks after the arthrocentesis procedures, all cytokines were found to be significantly decreased (P < .05) both in Group 1 and Group 2. The difference between 2 groups was insignificant (P > .05).

Conclusion: Arthrocentesis is an effective technique for eliminating the studied cytokines from the TMJ synovial fluid.

MeSH terms

  • Adolescent
  • Adult
  • Female
  • Humans
  • Interleukins / analysis
  • Interleukins / metabolism*
  • Joint Dislocations / immunology
  • Joint Dislocations / metabolism
  • Joint Dislocations / pathology
  • Joint Dislocations / surgery
  • Male
  • Paracentesis*
  • Synovial Fluid / chemistry*
  • Synovitis / immunology
  • Synovitis / metabolism
  • Synovitis / surgery
  • Temporomandibular Joint Disorders / immunology
  • Temporomandibular Joint Disorders / metabolism
  • Temporomandibular Joint Disorders / pathology
  • Temporomandibular Joint Disorders / surgery*
  • Tumor Necrosis Factor-alpha / analysis
  • Tumor Necrosis Factor-alpha / metabolism*
  • Young Adult

Substances

  • Interleukins
  • Tumor Necrosis Factor-alpha