Evidence map›Paper›PMID 38202113›Full record

ReviewJournal of clinical medicine2023

Intra-Articular Local Anesthetics in Temporomandibular Disorders: A Systematic Review and Meta-Analysis.

Karolina Lubecka, Kamila Chęcińska, Filip Bliźniak, Maciej Chęciński, Natalia Turosz, Adam Michcik, Dariusz Chlubek, Maciej Sikora

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Article
  6. Comment on: Efficacy of dextrose prolotherapy on temporomandibular disorder.Journal of the Korean Association of Oral and Maxillofacial Surgeons · 2025
    Article
  7. Response to the letter regarding prolotherapy in temporomandibular disorders.Journal of the Korean Association of Oral and Maxillofacial Surgeons · 2025
    Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Karolina LubeckaDepartment of Oral Surgery, Preventive Medicine Center, Komorowskiego 12, 30-106 Cracow, Poland.ORCID 0009-0004-6758-5450
Kamila ChęcińskaDepartment of Glass Technology and Amorphous Coatings, Faculty of Materials Science and Ceramics, AGH University of Science and Technology, Mickiewicza 30, 30-059 Cracow, Poland.ORCID 0000-0002-5113-9817
Filip BliźniakDepartment of Oral Surgery, Preventive Medicine Center, Komorowskiego 12, 30-106 Cracow, Poland.ORCID 0009-0009-4985-7113
Maciej ChęcińskiDepartment of Oral Surgery, Preventive Medicine Center, Komorowskiego 12, 30-106 Cracow, Poland.ORCID 0000-0002-6199-4753
Natalia TuroszInstitute of Public Health, Jagiellonian University Medical College, Skawińska 8, 31-066 Cracow, Poland.ORCID 0000-0001-8075-9989
Adam MichcikDepartment of Maxillofacial Surgery, Medical University of Gdansk, Mariana Smoluchowskiego 17, 80-214 Gdańsk, Poland.ORCID 0000-0003-4727-0799
Dariusz ChlubekDepartment of Biochemistry and Medical Chemistry, Pomeranian Medical University, Powstańców Wielkopolskich 72, 70-111 Szczecin, Poland.ORCID 0000-0003-4497-4395
Maciej SikoraDepartment of Biochemistry and Medical Chemistry, Pomeranian Medical University, Powstańców Wielkopolskich 72, 70-111 Szczecin, Poland.ORCID 0000-0002-3348-1950
Pomeranian Medical University · PLAGH University of Krakow · PLGdańsk Medical University · PLJagiellonian University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This systematic review with meta-analysis was conducted to evaluate the effectiveness of local anesthetic administration into temporomandibular joint cavities in relieving pain and increasing mandibular mobility. Randomized controlled trials were included with no limitation on report publication dates. Final searches were performed on 15 October 2023, using engines provided by the US National Library, Bielefeld University, and Elsevier Publishing House. The risk of bias was assessed using the Cochrane Risk of Bias 2 tool. Articular pain and mandible abduction values and their mean differences were summarized in tables and graphs. Eight studies on a total of 252 patients evaluating intra-articular administration of articaine, bupivacaine, lidocaine, and mepivacaine were included in the systematic review. None of the eligible studies presented a high risk of bias in any of the assessed domains. An analgesic effect of intra-articular bupivacaine was observed for up to 24 h. In the long-term follow-up, there were no statistically significant changes in quantified pain compared to both the baseline value and the placebo group, regardless of the anesthetic used (articaine, bupivacaine, and lidocaine). There is no scientific evidence on the effect of intra-articular administration of local anesthesia on the range of motion of the mandible. Therefore, in the current state of knowledge, the administration of local anesthetics into the temporomandibular joint cavities can only be considered as a short-term pain relief measure.

Indexed as

articainebupivacaineintra-articular injectionslidocainemepivacainetemporomandibular joint disorders

Identifiers

PMID38202113
PMCPMC10779637
OpenAlexW4390175966

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.