Nora Mohamed Salah Sayed Mohamed, Kalid Atef El Hayes, Nermeen Hassanien And Nancy El Gendy,

ABSTRACT


Aim: Was To Compare Between The Levels Of Tumor Necrosis Factor Alpha In Synovial Fluid In Single Needle Versus Double Needles Arthrocentesis .

Materials & Methods: This Study Included 12 Joints In 8 Female Patients Having, Internal Derangement Of The Temporomandibular Joint (TMJ) With Anterior Disc Displacement With Reduction. Patients Were Divided Into Two Equal Groups, Group I And Group II. Each Joint In Each Group Underwent Arthrocentesis Using Single Needle In Group I And Double Needle In Group II. The Synovial Fluid Of Both Groups Was Analyzed To Assay TNF A Level.

Results: Results Revealed .that Single Needle Arthrocentesis Is Better Than Double Needle Arthrocentesis In Treatment Of Disc Displacement With Reduction But Both Of Them Are Effective.