Table 1.
Wilkes classification, outcomes and selection of pre-operative therapy.
| Concentric needle and cannula arthrocentesis – preoperative | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| TMJ right | TMJ left | ||||||||||
| Patient | Wilkes clasification (image) | Arthralgia (EVA-DC) | Joint sound | Selected and applied therapy | Total number of infiltrations /therapeutic sequence | Wilkes clasification (image) | Arthralgia (EVA-DC) | Joint sound | Selected and applied therapy | Total number of infiltrations /therapeutic sequence | Mouth opening measurement |
| 1 | WILKES – V | 3 | Present | Arthrocentesis | UC − 6 | WILKES – V | 3 | Present | Arthrocentesis | UC − 6 | 36 mm |
| UC: PRF | LC − 6 | UC: PRF | LC − 6 | ||||||||
| LC: PRF | LC: PRF | ||||||||||
| 2 | WILKES – V | 3 | Present | Arthrocentesis | UC − 6 | WILKES – V | 3 | Absent | Arthrocentesis | UC − 6 | 40 mm |
| UC: PRF | LC − 6 | UC: PRF | LC − 6 | ||||||||
| LC: PRF | LC: PRF | ||||||||||
| 3 | WILKES – V | 2 | Present | Arthrocentesis | UC − 6 | WILKES – V | 2 | Present | Arthrocentesis | UC − 6 | 45 mm |
| UC: VS | LC − 6 | DDwoR | UC: VS | LC − 6 | |||||||
| LC: PRF | LC: PRF | ||||||||||
| 4 | WILKES – V | 2 | Absent | Arthrocentesis | UC − 6 | WILKES – V | 3 | Absent DDwoR-with limited opening | Arthrocentesis | UC − 6 | 33 mm |
| DDwoR-without limited opening | UC: VS | LC − 6 | UC: VS | LC − 6 | |||||||
| LC: PRF | LC: PRF | ||||||||||
| 5 | WILKES – IV | 3 | Absent | Arthrocentesis | UC − 4 | WILKES – IV | 2 | Absent. DDwR-without limited opening | Arthrocentesis | UC − 4 | 38 mm |
| DDwoR-without limited opening | UC: VS | LC − 4 | UC: VS | LC − 4 | |||||||
| LC: PRF | LC: PRF | ||||||||||
| 6 | WILKES – IV | 0 | Absent | Arthrocentesis | UC − 4 | WILKES – V | 0 | Absent | Arthrocentesis | UC − 4 | 33 mm |
| UC: VS | LC − 4 | UC: VS | LC − 4 | ||||||||
| LC: PRF | LC: PRF | ||||||||||
| 7 | WILKES – V | 1 | Present | Arthrocentesis | UC − 6 | WILKES – V | 3 | Absent | Arthrocentesis | UC − 6 | 33 mm |
| DDwR | UC: VS | LC − 6 | DDwoR-With limited opening | UC: VS | LC − 6 | ||||||
| LC: VS | LC: VS | ||||||||||
| 8 | WILKES – III | 3 | Absent | Arthrocentesis | UC − 4 | WILKES – I | 0 | Present | UC: VS | UC − 4 | 33 mm |
| UC: VS | LC − 4 | DDwR | LC: VS | LC − 4 | |||||||
| LC: VS | |||||||||||
| 9 | WILKES – IV | 3 | Absent | Arthrocentesis | UC − 4 | WILKES –III | 2 | Absent | Arthrocentesis | UC − 4 | 38 mm |
| DDwoR-without limited opening | UC: VS | LC − 4 | DDwoR-without limited opening | UC: VS | LC − 4 | ||||||
| LC: PRF | LC: PRF | ||||||||||
| 10 | WILKES – IV | 1 | Present | Arthrocentesis | UC − 4 | WILKES – V | 3 | Absent DDwoR-with limited opening | Arthrocentesis | UC − 4 | 34 mm |
| DDwR | UC: VS | LC − 4 | UC: VS | LC − 4 | |||||||
| LC: PRF | LC: PRF | ||||||||||
| 11 | WILKES – V | 2 | Ausente | Arthrocentesis | UC − 6 | WILKES – V | 3 | Absent | Arthrocentesis | UC − 6 | 33 mm |
| DDwoR-without limited opening | UC: VS | LC − 6 | DDCR-without limited opening | UC: VS | LC − 6 | ||||||
| LC: VS | LC: VS | ||||||||||
| 12 | WILKES – IV | 3 | Absent | Arthrocentesis | UC − 4 | WILKES – IV | 1 | Absent | Arthrocentesis | UC − 4 | 36 mm |
| DDwoR-with limited opening | UC: VS | LC − 4 | DDwoR-without limited opening | UC: VS | LC − 4 | ||||||
| LC: PRF | LC: PRF | ||||||||||
| 13 | WILKES – V | 3 | Absent | Arthrocentesis | UC − 6 | WILKES – IV | 3 | Absent | Arthrocentesis | UC − 6 | 38 mm |
| DDwoR-without limited opening | UC: PRF | LC − 6 | DDwoR-without limited opening | UC: VS | LC − 6 | ||||||
| LC: PRF | LC: VS | ||||||||||
| 14 | WILKES – IV | 3 | Absent | Arthrocentesis | UC − 4 | WILKES – IV | 3 | Absent | Arthrocentesis | UC − 4 | 35 mm |
| DDwoR-without limited opening | UC: VS | LC − 4 | DD with intermittent locking | UC: VS | LC − 4 | ||||||
| LC: VS | LC: VS | ||||||||||
| 15 | WILKES – II | 3 | Present | Arthrocentesis | UC − 4 | WILKES – II | 2 | Absent | UC: VS | UC − 4 | 40 mm |
| DDwoR | UC: VS | LC -4 | DD with intermittent locking | LC: VS | LC -4 | ||||||
| LC: VS | |||||||||||
| 16 | WILKES – III | 1 | Absent | Arthrocentesis | UC − 6 | WILKES – V | 3 | Present | Arthrocentesis | UC − 6 | 36 mm |
| DDwoR-without limited opening | UC: VS | LC − 6 | DDwR | UC: VS | LC − 6 | ||||||
| LC: PRF | LC: PRF | ||||||||||
| 17 | WILKES – III | 0 | Absent | Arthrocentesis | UC − 4 | WILKES – IV | 2 | Absent | Arthrocentesis | UC − 4 | 38 mm |
| DDwoR-Without limited opening | UC: VS | LC − 4 | DDwoR-With limited opening | UC: VS | LC − 4 | ||||||
| LC: VS | LC: VS | ||||||||||
| 18 | WILKES – III | 3 | Absent | Arthrocentesis | UC − 4 | WILKES – III | 0 | Present | Arthrocentesis | UC − 4 | 38 mm |
| DDwoR-with limited opening | UC: VS | LC − 4 | DDwR | UC: VS | LC − 4 | ||||||
| LC: VS | LC: VS | ||||||||||
| 19 | WILKES – IV | 3 | Absent | Arthrocentesis | UC − 6 | WILKES – II | 0 | Present | Arthrocentesis | UC − 6 | 38 mm |
| DDwoR-with limited opening | UC: VS | LC − 6 | DDwR | UC: VS | LC − 6 | ||||||
| LC: VS | LC: VS | ||||||||||
| 20 | WILKES – IV | 3 | Absent | Arthrocentesis | UC − 6 | WILKES – IV | 3 | Absent | Arthrocentesis | UC − 6 | 41 mm |
| DDwoR-without limited opening | UC: VS | LC − 6 | DDwoR-without limited opening | UC: VS | LC − 6 | ||||||
| LC: VS | LC: VS | ||||||||||
| 21 | WILKES – V | 3 | Absent | Arthrocentesis | UC − 6 | WILKES – V | 3 | Absent | Arthrocentesis | UC − 6 | 38 mm |
| DDwoR-without limited opening | UC: VS | LC − 6 | DDwoR-without limited opening | UC: VS | LC − 6 | ||||||
| LC: PRF | LC: PRF | ||||||||||
| 22 | WILKES – V | 0 | Present/Crackling/DDwoR-with limited opening | Arthrocentesis | UC − 4 | WILKES – IV | 0 | Present/crackling/DDwoR-with limited opening | Arthrocentesis | UC − 4 | 34 mm |
| UC: VS | LC − 4 | UC: VS | LC − 4 | ||||||||
| LC: VS | LC: VS | ||||||||||
UC upper compartment, LC lower compartment, VS viscosupplementation, PRF Plasma rich in fibrin, DDwR disk displacement with reduction, DDWoR disk displacement without reduction.