Table 1 Wilkes classification, outcomes and selection of pre-operative therapy.

From: Outcomes of modified arthrocentesis using concentric needle and cannula technique with sequential viscosupplementation and orthobiologics in both TMJ compartments

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

 
  1. UC upper compartment, LC lower compartment, VS viscosupplementation, PRF Plasma rich in fibrin, DDwR disk displacement with reduction, DDWoR disk displacement without reduction.