Table 2 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

Arthralgia (EVA-DC)

Joint sound

Selected and applied therapy

Total number of infiltrations /therapeutic sequence

Mouth opening measurement

1

WILKES – IV

0

Present

Arthrocentesis

UC − 6

WILKES – IV

0

Present

Arthrocentesis

UC − 6

40 mm

DDwR

UC: PRF

LC − 6

DDwR

UC: PRF

LC − 6

 

LC: PRF

  

LC: PRF

 

2

WILKES – IV

0

Absent

Arthrocentesis

UC − 6

WILKES – IV

0

Absent

Arthrocentesis

UC − 6

44 mm

DDwR-without limited opening

UC: PRF

LC − 6

DDwR-without limited opening

UC: PRF

LC − 6

 

LC: PRF

  

LC: PRF

 

3

WILKES – IV

0

Present

Arthrocentesis

LC − 6

WILKES – IV

0

Present

Arthrocentesis

UC − 6

48 mm

DDwR

UC: VS

LC − 6

DDwR

UC: VS

LC − 6

 

LC: PRF

  

LC: PRF

 

4

WILKES – IV

0

Absent

Arthrocentesis

UC − 6

WILKES – IV

0

Absent

Arthrocentesis

UC − 6

40 mm

DDwR-without limited opening

UC: VS

LC − 6

DDwR-without limited opening

UC: VS

LC − 6

 

LC: PRF

  

LC: PRF

 

5

*SF

0

Absent

Arthrocentesis

UC − 4

*SF

0

Absent

Arthrocentesis

UC − 4

45 mm

DDwR-without limited opening

UC: VS

LC − 4

DDwR-without limited opening

UC: VS

LC − 4

 

LC: PRF

  

LC: PRF

 

6

*SF

0

Absent

Arthrocentesis

UC − 4

*SF

0

Absent

Arthrocentesis

UC − 4

38 mm

DDwR-Without limited opening

UC: VS

LC − 4

DDwR-without limited opening

UC: VS

LC − 4

 

LC: PRF

  

LC: PRF

 

7

WILKES – IV

0

Present

Arthrocentesis

UC − 6

WILKES – V (**)

0

Present

Arthrocentesis

UC − 6

40 mm

DDwR

UC: VS

LC − 6

DDwR

UC: VS

LC − 6

 

LC: VS

  

LC: VS

 

8

WILKES – I

0

Present

Arthrocentesis

UC − 4

WILKES – I

0

Present

 

UC − 4

44 mm

DDwR

UC: VS

LC − 4

DDwR

UC: VS

LC − 4

 

LC: VS

  

LC: VS

 

9

WILKES – III

0

Absent

Arthrocentesis

UC − 4

WILKES – III

0

Absent

Arthrocentesis

UC − 4

46 mm

DDwR-without limited opening

UC: VS

LC − 4

DDwR-without limited opening

UC: VS

LC − 4

 

LC: PRF

  

LC: PRF

 

10

*SF

0

Present

Arthrocentesis

UC − 4

*SF

0

Present

Arthrocentesis

UC − 4

45 mm

DDwR

UC: VS

LC − 4

DDwR

UC: VS

LC − 4

 

LC: PRF

  

LC: PRF

 

11

WILKES – IV

0

Present

Arthrocentesis

UC − 6

WILKES – IV

0

Present

Arthrocentesis

UC − 6

41 mm

DDwR

UC: VS

LC − 6

DDwR

UC: VS

LC − 6

 

LC: VS

  

LC: VS

 

12

WILKES – IV ***

0

Absent

Arthrocentesis

UC − 4

WILKES – IV ***

0

Absent

Arthrocentesis

UC − 4

44 mm

DDwR-With limited opening

UC: VS

LC − 4

DDwR-With limited opening

UC: VS

LC − 4

 

LC: PRF

  

LC: PRF

 

13

WILKES – V (**)

0

Absent

Arthrocentesis

UC − 6

WILKES – IV ***

0

Absent

Arthrocentesis

UC − 6

46 mm

DDwoR-without limited opening

UC: PRF

LC − 6

DDwoR-without limited opening

UC: VS

LC − 6

 

LC: PRF

  

LC: VS

 

14

WILKES – III

0

Absent

Arthrocentesis

UC − 4

WILKES – III

0

Absent

Arthrocentesis

UC − 4

37 mm

DDSR-without limited opening

UC: VS

LC- 4

DDSR-without limited opening

UC: VS

LC − 4

 

LC: VS

  

LC: VS

 

15

WILKES – II

0

Absent

Arthrocentesis

UC − 4

WILKES – II

0

Present

 

UC − 4

46 mm

DDwR

UC: VS

LC -4

DDwR

UC: VS

LC − 4

 

LC: VS

  

LC: VS

 

16

WILKES – III

0

Present

Arthrocentesis

UC − 6

WILKES – V

0

Present

Arthrocentesis

UC − 6

40 mm

DDwR

UC: VS

LC − 6

DDwR

UC: VS

LC − 6

 

LC: PRF

  

LC: PRF

 

17

WILKES – III

0

Absent

Arthrocentesis

UC − 4

WILKES – IV

0

Absent

Arthrocentesis

UC − 4

41 mm

DDwoR-without limited opening

UC: VS

LC − 4

DDwoR-without limited opening

UC: VS

LC − 4

 

LC: VS

  

LC: VS

 

18

WILKES – III

0

Present

Arthrocentesis

UC − 4

WILKES – III

0

Present

Arthrocentesis

UC − 4

43 mm

DDwR

UC: VS

LC − 4

DDwR

UC: VS

LC − 4

 

LC: VS

  

LC: VS

 

19

WILKES – II

0

Present

Arthrocentesis

UC − 6

WILKES – I

0

Present

Arthrocentesis

UC − 6

48 mm

DDwR

UC: VS

LC − 6

DDwR

UC: VS

LC − 6

 

LC: VS

  

LC: VS

 

20

WILKES – II

0

Absent

Arthrocentesis

UC − 6

WILKES – II

0

Absent

Arthrocentesis

UC − 6

46 mm

DDwoR-without limited opening

UC: VS

LC − 6

DDwoR-without limited opening

UC: VS

LC- 6

 

LC: VS

  

LC: VS

 

21

*SF

0

Absent

Arthrocentesis

UC − 6

*SF

0

Absent

Arthrocentesis

UC − 6

43 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

Absent

Arthrocentesis

UC − 4

WILKES – IV

0

Absent

Arthrocentesis

UC − 4

36 mm

DDwoR-without limited opening

UC: VS

LC − 4

DDwoR-without limited opening

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.