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Efficacy of Temporomandibular Joint Arthrocentesis with Sodium Hyaluronate in the Management of Temporomandibular Joint Disorders: A Prospective Randomized Control Trial

  • Comparative Study
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Journal of Maxillofacial and Oral Surgery Aims and scope Submit manuscript

Abstract

Purpose

This study was designed to investigate the efficacy of the temporomandibular joint arthrocentesis with and without injection of sodium hyaluronate (SH) in the treatment of temporomandibular joint disorders.

Patients and Methods

A total of sixty two TMJs in 34 males and 28 females aged 20–65 years comprised the study material. The patients’ complaints were limited mouth opening, TMJ pain, and joint noises during function. Patients were randomly divided into 2 groups in which arthrocentesis plus intra-articular injection of sodium hyaluronate was performed in 1 group and only arthrocentesis was performed in the other group. Both groups contained patients with disc displacement with reduction and without reduction. Clinical evaluation of the patients was done before the procedure, immediately after the procedure, at 1 week and 1, 3 and 6 months postoperatively. Intensity of TMJ pain was assessed using visual analog scales. Maximal mouth opening and lateral jaw movements also were recorded at each follow-up visit.

Results

Both techniques increased maximal mouth opening, lateral movements, and function, while reducing TMJ pain and noise.

Conclusions

Although patients benefitted from both techniques, arthrocentesis with injection of SH seemed to be superior to arthrocentesis alone.

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Authors and Affiliations

  1. MNR Dental College and Hospital, Sangareddy, Telangana, India

    Harsha Gorrela, J Prameela, G Srinivas, B Vijay Baskar Reddy & MVS Sudhir

  2. Navodaya Dental College and Hospital, Raichur, India

    Gururaj Arakeri

Authors
  1. Harsha Gorrela
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  2. J Prameela
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  3. G Srinivas
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  4. B Vijay Baskar Reddy
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  5. MVS Sudhir
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  6. Gururaj Arakeri
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Corresponding author

Correspondence to Harsha Gorrela.

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None.

Ethical Committee Approval

Ethical committee approval as obtained by the institutional Ethical Committee MNR Dental College & Hospital, Sangareddy, TELANGANA.

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Gorrela, H., Prameela, J., Srinivas, G. et al. Efficacy of Temporomandibular Joint Arthrocentesis with Sodium Hyaluronate in the Management of Temporomandibular Joint Disorders: A Prospective Randomized Control Trial. J. Maxillofac. Oral Surg. 16, 479–484 (2017). https://doi.org/10.1007/s12663-016-0955-x

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  • DOI: https://doi.org/10.1007/s12663-016-0955-x

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