Abstract
Aim
To evaluate the efficacy of arthrocentesis with and without sodium hyaluronate injection for internal derangement of temporomandibular joint.
Materials and Methods
Patients with clinically and radiographically confirmed cases of temporomandibular joint disorders were enrolled for this study. 20 patients were randomly allocated into two groups for arthrocentesis of TMJ with 10 patients in each group. In group 1, patients were treated with TMJ arthrocentesis followed by sodium hyaluronate injection, and in group 2, patients were treated with arthrocentesis alone. All the patients were treated under local anaesthesia. The patients were followed up at 1st week, 2nd week, 4th week and 12th week post operatively for maximum mouth opening, lateral mandibular movements, pain at rest and on mastication and the subjective efficacy of the treatment.
Results
By the end of twelfth week follow up, the mean mouth opening showed significant improvement in group 1, the right and left lateral movements showed better results in group 1 than in group 2, pain at rest and pain on mastication were mild in both the groups with subjective efficacy good in group 1 and moderate in group 2.
Conclusion
This study suggested that TMJ arthrocentesis with sodium hyaluronate injection had better clinical outcome compared to TMJ arthrocentesis alone for TMJ disorders.
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References
Tatli U, Machon V (2018) Internal derangements of the temporomandibular joint: diagnosis and management. In: Emes Y, Dergin G, Aybar B (eds) Temporomandibular joint pathology current approaches and understanding. Intechopen, London
Wadhwa S, Kapila S (2008) TMJ disorders: future innovations in diagnostics and therapeutics. J Dent Educ 72(8):930–947
Yavuz GY, Keskinruzgar A (2018) Evaluation of complications of arthrocentesis in the management of the temporomandibular joint disorders. Galore Int J Health Sci Res 3(2):50–53
Soni A (2019) Arthrocentesis of temporomandibular joint- bridging the gap between non-surgical and surgical treatment. Annals Maxillof Surg 9(1):158
Sequeira J, Rao BHS, Kedia PR (2019) Efficacy of sodium hyaluronate for temporomandibular joint disorder by single-puncture arthrocentesis. J Maxillofac Oral Surg 18(1):88–92
Gorrela H, Prameela J, Srinivas G, Reddy BVB, Sudhir M, Arakeri G (2016) Efficacy of temporomandibular joint arthrocentesis with sodium hyaluronate in the management of temporomandibular joint disorders: a prospective randomized control trial. J Maxillof Oral Surg 16(4):479–484
Bjørnland T, Gjaerum AA, Møystad A (2007) Osteoarthritis of the temporomandibular joint: an evaluation of the effects and complications of corticosteroid injection compared with injection with sodium hyaluronate. J Oral Rehabil 34(8):583–589
Sun H, Su Y, Song N, Li C, Shi Z, Li L (2018) Clinical outcome of sodium hyaluronate injection into the superior and inferior joint space for osteoarthritis of the temporomandibular joint evaluated by cone-beam computed tomography: a retrospective study of 51 patients and 56 joints. Med Sci Monit 20(24):5793–5801
Alpaslan GH, Alpaslan C (2001) Efficacy of temporomandibular joint arthrocentesis with and without injection of sodium hyaluronate in treatment of internal derangements. J Oral Maxillof Surg Off J Am Assoc Oral Maxillof Surg 59(6):613–618
Grossmann E, Guilherme Vargas Pasqual P, Poluha RL, Iwaki LCV, Iwaki Filho L, Setogutti ÊT (2017) Single-needle arthrocentesis with upper compartment distension versus conventional two-needle arthrocentesis: randomized clinical trial. Pain Res Manag 2017:2435263
De Riu G, Stimolo M, Meloni SM, Soma D, Pisano M, Sembronio S, Tullio A (2013) Arthrocentesis and temporomandibular joint disorders: clinical and radiological results of a prospective study. Int J Dent 2013:1–8
Rao JKD, Sharma A, Kashyap R, Walecha K, Siwach V, Arya V (2019) Comparison of efficacy of sodium hyaluronate and normal saline arthrocentesis in the management of internal derangement of temporomandibular joints—a prospective study. Natl J Maxillofac Surg 10(2):217–222
Hosaka H, Murakami K, Goto K, Iizuka T (1996) Outcome of arthrocentesis for temporomandibular joint with closed lock at 3 years follow-up. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 82:501–504
Carvajal WA, Laskin DM (2000) Long-term evaluation of arthrocentesis for the treatment of internal derangements of the temporomandibular joint. J Oral Maxillofac Surg 58:852–855
Romero-Tapia P, Pérez-Vargas F, Sedano-Balbin G, Marín J, Mayta-Tovalino F (2020) Therapeutic effect of sodium hyaluronate and corticosteroid injections on pain and temporomandibular joint dysfunction: a quasi-experimental study. J Contemp Dent Pract 21(10):1084–1090
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Sait, A.I., Sequiera, J.P. & Chandra, J. Efficacy of Arthrocentesis with and Without Sodium Hyaluronate Injection for Temporomandibular Joint Disorders: A Comparative Study. J. Maxillofac. Oral Surg. 22, 1066–1071 (2023). https://doi.org/10.1007/s12663-023-01936-1
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DOI: https://doi.org/10.1007/s12663-023-01936-1