Advertisement

Journal of Maxillofacial and Oral Surgery

, Volume 18, Issue 1, pp 88–92 | Cite as

Efficacy of Sodium Hyaluronate for Temporomandibular Joint Disorder by Single-Puncture Arthrocentesis

  • Joyce Sequeira
  • B. H. Sripathi Rao
  • Pallav Raj Kedia
Original Article
  • 42 Downloads

Abstract

Background

The term temporomandibular joint internal derangement has characteristic clinical findings such as restricted mouth opening, pain, irregular deviated jaw function and clicking sounds. The technique of TMJ arthrocentesis has gained widespread acceptance as a simple and effective technique for the treatment of acute persistent closed lock of the TMJ. Arthrocentesis is known as the lavage and lysis of upper joint compartment.

Purpose

To evaluate the efficacy of sodium hyaluronate followed by single-puncture arthrocentesis. Sodium hyaluronate is the sodium salt of hyaluronic acid which is a polysaccharide of the glycosaminoglycans family, found in many extracellular tissues, including synovial fluid and cartilage. Exogenous hyaluronate can stimulate the synthesis of endogenous hyaluronic acid.

Methods

In our study, a sample of 10 patients (7 females and 3 males) with TMJ disorder was selected. Arthrocentesis was done followed by sodium hyaluronate injection for all the patients.

Results

On follow-up ranging from 1 to 3 months, pain at rest and pain on mastication had substantially decreased in all patients and mandibular function and mouth opening had significantly improved.

Conclusion

Our study shows that single-puncture Ringer’s lactate arthrocentesis followed by sodium hyaluronate injection is effective in the management of the internal derangement of the temporomandibular joint.

Keywords

Temporomandibular joint disorder Arthrocentesis Sodium hyaluronate Internal derangement Single-needle arthrocentesis 

Notes

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

References

  1. 1.
    Khan MF, Gull S, Chatha MR (2011) Temporomandibular disorders. Pak Oral Dent J 31(2):1Google Scholar
  2. 2.
    Dimitroulis G, Dolwick MF, Martinez A (1995) Temporomandibular joint arthrocentesis and lavage for the treatment of closed lock: a follow-up study. Br J Oral Maxillofac Surg 33(1):23–27CrossRefGoogle Scholar
  3. 3.
    Manfredini D, Bonnini S, Arboretti R, Guarda-Nardini L (2009) Temporomandibular joint osteoarthritis: an open label trial of 76 patients treated with arthrocentesis plus hyaluronic acid injection. Int J Oral Maxillofac Surg 38:827–834CrossRefGoogle Scholar
  4. 4.
    Sato Shuichi, Ohta Mari, Ohki Hidetaka, Kawamura Hiroshi, Motedi Katsutoshi (1997) Effect of lavage with injection of sodium hyaluronate for patients with nonreducing disk displacement of the temporomandibular joint. Oral Surg Oral Pathol Oral Radiol Endod 84:241–244CrossRefGoogle Scholar
  5. 5.
    Gavish A, Halachmi M, Winocur E, Gazit E (2000) Oral habits and their association with signs and symptoms of temporomandibular disorders in adolescent girls. J Oral Rehabil 27(1):22–32CrossRefGoogle Scholar
  6. 6.
    History of Hyaluroan Science, Balazs EA, Hargittai I, Hargitti M (2011) Hyaluronan: from basic science to clinical applications, vol 2. Pubmatrix, EdgewaterGoogle Scholar
  7. 7.
    Bannuru RR, Schmid CH, Kent DM, Vaysbrot EE, Wong JB, McAlindon TE (2015) Comparative effectiveness of pharmacologic interventions for knee osteoarthritis: a systematic review and network meta-analysis. Ann Intern Med 162(1):46–54CrossRefGoogle Scholar
  8. 8.
    Mandl LA, Losina E (2015) Relative efficacy of knee osteoarthritis treatments: Are all placebos created equal? Ann Intern Med 162(1):71–72CrossRefGoogle Scholar
  9. 9.
    Puhl W, Scharf P (1997) Intra-articular hyaluronan treatment for osteoarthritis. Ann Rheum Dis 56(7):441CrossRefGoogle Scholar
  10. 10.
    Guarda-Nardini L, Manfredini D, Ferronato G (2008) Arthrocentesis of the temporomandibular joint: a proposal for a single-needle technique. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 106(4):483–486CrossRefGoogle Scholar
  11. 11.
    Rehman KU, Hall T (2009) Single needle arthrocentesis. Br J Oral Maxillofac Surg 47(5):403–404CrossRefGoogle Scholar
  12. 12.
    Rahal A, Poirier J, Ahmarani C (2009) Single-puncture arthrocentesis—introducing a new technique and a novel device. J Oral Maxillofac Surg 67(8):1771–1773CrossRefGoogle Scholar
  13. 13.
    Magnani A, Rappuoli R, Lamponi S, Barbucci R (2000) Novel polysaccharides hydrogels: characterization and properties. Polym Adv Technol 11:488–493CrossRefGoogle Scholar
  14. 14.
    Kaneyama K et al (2004) The ideal lavage volume for removing bradykinin, interleukin-6, and protein from the temporomandibular joint by arthrocentesis. J Oral Maxillofac Surg 62(6):657–661CrossRefGoogle Scholar
  15. 15.
    Alpaslan GH, Alpaslan C (2001) Efficacy of temporomandibular joint arthrocentesis with and without injection of sodium hyaluronate in treatment of internal derangements. J Oral Maxillofac Surg 59(6):613–618 (Discussion 618–619) CrossRefGoogle Scholar
  16. 16.
    Kopp S, Wenneberg B, Haraldson T, Carlson G (1985) The short-term effect of intra-articular injection of sodium hyaluronate and corticosteroid on TMJ pain and dysfunction. J Oral Maxillofac Surg 43:429–435CrossRefGoogle Scholar
  17. 17.
    Tozoglu S, Al-Belasy FA, Dolwick MF (2011) A review of techniques of lysis and lavage of the TMJ. Br J Oral Maxillofac Surg 49(4):302–309CrossRefGoogle Scholar

Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2018

Authors and Affiliations

  • Joyce Sequeira
    • 1
  • B. H. Sripathi Rao
    • 1
  • Pallav Raj Kedia
    • 1
    • 2
  1. 1.Department of Oral and Maxillofacial SurgeryYenepoya Dental CollegeMangaloreIndia
  2. 2.GopalganjIndia

Personalised recommendations