Journal of Maxillofacial and Oral Surgery

, Volume 16, Issue 4, pp 479–484 | Cite as

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

  • Harsha Gorrela
  • J Prameela
  • G Srinivas
  • B Vijay Baskar Reddy
  • MVS Sudhir
  • Gururaj Arakeri
Comparative Study



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.


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


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


TMJ Arthrocentesis Hyaluronate 


Compliance with Ethical Standards

Conflict of interest


Ethical Committee Approval

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


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Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2016

Authors and Affiliations

  • Harsha Gorrela
    • 1
  • J Prameela
    • 1
  • G Srinivas
    • 1
  • B Vijay Baskar Reddy
    • 1
  • MVS Sudhir
    • 1
  • Gururaj Arakeri
    • 2
  1. 1.MNR Dental College and HospitalSangareddyIndia
  2. 2.Navodaya Dental College and HospitalRaichurIndia

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