Sequential infiltration of sodium hyaluronate in the temporomandibular joint with different molecular weights. Case report

Grossmann, Eduardo; Fonseca, Roberta; Almeida‐Leite, Camila Megale; Gonçalves, Rafael Soares; Oliveira, Pedro Gonçalves de; Januzzi, Eduardo

doi:10.5935/1806-0013.20150063

Cited by 3 publications

(1 citation statement)

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“…Taken together, safety of HA injections in TMJ have been suggested in literature 61 and the articles included in our umbrella review reported no infections or severe systemic AEs, supporting the safety of HA injections in TMD. 62 However, the systematic reviews included in this umbrella review often analysed the AEs, based on a small number of primary studies.…”

Section: Referencessupporting

confidence: 75%

Hyaluronic acid injections for pain relief and functional improvement in patients with temporomandibular disorders: An umbrella review of systematic reviews

Agostini,

Ferrillo,

Bernetti

et al. 2023

J of Oral Rehabilitation

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BackgroundTemporomandibular disorders (TMD) are the main cause of chronic facial pain, and intra‐articular (IA) injections of hyaluronic acid (HA) are commonly performed.ObjectivesThis umbrella review of systematic reviews aimed at analysing the effectiveness of HA injections on pain and functional outcomes in patients affected by TMD.MethodsPubMed, Cochrane Library and PEDro were systematically searched from inception until 17 January 2023 to identify systematic reviews evaluating the effects on pain and functional outcomes of HA IA injections. PROSPERO registration number: CRD42022382586.ResultsOut of 316 papers suitable for title/abstract screening, 18 articles were included in the umbrella review. Thirteen studies included only randomized controlled clinical trials (RCTs). The included systematic reviews reported no statistically significant differences between HA and corticosteroids, whereas platelet derivates seem to have good results in pain relief. The literature did not show severe adverse events, except for mild pain in the site of injection. Concerning the quality assessment of the 18 systematic reviews, 2 (11.11%) had a high quality, 3 (16.67%) a moderate quality, 7 (38.89%) a low quality and 6 (33.33%) a critically low quality.ConclusionsTaken together, findings of this umbrella review showed intriguing effects of IA HA injections in terms of reduction of pain intensity and improvement of functioning in patients affected by TMD. Furthermore, there is no agreement on the effectiveness of a combination of arthrocentesis or arthroscopy with IA HA injections. Although the literature showed these positive results after IA HA injections, the overlapping of primary studies in the systematic reviews included might have affect our results, such as the very low quality of the papers. Thus, further RCTs are needed to confirm the efficacy of IA injections of HA on pain relief in patients with TMD.

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Section: Referencessupporting

confidence: 75%

Hyaluronic acid injections for pain relief and functional improvement in patients with temporomandibular disorders: An umbrella review of systematic reviews

Agostini,

Ferrillo,

Bernetti

et al. 2023

J of Oral Rehabilitation

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Double puncture versus single puncture arthrocentesis for the management of unilateral temporomandibular joint disc displacement without reduction: A randomized controlled trial

Folle

Poluha

Setogutti

et al. 2018

Journal of Cranio-Maxillofacial Surgery

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Avaliação da eficácia da artrocentese associada à viscossuplementação no tratamento das desordens temporomandibulares: relato de caso

Urbano

Santiago

Candeia

et al. 2020

hu rev

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Introdução: A artrocentese é uma técnica minimamente invasiva utilizada para o tratamento de desordens temporomandibulares (DTM). Consiste na lavagem do espaço articular superior, aumentando a mobilidade articular e reduzindo a dor. Esta técnica pode ser associada à viscossuplementação, que consiste na injeção intra-articular de ácido hialurônico, diminuindo o desgaste da superfície articular. Objetivo: Analisar a eficácia da artrocentese associada à viscossuplementação, ressaltando os seus benefícios, através de um relato de caso. Relato de Caso: Paciente, E.O.M. gênero feminino, 30 anos, reportou-se à Santa Casa de Misericórdia de Juiz de Fora, com queixa de dor. Foi aplicado a metodologia DC/TMD (Diagnostic Criteria for Temporomandibular Disorders) Eixo I, sendo constatada hipomobilidade articular, com abertura bucal máxima de 25 mm, estalidos, crepitação e dor na região pré-auricular. A hipótese diagnóstica de deslocamento de disco com redução através de exame de Ressonância Magnética (RM). Iniciou-se o tratamento com placa neuromiorrelaxante em conjunto com a terapia farmacológica. O quadro sintomatológico da paciente não apresentou melhora, sendo indicada a artrocentese associada à viscossuplementação com hialuronato de sódio em ambas articulações. Resultados: Foi observada melhora do quadro sintomatológico da paciente. A abertura bucal evoluiu de 25mm para 36mm, após 30 dias do procedimento. Foi realizada a proservação por dois anos, não havendo sinais de recidiva. Conclusão: Pode-se concluir que a artrocentese associada à viscossuplementação é um método eficaz para o tratamento de desordens temporomandibulares, principalmente em pacientes refratários ao tratamento conservador, sendo considerada uma técnica segura.

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Sequential infiltration of sodium hyaluronate in the temporomandibular joint with different molecular weights. Case report

Cited by 3 publications

References 0 publications

Hyaluronic acid injections for pain relief and functional improvement in patients with temporomandibular disorders: An umbrella review of systematic reviews

Hyaluronic acid injections for pain relief and functional improvement in patients with temporomandibular disorders: An umbrella review of systematic reviews

Double puncture versus single puncture arthrocentesis for the management of unilateral temporomandibular joint disc displacement without reduction: A randomized controlled trial

Avaliação da eficácia da artrocentese associada à viscossuplementação no tratamento das desordens temporomandibulares: relato de caso

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