Intra-articular injection of a mixture of hyaluronic acid and corticosteroid versus arthrocentesis in TMJ internal derangement

Marzook, Hamdy; Razek, Ahmed Abdel Khalek Abdel; Yousef, Eman; Attia, Amira

doi:10.1016/j.jormas.2019.05.003

Cited by 22 publications

(26 citation statements)

References 24 publications

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“…Marzook et al [80] compared the efficacy of an intra-articular injection of a mixture of a hyaluronic acid and corticosteroid with arthrocentesis alone. The authors stated no significant differences between the two groups regarding the intensity of pain, maximum mouth opening, lateral movement and joint sound.…”

Section: Intra-articular Injectionsmentioning

confidence: 99%

Interdisciplinary Approach to the Temporomandibular Joint Osteoarthritis—Review of the Literature

2020

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Background and objectives: There is an increasing number of patients applying for dental treatment who suffer from temporomandibular joint osteoarthritis (TMJOA). Osteoarthritis may be the cause of the pain in the area of temporomandibular joints, but its course may also be absolutely asymptomatic. The aim of this study was to present an interdisciplinary approach to TMJOA, including current diagnostics and treatment modalities on the basis of the available literature. Materials and Methods: PubMed and Scopus databases were analyzed using the keywords: ((temporomandibular joint AND osteoarthritis) AND imaging) and ((temporomandibular joint AND osteoarthritis) AND treatment). The bibliography was supplemented with books related to the temporomandibular joint. After screening 2450 results, the work was based in total on 98 publications. Results and Conclusions: Osteoarthritis is an inflammatory, age-related, chronic and progressive degenerative joint disease. Magnetic resonance imaging (MRI) and cone-beam computed tomography (CBCT), together with clinical symptoms, play significant roles in TMJOA diagnosis. Current MRI techniques seem to be clinically useful for assessment of bony changes in temporomandibular joint (TMJ) disorders. Treatment of TMJOA requires a complex, interdisciplinary approach. TMJOA treatment includes the cooperation of physiotherapists, rheumatologists, gnathologists, orthodontists and quite often also maxillofacial surgeons and prosthodontists. Sometimes additional pharmacotherapy is indicated. Thorough examination of TMJ function and morphology is necessary at the beginning of any orthodontic or dental treatment. Undiagnosed TMJ dysfunction may cause further problems with the entire masticatory system, including joints, muscles and teeth.

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Section: Intra-articular Injectionsmentioning

confidence: 99%

Interdisciplinary Approach to the Temporomandibular Joint Osteoarthritis—Review of the Literature

2020

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“…On the other hand, intra-articular injections with corticosteroids have also been successfully used for different TMJ conditions, despite their potential adverse effects such as progression of a pre-existing joint lesion [12][13][14][15][16][17]. Corticosteroid therapy is usually combined with a local anesthetic, an association that, although controversial, is believed by certain authors to decrease the risk of complications compared to the isolated administration of corticosteroids [13,[17][18][19].…”

Section: Introductionmentioning

confidence: 99%

Different Treatments in Patients with Temporomandibular Joint Disorders: A Comparative Randomized Study

Sousa

López-Valverde

et al. 2020

Medicina

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Background and Objectives: Temporomandibular joint disorders (TMJDs) are associated with pain and reduced jaw mobility. The aim of this study was to compare the outcome of patients with TMJ arthralgia when submitted to four different treatment modalities, in some cases using intra-articular injections of substances with anti-inflammatory properties and in others, a more conservative approach consisting only of a bite splint. Materials and Methods: The sample was made up of 80 patients, randomly distributed into 4 groups of 20 patients each. Each patient was given a nocturnal bite splint. One of the groups was treated with the bite splint only, while each patient in the other 3 was injected with betamethasone, sodium hyaluronate, or platelet-rich plasma in addition to using the bite splint. Two variables were assessed, namely pain intensity between 0 to 10 according to the visual analogue scale and maximum pain-free mouth opening in mm. The patients were evaluated at four different points: at the beginning of the treatment, as well as one week, one month and six months after initiation. Results: The results showed that maximum pain-free mouth opening improved in all the groups that made up the sample, with either a reduction in pain severity or with no pain. However, the group injected with platelet-rich plasma yielded the best results after six months, while patients treated with sodium hyaluronate or betamethasone obtained the best results at the end of the first week. Conclusions: We concluded that all the treatments used caused a reduction in pain and increased pain-free mouth opening. The splint combined with the platelet-rich plasma injection achieved long-term success.

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“…[ 15 ] More recently, Marzook et al ., compared the outcome of TMJ arthrocentesis vs. injection with hyaluronic acid and corticosteroids on 16 patients, he concluded that both treatments were effective to treat the disease with no statistical difference, however the follow-up period was limited to 3 months post-operatively. [ 16 ] In a study published in 2020, a novel protocol for TMJ disease treatment utilizing a computer assisted arthrocentesis was used. [ 17 ] In his study, Mahmoud et al .…”

Section: Discussionmentioning

confidence: 99%

Internal derangement of temporomandibular joint

Arab

Alfaqeeh

Danino

2021

Journal of Family Medicine and Primary Care

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Introduction: Umbrella shaped Perforated Screws (UPS) were developed for the use of orthopedic surgery to facilitate anchoring and fixation of the tissue to bone. We here present a retrospective study of Temporomandibular joint Internal derangement (ID) with fixation using this type of screws. Materials & Methods: We conducted a retrospective study including patients treated for ID using UPS to reposition the articular disc. The study included patients treated between 1998 and 2005. Patients were selected in concordance with clinical symptoms and signs of severity. All patients had an MRI (open/closed mouth) to confirm the diagnosis. Wilkes classification of temporomandibular disease (TMD) was adopted in the selection criteria. Results: Hundred and five patients were included, 92 female and 13 males with average age of 37.56. Dentists or general physicians mainly addressed these patients to our unit. The mean time from symptoms initiating to first consultation was 3.77 years, while the mean timing of surgery after initial consultation was 9.38 months. Patients have presented with various symptoms before the surgery including pain, limitation in eating habits and clicking. 77% of the patients had no or minimal pain post surgery. Hundred and one patients had good eating habits after surgery. Only 34 patients had persistent clicking despite surgery. We had neither infection nor hematoma as complication. Major complication to this technique is frontal paresis (14 patients), which was explained to all patients preoperatively. This paresis recovered in less than 2 months in all patients. We had 89.5% of the patients satisfied with their results. Conclusion: UPS are useful in the field of plastic surgery. This novel technique has the advantage of not compromising the vascular supply of the TMJ articular surface. This technique provides a simple, fast and efficient technique for posterior aponeurosis flap fixation. Our overall satisfactory rate was comparable to other studies.

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Intra-articular injection of a mixture of hyaluronic acid and corticosteroid versus arthrocentesis in TMJ internal derangement

Cited by 22 publications

References 24 publications

Interdisciplinary Approach to the Temporomandibular Joint Osteoarthritis—Review of the Literature

Interdisciplinary Approach to the Temporomandibular Joint Osteoarthritis—Review of the Literature

Different Treatments in Patients with Temporomandibular Joint Disorders: A Comparative Randomized Study

Internal derangement of temporomandibular joint

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