O uso do hialuronato de sódio no tratamento das disfunções temporomandibulares articulares

Viscosupplementation in the treatment of articular temporomandibular disorders - Systematic review / Viscossuplementação no tratamento das desordens temporomandibulares articulares – Revisão sistemática

“…This technique presents mild and transient adverse reactions, either combined with minimally invasive or isolated techniques, such as discomfort, edema or pain at the injection site that revolves spontaneously and quickly (3). It is widely known that the use of sodium hyaluronate can be effective and safe for several joint TMD, such as: disc displacement with and without reduction, osteoarthrosis, osteoarthritis and degenerative joint disease (11,18,19).…”

“…Several treatments have been proposed for the control of these dysfunctions, with conservative treatments such as drugs, physiotherapy, stabilizing and repositioning occlusal plaques, orientations, minimally invasive treatments-as Infiltrations of sodium hyaluronate, corticosteroid, arthrocentesis -and invasive treatments -such as arthroscopy, arthroplasty and arthrotomy -. (3). Hyaluronic acid (HA), also called sodium hyaluronate or hyaluronan, is a glycosaminoglycan polysaccharide, produced by chondrocytes and sinoviocytes, found naturally in the cartilages and in the synovial fluid, with the function of providing viscosity and elasticity to this liquid, as well as protection against mechanical impacts and lubrication of the synovial joints, such as TMJ (4,5,6).…”

Uso do ácido hialurônico na odontologia: complicações e tratamento

“…Em concordância com a utilização da hialuronidase para casos de deficiências vasculares, Rauso 24 Para os casos de aplicação de AH na região de nariz, pode ocorrer o branqueamento da pele, no entanto, a resolução para este problema, normalmente, ocorre em torno de 5 minutos após a aplicação da injeção, portanto, não há necessidade de tratamento. 24 Em relação às complicações e efeitos adversos que podem atingir a ATM, pode-se citar a dor, o edema e desconforto no local, que, embora sejam raros, tendem a ser transitórios 11 . No entanto, em alguns casos, como o relatado por Silva e Grillo 12 (2011), em decorrência de múltiplas injeções de AH no espaço articular surgiu uma necrose parcial do tubérculo da ATM.…”

Diagnosis of temporomandibular joint disorders: indication of imaging exams

“…9 It is estimated that temporomandibular joint disorders (TMJD) affect approximately 30% of the population in asymptomatic form, as internal joint derangement, comprising disc dislocation and structural changes resulting from osteoarthritis and osteoarthrosis. 2 , 10 , 11 The diagnostic subtypes TMJD can be seen in Table 1 .…”

“…The etiology of TMJD is not fully understood 6 , 8 , 12 and is related to the presence of risk factors such as trauma, parafunctional habits, postural condition, occlusal microtrauma, systemic predisposition, sleep disorders, and deleterious psychosocial alterations. 6 , 7 , 8 , 11 , 13 …”