Osteoarthritic Changes After Superior and Inferior Joint Space Injection of Hyaluronic Acid for the Treatment of Temporomandibular Joint Osteoarthritis With Anterior Disc Displacement Without Reduction: A Cone-Beam Computed Tomographic Evaluation

Li, Cheng; Long, Xing; Deng, Mohong; Li, Jian; Cai, Hengxing; Meng, Qinggong

doi:10.1016/j.joms.2014.08.034

Cited by 42 publications

(87 citation statements)

References 24 publications

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“…Li et al . 2015[28] studied OA changes (of TMJ) in CBCT in patients who received HA injection in superior joint and reported cortical bone formation and remodeling of severe degenerative changes by 9 months follow-up. Partial new bone formation was seen in some patients at 3 months.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of arthrocentesis versus arthrocentesis with sodium hyaluronic acid in temporomandibular joint osteoarthritis: A comparison

Gurung

Singh

Mohammad

et al. 2017

Natl J Maxillofac Surg

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Introduction:Temporomandibular joint osteoarthritis (TMJ OA) is a degenerative disease characterized by deterioration of articular tissue with concomitant osseous changes in the condyle and/or articular eminence, joint positive for TMJ noise with jaw movement or function, crepitus detected on palpation on opening, closing, right/left lateral, or protrusive movement. Hyaluronic acid (HA) is a polysaccharide of the family of glycosaminoglycans. HA has been shown to improve and restore normal lubrication in joint, provide nutrition to the avascular articulating disc, and stabilize the joint.Materials and Methods:Twenty patients with OA of TMJ with age limit between 18 and 60 years of age were enrolled in this study. Patients were randomly divided into two groups, in which one group received arthrocentesis only, and another group received arthrocentesis plus intra-articular injection of sodium HA (0.5 ml) in superior joint space in a cycle of 5 weekly arthrocentesis (one per week). Patients were followed at regular interval of 1st day, 5th day, 7th day, 4 weeks, 6 weeks, and 12 weeks. Assessment of clinical outcome was done in terms of reduction in pain (visual analog scale score), maximum mouth opening (MMO) in millimeters, painful/pain-free lateral or protrusive jaw movement, and clicking/crepitus in joint.Results:Significant reduction in pain was observed in both the groups. MMO, lateral and protrusive movements improved significantly in both groups; however, arthrocentesis with sodium HA was superior to arthrocentesis alone.Conclusion:Combination of arthrocentesis with HA injection showed much better outcome than arthrocentesis alone.

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Section: Discussionmentioning

confidence: 99%

Efficacy of arthrocentesis versus arthrocentesis with sodium hyaluronic acid in temporomandibular joint osteoarthritis: A comparison

Gurung

Singh

Mohammad

et al. 2017

Natl J Maxillofac Surg

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“…The HDI focuses on five basic signs and symptoms in the masticatory system: impaired range of mandibular movement, TMJ function impairment, pain during mandibular movement, TMJ pain during palpation, and muscle tenderness (11). The HDI is now widely used in dental practice to evaluate the severity of TMDs, including TMJ OA (12)(13)(14).…”

Section: Introductionmentioning

confidence: 99%

Correlation between oral health-related quality of life and clinical dysfunction index in patients with temporomandibular joint osteoarthritis

Liu

Yang

et al. 2016

J Oral Sci

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We evaluated the correlation between oral health-related quality of life (OHRQoL) and the Helkimo clinical dysfunction index (HDI) in patients with temporomandibular joint osteoarthritis (TMJ OA). Clinical data and scores for the Chinese version of the 14-item Oral Health Impact Profile (OHIP-C14) were recorded and analyzed for 541 patients with TMJ OA. Each patient was assigned an HDI score of 1 to 25, which was used to classify severity into three categories. OHRQoL was assessed by using OHIP-C14 score, which ranged from 0 to 56. Both HDI score and severity were significantly correlated with total OHIP-C14 score (P < 0.001 for both comparisons). The scores for all HDI domains except function impairment (P = 0.205) were significantly correlated with OHIP-C14 score. The scores for all seven OHIP-C14 domains were significantly correlated with HDI score and severity. Several correlations between OHIP-C14 domains and HDI domain scores were significant. HDI score and severity were correlated with OHIP-C14 score in TMJ OA patients. As compared with function-related domains, pain-related HDI domains were more strongly inversely related to OHRQoL. (J Oral Sci 58, [483][484][485][486][487][488][489][490] 2016)

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“…Temporomandibular joint (TMJ) is different from other synovial joints because the condyle of TMJ is covered by fibrocartilage, which is surrounded by an angiogenic microenvironment with the expression of VEGF .The TMJ fibrocartilage expressed VEGF and chondromodulin‐1 which is similar to growth plate cartilage other than hyaline cartilage. Unlike other synovial joint osteoarthritis (OA), TMJ OA is a common but unique disease ,characterized by articular cartilage degeneration, osteophyte formation, sclerosis, synovial inflammation, and disk perforation . Although the pathogenesis of TMJ OA is still unclear, previous studies have suggested that inflammation is associated with TMJ OA .…”

Section: Introductionmentioning

confidence: 99%

IL‐1β mediating high mobility group box protein‐1 expression in condylar chondrocyte during temporomandibular joint inflammation

Cai

Meng

et al. 2015

J Oral Pathology Medicine

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Osteoarthritic Changes After Superior and Inferior Joint Space Injection of Hyaluronic Acid for the Treatment of Temporomandibular Joint Osteoarthritis With Anterior Disc Displacement Without Reduction: A Cone-Beam Computed Tomographic Evaluation

Cited by 42 publications

References 24 publications

Efficacy of arthrocentesis versus arthrocentesis with sodium hyaluronic acid in temporomandibular joint osteoarthritis: A comparison

Efficacy of arthrocentesis versus arthrocentesis with sodium hyaluronic acid in temporomandibular joint osteoarthritis: A comparison

Correlation between oral health-related quality of life and clinical dysfunction index in patients with temporomandibular joint osteoarthritis

IL‐1β mediating high mobility group box protein‐1 expression in condylar chondrocyte during temporomandibular joint inflammation

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