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

Abstract

Vissupplementation is a minimally invasive and simple technique that replaces synovial fluid with intra-articular injection of hyaluronic acid (HA). This is a kind of treatment suitable for treating temporomandibular joint (TMD) diseases, such as osteoarthritis and disc displacement, with or without reduction. Aim: The purpose of the present study was to evaluate the use of viscossuplementation in the treatment of temporomandibular joint dysfunctions. Material and Methods: The literature, for this, was searched in PubMed and Scielo databases, from 2009 to 2019, using "Viscosuplementation", "Hyaluronic Acid", "Temporomandibular Joint Dysfunctions" and "Osteoarthritis". Exclusion criteria were those that tested on animals and were not related to the subject. Seven selected layouts. Results: From the reading of the studies, it is believed that hyaluronic acid is beneficial in reducing pain levels, improving the patient's quality of life and mandibular function, even being superior to placebo. However, there are still studies that point out the differences in relation to this technique, due to the question of the molecular weight of HA, the number of sessions performed. Conclusion: Therefore, the patients with temporomandibular joint disorders may improve their clinical setting with a viscossupplementation function, however, greater product standardization and new research studies are needed.

Temporomandibular Joint Injections and Lavage: An Overview of Reviews

“…A significant number of eligible systematic reviews were based on studies other than randomized controlled trials and were thus omitted from the syntheses [14,23,[38][39][40]42,44,47,52,56,58,59,61,63]. Some systematic reviews based only on randomized controlled trials had a high or unclear risk of bias, which further decreased the number of synthesized systematic reviews [13,22,34,35,41,43,45,46,49,53,55,57,60].…”

Viscossuplementação da ATM e o uso de dispositivo interoclusal

“…Enquanto o AH estiver na articulação, é necessário que o paciente realize exercícios de mobilidade mandibular, assim, espalhando-o por toda ATM, buscando restabelecer a função do aparelho mastigatório, melhorando a quantidade e qualidade do líquido sinovial e buscando diminuir a sintomatologia dolorosa do paciente (Nunes et al, 2023). Já no estudo realizado por Santos et al (2020), quando aplicado em pacientes com ou sem efusão articular não apresentou efeito significativo, havendo mais eficácia em indivíduos mais jovens.…”