Repeated sodium hyaluronate injections following multiple arthrocenteses in the treatment of early stage reducing disc displacement of the temporomandibular joint: A preliminary report |
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| Authors: | Umut Tuncel |
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| Institution: | 1. Private Practice, Istanbul, Turkey;2. Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Sa?l?k Bilimleri University, Istanbul, Turkey;3. Department of Histology and Embryology, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey;4. Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Erzincan Binali Y?ld?r?m University, Erzincan, Turkey;1. Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, The University of Hong Kong, Hong Kong;2. Faculty of Dentistry, The University of Hong Kong, Hong Kong;3. Applied Oral Sciences & Community Dental Care, Faculty of Dentistry, The University of Hong Kong, Hong Kong;1. Associate Professor, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Bezmialem Vak?f University, Istanbul, Turkey;2. Associate Professor, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ondokuz May?s University, Samsun, Turkey;3. Research Assistant, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ondokuz May?s University, Samsun, Turkey;4. Research Assistant, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ondokuz May?s University, Samsun, Turkey |
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| Abstract: | PurposeThe aim of this study was to assess the safety and clinical utility of intraarticular injection of sodium hyaluronate for the treatment of symptoms associated with internal derangement of the temporomandibular joint (TMJ).Patients and methodsTwenty patients, who have early stage temporomandibular dysfunction (TMD), were treated with intraarticular sodium hyaluronate injection and arthrocentesis. The patients received sodium hyaluronate (15 mg/ml) (1 ml) injections two times a week first following arthrocentesis with 200 ml Ringer’s Lactate and the second without. The procedure was repeated for three times at weekly intervals for 3 weeks. Pre- and postinjection pain intensity, the presence of joint sounds, and interincisial distance were recorded. These data were evaluated by visual analog scale (VAS).ResultsThe follow-up period was 6 months. There was a statistically significant reduction of pain intensity (p < 0.001) and joint sound (p < 0.001) in all patients. Initial measurement of maximal mouth opening (MMO) was 33.40 ± 3.75 mm. At the end of the follow-up period, the same measurements were repeated and interincisal distance was 49.3 ± 3.74 mm. The difference between these measurements was statistically significant (p < 0.001).ConclusionWe suggest that repeated sodium hyaluronate injections following multiple arthrocenteses with Ringer’s Lactate is an effective and safe method for the treatment of early stage reducing disc displacement of TMJ. |
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