A Clinical Study of Efficacy of Hydrocortisone Compared With Hyaluronic Acid After Arthrocentesis In TMJ Disorders

Abstract

ABSTRACT:Temporo-mandibular Joint disorders can be treated with varying methods ranging from conservative management, including drug therapy and occlusal splint therapy, to surgical management which should ideally be the last resort. After the introduction of arthrocentesis as a non-invasive and conservative treatment modality, it was observed that many cases did not require the surgery of the temporomandibular joint.In the present study the efficacy of intra-articular injections of hyaluronic acid and hydrocortisone were compared which were given after temporomandibular joint arthrocentesis. Both drugs were able to demonstrate a reduction of pain and improvement in mouth opening, reducing joint sounds. We noticed that the efficacy of intra-articular injection of hyaluronic acid is better compared to intra-articular injection of hydrocortisone.Hence, we conclude that arthrocentesis followed by intra-articular injection of hyaluronic acid is better compared to intra-articular injection of hydrocortisone and is a simple and non-invasive method for temporomandibular joint disorders such as anterior disc displacement with and without reduction. Finally it presents a low incidence of intraoperative and postoperative complications and however additional research may require for long term evaluation of the results.