Az állkapocsízületi károsodás kezelése szteroiddal,                     illetve hialuronsavval

Vingender, Szonja; Restár, László; Csomó, Krisztián Benedek; Schmidt, Peter R.; Hermann, Péter; Vaszilkó, Mihály

doi:10.1556/650.2018.31138

Cited by 6 publications

(6 citation statements)

References 28 publications

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“…In the current literature, there are several studies that have compared the outcome of the use of hyaluronic acid and corticosteroids [16,28,[30][31][32]37], but very few have focused on the benefits of the use of platelet-rich plasma [29,34,38]. To the authors' knowledge, there is no research currently available that compares the use of these three products in TMJ arthralgia.…”

Section: Discussionmentioning

confidence: 99%

“…It should be noted that, as demonstrated in several previous studies, the use of bite splint shows a high efficacy [36], as well as the use of intra-articular infiltrations of betamethasone, hyaluronic acid and platelet-rich plasma [28,29,[31][32][33][34][35]37,38]. However, most of the studies associate them with more invasive procedures, such as arthrocentesis that is very effective in the TMJDs and can be performed on an outpatient basis under local anesthesia.…”

Section: Discussionmentioning

confidence: 99%

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Different Treatments in Patients with Temporomandibular Joint Disorders: A Comparative Randomized Study

Sousa

López-Valverde

et al. 2020

Medicina

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Background and Objectives: Temporomandibular joint disorders (TMJDs) are associated with pain and reduced jaw mobility. The aim of this study was to compare the outcome of patients with TMJ arthralgia when submitted to four different treatment modalities, in some cases using intra-articular injections of substances with anti-inflammatory properties and in others, a more conservative approach consisting only of a bite splint. Materials and Methods: The sample was made up of 80 patients, randomly distributed into 4 groups of 20 patients each. Each patient was given a nocturnal bite splint. One of the groups was treated with the bite splint only, while each patient in the other 3 was injected with betamethasone, sodium hyaluronate, or platelet-rich plasma in addition to using the bite splint. Two variables were assessed, namely pain intensity between 0 to 10 according to the visual analogue scale and maximum pain-free mouth opening in mm. The patients were evaluated at four different points: at the beginning of the treatment, as well as one week, one month and six months after initiation. Results: The results showed that maximum pain-free mouth opening improved in all the groups that made up the sample, with either a reduction in pain severity or with no pain. However, the group injected with platelet-rich plasma yielded the best results after six months, while patients treated with sodium hyaluronate or betamethasone obtained the best results at the end of the first week. Conclusions: We concluded that all the treatments used caused a reduction in pain and increased pain-free mouth opening. The splint combined with the platelet-rich plasma injection achieved long-term success.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Different Treatments in Patients with Temporomandibular Joint Disorders: A Comparative Randomized Study

Sousa

López-Valverde

et al. 2020

Medicina

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“…Until today there has been no clear research results into which of the evaluated preparations is more effective in intraarticular injections. The inspiration to undertake this type of research in the past [23] were very encouraging results of own and other authors' research concerning the use of PRP I HA in orthopedic treatment [7,9,19,20,[24][25][26][27]. These authors emphasized the beneficial influence of PRP on the healing processes of bones, ligaments, joint capsule, and s-joint structures [9].…”

Section: Discussionmentioning

confidence: 99%

“…The platelet-rich plasma was cautiously aspirated into a separate syringe. Thus, prepared concentrate was ready for injection into the area of temporomandibular joint [18][19][20][21][22].…”

Section: Intraarticular Injectionmentioning

confidence: 99%

The Application of Intra-Articulr Injections for Management of the Consequences of Disc Displacement without Reduction

Pihut

Gala

2020

IJERPH

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The aim of the study was to make a comparative studies on the effectiveness of platelet rich plasma (PRP) and hyaluronic acid (HA) in intra-articular injections to the temporomandibular joints—in double blind studies application—based on the analysis of selected clinical parameters of functional efficiency and the mean value of joint’s pain intensity before and after management. The study enrolled a group of 100 patients, aged 21 to 43 years, of both sexes, who came for the prosthodontic treatment. All patients had II b group of disorder according to the Research Diagnostic Criteria/Temporomandibular Disorder, and were consecutively, alternately assigned to the groups, 50 patients in each. Study group PRP was treated with intra-articular injection of platelet rich plasma and study group HA had injection with hyaluronic acid. The examination was double-blind, so that the injecting physician and the patient were not informed what kind of medicinal substance they received in the joint injection. The final selected clinical parameters did not differ statistically significantly between the groups, what means that both administered substances were effective in the repair of intra-articular structures. The results of research showed that the use of PRP and HA in intraarticular joint’s injections positively affects in selected clinical parameters and decrease of the pain in temporomandibular joints in the case of disc displacement without reduction.

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“…There is a steady upward trend in the number of primary studies on HA published in subsequent years. The primacy of HA from 2021 seems to be threatened by centrifuged blood products, but this group of substances is heterogeneous and cannot be compared to HA in terms of effectiveness as a whole [18,19,22,25,38,43,49,51,54,[58][59][60]63,68,70,71,74,75,78,80,80,82,86,88,89,[91][92][93]95,[98][99][100][101][102]105,106,110,[113][114][115][116][117]120,121,124,126,127,129,130,…”

Section: Hyaluronic Acid (Ha) Viscosupplementationmentioning

confidence: 99%

Current Clinical Research Directions on Temporomandibular Joint Intra-Articular Injections: A Mapping Review

Chęciński¹,

Chęcińska

Turosz

et al. 2023

JCM

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This mapping review aims to identify and discuss current research directions on intracavitary temporomandibular joints (TMJs) injections. The inclusion criteria allowed studies published in the last full six years, based on patients diagnosed with temporomandibular joint disorders (TMDs), treated by TMJ intra-articular injections. Medical databases covered by the Association for Computing Machinery, Bielefeld Academic Search Engine, PubMed, and Elsevier Scopus engines were searched. The results were visualized with tables, charts, and diagrams. Of the 2712 records identified following the selection process, 152 reports were qualified for review. From January 2017, viscosupplementation with hyaluronic acid (HA) was the best-documented injectable administered into TMJ cavities. However, a significant growing trend was observed in the number of primary studies on centrifuged blood preparations administrations that surpassed the previously leading HA from 2021.

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Az állkapocsízületi károsodás kezelése szteroiddal, illetve hialuronsavval

Cited by 6 publications

References 28 publications

Different Treatments in Patients with Temporomandibular Joint Disorders: A Comparative Randomized Study

Different Treatments in Patients with Temporomandibular Joint Disorders: A Comparative Randomized Study

The Application of Intra-Articulr Injections for Management of the Consequences of Disc Displacement without Reduction

Current Clinical Research Directions on Temporomandibular Joint Intra-Articular Injections: A Mapping Review

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