Comparative study in patients with symptomatic internal derangements of the temporomandibular joint: analgesic outcomes of arthrocentesis with or without intra-articular morphine and tramadol

Sipahi, Ayşegül; Satilmis, Tulin; Basa, S.

doi:10.1016/j.bjoms.2014.12.018

Cited by 39 publications

(32 citation statements)

References 21 publications

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“…Two needles are used for irrigation and outflow of the irrigation solution, which is in most cases ringers lactate solution [9]. The amount of ringer's solution is a subject of debate and varies between 60 ml [48] and 200 ml [49] in the literature.…”

Section: Nonsteroidal Anti-inflammatory Drugsmentioning

confidence: 99%

“…Sipahi et al [48] have injected morphine and tramadol following arthrocentesis into the TMJs of patients with TMJ pain and have concluded that injection of morphine has significantly increased pain relief for 6 months. They have had similar pain relief with tramadol too, but this relief period was shorter in tramadol when compared to morphine.…”

Section: Nonsteroidal Anti-inflammatory Drugsmentioning

confidence: 99%

See 1 more Smart Citation

Introductory Chapter: Optimizing the Management Outcomes in Patients with Temporomandibular Disorder

Aybar¹,

Emes²,

Dergin³

2018

Temporomandibular Joint Pathology - Current Approaches and Understanding

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Section: Nonsteroidal Anti-inflammatory Drugsmentioning

confidence: 99%

Section: Nonsteroidal Anti-inflammatory Drugsmentioning

confidence: 99%

Introductory Chapter: Optimizing the Management Outcomes in Patients with Temporomandibular Disorder

Aybar¹,

Emes²,

Dergin³

2018

Temporomandibular Joint Pathology - Current Approaches and Understanding

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“…A total of four articles regarding the outcomes of different treatment techniques vis-à-vis TMJ were retrieved from these two years. Sipahi et al 8 carried out a placebo-controlled, double-blind study of 30 patients with symptomatic internal derangements of TMJ in order to ascertain the efficacy of intra-articular analgesics post arthrocentesis. Injections of 1 mL of 5% Ringer's lactate were given to one group, the second group received 1 mg morphine, and the third group was given 50 mg Tramadol intra-articularly immediately after the procedure.…”

Section: Full-length Articlesmentioning

confidence: 99%

A review of temporomandibular joint-related papers published between 2014–2015

Singh

Sudhakar

Mallela

et al. 2017

J Korean Assoc Oral Maxillofac Surg

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We conducted a retrospective study and reviewed the temporomandibular joint (TMJ)-related papers published in a leading international journal, Journal of Oral and Maxillofacial Surgery, between January 2014 and December 2015. The study was conducted to ascertain and compare the trends of articles being published in the years 2014 and 2015. A total of 28 articles were reviewed, of which most of the full-length articles were on clinical management and outcomes and the role of radiology. The bulk of the studies were prospective, and less interest was shown in experimental research. A thorough review and analysis thus gives the impression that there is a great need for well-designed clinical studies on TMJ.

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“…Because the expression of adrenergic and serotonergic receptors is not adequate in inflamed tissues, analgesic potency of tramadol is weaker than that of morphine; however, the analgesic effect of tramadol lasts relatively long [ 28 ]. Therefore, we expected that combining hyaluronate with tramadol, which shows a long-lasting analgesic effect, would be a better treatment than the combination of hyaluronate with morphine, which is used for short-term analgesia after surgery Although multiple recent clinical studies have shown that tramadol is effective for alleviating postoperative pain when injected into knee joints and temporomandibular joints, there has been no report of tramadol used in shoulder joints [ 29 , 30 , 31 , 32 ].…”

Section: Introductionmentioning

confidence: 99%

The effect of intra-articular hyaluronate and tramadol injection on patients with adhesive capsulitis of the shoulder

Kim

Suh

2018

BMR

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BACKGROUND: Local administration of opioids causes effective analgesia without adverse effects related to the central nervous system. After the beneficial demonstration of peripheral opioid receptors in joint synovia, intra-articular opioid injections were used for pain treatment. Clinical studies have reported the safety and efficacy of hyaluronate injection in the shoulder joint of patients with osteoarthritis, periarthritis, rotator cuff tears, and adhesive capsulitis.OBJECTIVES: To estimate the efficacy of intra-articular hyaluronate and tramadol injection for adhesive capsulitis of the shoulder compared with that of intra-articular hyaluronate injection alone.METHODS: Thirty patients with adhesive capsulitis of the shoulder were randomized to the hyaluronate group (n= 16) or the tramadol group (n= 14). Hyaluronate group members were administered five weekly intra-articular hyaluronate injections; tramadol group members were administered three weekly intra-articular hyaluronate and tramadol injections and then two weekly intra-articular injections of hyaluronate. Visual Analog Scale (VAS), passive range of motion (PROM) of the shoulder joint, and Shoulder Pain and Disability Index (SPADI) scores were assessed at baseline and weeks 1, 2, 3, 4, and 6 after the initial injection.RESULTS: A significant improvement was observed in VAS, PROM, and SPADI scores between time points in both groups. In comparison in both groups at weeks 1 and 2 after the initial injection the VAS scores of the tramadol group were significantly lower than those of the hyaluronate group.CONCLUSIONS: Intra-articular hyaluronate with tramadol showed more rapid and strong analgesic effects than intra-articular hyaluronate alone and did not induce any adverse effects.

show abstract

Comparative study in patients with symptomatic internal derangements of the temporomandibular joint: analgesic outcomes of arthrocentesis with or without intra-articular morphine and tramadol

Cited by 39 publications

References 21 publications

Introductory Chapter: Optimizing the Management Outcomes in Patients with Temporomandibular Disorder

Introductory Chapter: Optimizing the Management Outcomes in Patients with Temporomandibular Disorder

A review of temporomandibular joint-related papers published between 2014–2015

The effect of intra-articular hyaluronate and tramadol injection on patients with adhesive capsulitis of the shoulder

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