Intra-articular injection of tenoxicam following temporomandibular joint arthrocentesis: a pilot study

Aktaş, İrem; Yalçın, Serhat; Sencer, Serra

doi:10.1016/j.ijom.2010.02.010

Cited by 22 publications

(19 citation statements)

References 32 publications

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“…Inspite of improvement in all scores of clinical outcomes through follow up period in both groups, MRI showed no statistical significant change in MRI disc position at 6 months and this is agreement with many authors (42,43) . On the other hand five cases with ten joints followed up for one year through our study and found change in MRI disc position so we recommend MRI follow up at one year and this agreed with many authors (44,45) .…”

Section: Discussionsupporting

confidence: 91%

Effect of Plasma Rich in Growth Factors Intra Articular Injection in Management of Patients with Internal Derangement of TMJ Using CT Guided Puncture versus Conventional Technique

et al. 2019

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Purpose: To evaluate effect of PRGF intra articular injection in patients with internal derangement of TMJ using CT guided versus conventional puncture technique. Materials and methods: Twenty patients with internal derangement without improvement by conservative treatment were divided into two groups: Group I: ten patients underwent arthrocentesis followed by PRGF injection using conventional puncture by anatomical landmarks. Group II: ten patients underwent arthrocentesis followed by PRGF injection using landmark and confirmed by CT. All patients were assessed preoperatively and postoperatively at 1week, 3 and 6 months for pain level, maximum interincisal opening, lateral, protrusive movements, joint tenderness and disk position with MRI after 6 months. Results: In both groups, all clinical variables showed statistical significant discrepancy postoperatively, the discrepancy between both groups was not statistically significant and MRI showed no statistical significant change in disc position. Conclusion: CT confirmed accurate position and depth within TMJ upper compartment in different views, allowed correction with less puncture trials and decreased learning curve of TMJ puncture but it is expensive, time consuming and not available in clinics. Anatomical landmarks is easy and representable method for TMJ puncture but blind technique and needs skill. Single injection of PRGF found efficient in the treatment of internal derangement of TMJ.

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Section: Discussionsupporting

confidence: 91%

Effect of Plasma Rich in Growth Factors Intra Articular Injection in Management of Patients with Internal Derangement of TMJ Using CT Guided Puncture versus Conventional Technique

et al. 2019

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“…Injections of a variety of drugs can be performed following TMJ arthrocentesis, with intra-articular steroids ( 1 , 8 ) and SH ( 5 , 6 , 23 , 24 ); reportedly the most common ones used following arthrocentesis performed for the treatment of non-reducing disc displacement. Intra-articular tenoxicam was also used in one study ( 6 ), and there are other studies that have not used any drug injection following arthrocentesis ( 19 , 25 ).…”

Section: Discussionmentioning

confidence: 99%

“…Only two studies in the literature have reported on the use of tenoxicam in conjunction with arthrocentesis of the TMJ ( 6 , 7 ). In one of these studies, Aktas et al ( 6 ).…”

Section: Discussionmentioning

confidence: 99%

“…Only two studies in the literature have reported on the use of tenoxicam in conjunction with arthrocentesis of the TMJ ( 6 , 7 ). In one of these studies, Aktas et al ( 6 ). reported an increase in MMO and a decrease in pain after arthrocentesis followed by an intra-articular injection of tenoxicam used to treat TMJ non-reducing disc displacement.…”

Section: Discussionmentioning

confidence: 99%

“…A derivative of oxicam that falls within the enolic-acid group of non-steroidal anti-inflammatory drugs (NSAID), tenoxicam has exhibited both anti-inflammatory and analgesic properties. Intra-articular application has been found to be more effective than oral and intravenous application in terms of analgesia ( 11 ); however, very few studies have investigated administration of tenoxicam into the TMJ ( 6 , 7 ).…”

Section: Introductionmentioning

confidence: 99%

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A comparison of the effects of Methylprednisolone Acetate, Sodium Hyaluronate and Tenoxicam in the treatment of non-reducing disc displacement of the temporomandibular joint

Yapıcı-Yavuz

Şimşek-Kaya²,

Oğul³

2018

Med Oral

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BackgroundThis clinical study aimed to radiologically and clinically compare the effect of intra-articular injection of methylprednisolone, sodium hyaluronate or tenoxicam following arthrocentesis with that of arthrocentesis alone in patients with non-reducing disc displacement.Material and MethodsA total of 44 patients radiographically diagnosed with non-reducing disc displacement of the temporomandibular joint (TMJ) were randomly divided into four treatment groups, as follows: Group 1, arthrocentesis alone; Group 2, arthrocentesis plus methylprednisolone acetate; Group 3, arthrocentesis plus sodium hyaluronate; Group 4, arthrocentesis plus tenoxicam. Maximum mouth opening (MMO), lateral movement, pain severity and tenderness of TMJ and muscles of mastication on palpation were measured before treatment and at 1 week and 1, 3 and 6 months after treatment. Disc position, presence or absence of disc reduction, level of effusion, joint movement and joint space were also evaluated using magnetic resonance imaging (MRI) before treatment and 6 months after treatment.ResultsNo significant differences in treatment success were found among the four groups. MRI findings did not vary significantly among the groups, but pre- and post-operative MRI findings varied significantly within all four groups (p<0.001).ConclusionsAccording to the data from this study, it may be concluded that either arthrocentesis alone or arthrocentesis with methylprednisolone acetate or sodium hyaluronate or tenoxicam intra-articular injections are similarly effective and promising methods in the treatment of TMJ with non-reducing disc displacement. Key words:Non-reduction disc displacement, arthrocentesis, methylprednisolone, sodium hyaluronate, tenoxicam.

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The use of intra-articular analgesics to improve outcomes after temporomandibular joint arthrocentesis: a review

Venkatesan

Nagori²,

Chowdhury

et al. 2018

Oral Maxillofac Surg

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Intra-articular injection of tenoxicam following temporomandibular joint arthrocentesis: a pilot study

Cited by 22 publications

References 32 publications

Effect of Plasma Rich in Growth Factors Intra Articular Injection in Management of Patients with Internal Derangement of TMJ Using CT Guided Puncture versus Conventional Technique

Effect of Plasma Rich in Growth Factors Intra Articular Injection in Management of Patients with Internal Derangement of TMJ Using CT Guided Puncture versus Conventional Technique

A comparison of the effects of Methylprednisolone Acetate, Sodium Hyaluronate and Tenoxicam in the treatment of non-reducing disc displacement of the temporomandibular joint

The use of intra-articular analgesics to improve outcomes after temporomandibular joint arthrocentesis: a review

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