Use of Sodium Hyaluronate and Triamcinolone Acetonide Following Arthrocentesis in Treatment of Internal Derangement of Temporomandibular Joint: A Prospective Randomized Comparative Study

Dharamsi, Ravina; Nilesh, Kumar; Mouneshkumar, C. D.; Patil, Pankaj

doi:10.1007/s12663-022-01804-4

Cited by 5 publications

(3 citation statements)

References 15 publications

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“…A flow chart describing the identification and screening process is shown in Figure 1. After completion of the full‐text screening of the identified 99 studies, 56 were included in the review Tables S3–S5 17–19,25–77 . The excluded 43 articles can be viewed as a Table S6.…”

Section: Resultsmentioning

confidence: 99%

Evidence for minimally invasive treatment—A systematic review on surgical management of disc displacement

Ulmner,

Bjørnland,

Rosén

et al. 2024

J of Oral Rehabilitation

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BackgroundSurgical treatment of temporomandibular joint (TMJ) disc displacement (DD) has been established in different forms since over a century. Ther is a consensus to perform minimal invasive interventions as first‐line surgical treatment since there are no evidence on best surgical practice yet.ObjectiveThe aim was to perform a complex systematic review (SR) on the topic—is there evidence for surgical treatment of TMJ DD?MethodsThe PICO was defined as DD patients (population), treated with different surgical interventions including arthrocentesis (intervention), compared with other or no treatment (control) regarding the outcome variables mandibular function, mouth opening capacity, TMJ pain, etcetera (outcome). For identification of prospective controlled trials and SRs, a search strategy was developed for application in three databases.ResultsThe search yielded 4931 studies of which 56 fulfilled the stipulated PICO. Studies with low or moderate risk of bias were possible to include in meta‐analyses. There were evidence suggesting arthrocentesis being more effective compared to conservative management (maximum interincisal opening (MIO): p < .0001, I2 = 22%; TMJ pain: p = .0003, I2 = 84%) and arthrocentesis being slightly more effective than arthrocentesis with an adjunctive hyaluronic acid injection (MIO: p = .04, I2 = 0%; TMJ pain: p = .28, I2 = 0%). Other treatment comparisons showed nonsignificant differences. The performed meta‐analyses only included 2–4 studies each, which might indicate a low grade of evidence.ConclusionAlthough arthrocentesis performed better than conservative management the findings should be interpreted cautiously, and non‐invasive management considered as primary measure. Still, several knowledge gaps concerning surgical methods of choice remains.

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Section: Resultsmentioning

confidence: 99%

Evidence for minimally invasive treatment—A systematic review on surgical management of disc displacement

Ulmner,

Bjørnland,

Rosén

et al. 2024

J of Oral Rehabilitation

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“…Occlusal interference correction was shown to have better outcomes. Other management modalities include like parafunctional habit therapy, physical therapy, medication management, heat application, surgical management, transcutaneous electrical nerve stimulation, prolotherapy, behavioral modification, trigger point therapy, and laser therapy, in that order [13][14][15][16] .…”

Section: Discussionmentioning

confidence: 99%

Jaws of knowledge: an analysis of temporomandibular joint insights in dental training—a quasi-experiment study

Bhagat,

Khairnar,

Maity

et al. 2024

JKAOMS

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Objectives To access the knowledge of undergraduate and postgraduate students of the dental college on basic anatomy, physiology, clinical examination, and pathology of the temporomandibular joint (TMJ). Materials and Methods A total of 610 undergraduate and postgraduate students of dental college, were included in this study. The questionnaire was pretested for validation and distributed online through Google forms. Results A pairwise comparison showed that the percentage of correct answers for interns significantly differed from that of IV Bachelor of Dental Surgery ( P =0.050) and postgraduate students ( P =0.048) (below average up to 6 correct answers, good 7-11 correct answers, excellent 12 or more correct answers). Conclusion TMJ diseases are common in daily life but frequently go undiagnosed and untreated due to a lack of clinical expertise. This demonstrates the necessity of providing instructions that give students in-depth knowledge and abilities for TMJ issues in clinical practice.

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“…CSs are definitely the best studied among them. After HA and PRP, CSs were the third most frequently reported injectables group in 2017-2022 (8 systematic reviews, 10 randomized trials, and 8 other trials) [19,25,38,39,41,45,47,47,49,51,54,62,75,86,121,125,127,134,135,137,140,156,164,166,171]. Nevertheless, since 2020, the number of primary studies on intra-articular injection of CSs has clearly decreased.…”

Section: Drugs Administrationmentioning

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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Use of Sodium Hyaluronate and Triamcinolone Acetonide Following Arthrocentesis in Treatment of Internal Derangement of Temporomandibular Joint: A Prospective Randomized Comparative Study

Cited by 5 publications

References 15 publications

Evidence for minimally invasive treatment—A systematic review on surgical management of disc displacement

Evidence for minimally invasive treatment—A systematic review on surgical management of disc displacement

Jaws of knowledge: an analysis of temporomandibular joint insights in dental training—a quasi-experiment study

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

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