Evaluation of efficacy of arthrocentesis (with normal saline) with or without sodium hyaluronate in treatment of internal derangement of TMJ - A prospective randomized study in 20 patients

• Main Authors: Aditi Sharma (Author), Amar Singh Rana (Author), Gaurav Jain (Author), Puneet Kalra (Author), Deepak Gupta (Author), Siddharth Sharma (Author)
• Formato: Livro
• Publicado em: Elsevier, 2013-09-01T00:00:00Z.
• Assuntos: article
• Acesso em linha: Connect to this object online.
• Notes: 2212-4268; 10.1016/j.jobcr.2013.08.001
• Keywords: TMJ internal derangements; Arthrocentesis; Sodium hyaluronidase; Dentistry; RK1-715
• Source: Journal of Oral Biology and Craniofacial Research, Vol 3, Iss 3, Pp 112-119 (2013)

Purpose: To compare the outcome of arthrocentesis alone and arthrocentesis with sodium hyaluronate in internal derangement of TMJ. Materials and methods: 20 patients of disc displacement with reduction of TMJ were randomized into 2 experimental groups. Control group of patients received arthrocentesis alone and study group of patients received arthrocentesis with sodium hyaluronate. Patients TMJ status and clinical symptoms were evaluated for 6 months follow up. The clinical parameter recorded were maximal mouth opening (MMO), lateral excursions (right and left side), protrusive movement, joint noises, and pain (at rest, at function). Results: When 2 groups are compared there was no statistically significant difference in terms of inter-incisal opening, lateral excursion, protrusive movement, joint noises and pain however the group with sodium hyaluronidase has shown better results than the control group. Conclusion: Both study and control group found to be statistically insignificant but patient who were in the group of arthrocentesis with admission of sodium hyaluronidase had better results.