Comparative Study between Meloxicam and Piroxicam Intra-Articular Injection after arthrocentesis for Management of Temporomandibular Joint Internal Derangement
Taalab, A., abdelmabood, A., Al Sharawy, E., shalkamy, M. (2024). Comparative Study between Meloxicam and Piroxicam Intra-Articular Injection after arthrocentesis for Management of Temporomandibular Joint Internal Derangement. EKB Journal Management System, 5(1), 59-67. doi: 10.21608/dsu.2024.193841.1172
Anas Mahmoud Taalab; abdelbadia abdelmabood; Eman Al Sharawy; mohamed shalkamy. "Comparative Study between Meloxicam and Piroxicam Intra-Articular Injection after arthrocentesis for Management of Temporomandibular Joint Internal Derangement". EKB Journal Management System, 5, 1, 2024, 59-67. doi: 10.21608/dsu.2024.193841.1172
Taalab, A., abdelmabood, A., Al Sharawy, E., shalkamy, M. (2024). 'Comparative Study between Meloxicam and Piroxicam Intra-Articular Injection after arthrocentesis for Management of Temporomandibular Joint Internal Derangement', EKB Journal Management System, 5(1), pp. 59-67. doi: 10.21608/dsu.2024.193841.1172
Taalab, A., abdelmabood, A., Al Sharawy, E., shalkamy, M. Comparative Study between Meloxicam and Piroxicam Intra-Articular Injection after arthrocentesis for Management of Temporomandibular Joint Internal Derangement. EKB Journal Management System, 2024; 5(1): 59-67. doi: 10.21608/dsu.2024.193841.1172

Comparative Study between Meloxicam and Piroxicam Intra-Articular Injection after arthrocentesis for Management of Temporomandibular Joint Internal Derangement

Dental Science Updates
Article 5, Volume 5, Issue 1, March 2024, Page 59-67  XML PDF (1.14 MB)
Document Type: Original Article
DOI: 10.21608/dsu.2024.193841.1172
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Authors
Anas Mahmoud Taalab email orcid 1; abdelbadia abdelmabood2; Eman Al Sharawy3; mohamed shalkamy4
1Oral and maxillofacial surgery , faculty of dentistry, Suez Canal university
2Oral and Maxillofacial surgery, Faculty of Dentistry, Zagazig University .
3Oral and Maxillofacial surgery department, Faculty of Dentistry, Suez Canal University
4suez Canal University
Abstract
Introduction: Internal derangement of the temporomandibular joint is the
term used to describe a pathologic entity that obstructs the smooth function of the
temporomandibular joint. Arthrocentesis is most used in patients not responding to
conservative approach. Aim: The aim of study was designed to compare between
cyclooxygenase-2inhibitor (meloxicam) and non-steroidal anti-inflammatory
(piroxicam) in the management of patients with TMJ internal derangement.
Patients and methods: The present study was conducted on 12 adult joints with
impaired jaw movements, limited joint function, limited mouth opening, pain with
movement of the temporomandibular joint and TMJ noise (Clicking at the affected
joint) and divided randomly into two equal groups 6 joints in each group. Group 1:
where arthrocentesis were performed for the affected joint followed by intraarticular
injection of one ml of piroxicam. Group 2: where arthrocentesis were performed
for the affected joints followed by intraarticular injection of one ml. of Meloxicam.
Results: Intra-articular injection of piroxicam is effective more than Meloxicam
in long term management of pain of the joints and both of them give statistically
significant result in both management of clicking sound and mouth opening.
Conclusion: Arthrocentesis followed by piroxicam is safe and more effective than
Meloxicam treatment of temporomandibular joint dysfunction.
Keywords
Internal derangement; TMJ; Arthrocentesis; Piroxicam and Meloxicam
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