THE EFFECT OF COMBINING CORTICOSTEROIDS AND HYALURONIC ACID, AS OPPOSED TO THAT OF CORTICOSTEROIDS ALONE, FOLLOWING TEMPOROMANDIBULAR JOINT ARTHROCENTHESIS.
Hussein, S., Shindy, I., Ahmed, M. (2016). THE EFFECT OF COMBINING CORTICOSTEROIDS AND HYALURONIC ACID, AS OPPOSED TO THAT OF CORTICOSTEROIDS ALONE, FOLLOWING TEMPOROMANDIBULAR JOINT ARTHROCENTHESIS.. EKB Journal Management System, 62(Issue 1 - January (Oral Surgery)), 1003-1012. doi: 10.21608/edj.2016.95236
Sherif Assem Hussein; Ibrahim Ezzat Shindy; Mohamed Hassan Ahmed. "THE EFFECT OF COMBINING CORTICOSTEROIDS AND HYALURONIC ACID, AS OPPOSED TO THAT OF CORTICOSTEROIDS ALONE, FOLLOWING TEMPOROMANDIBULAR JOINT ARTHROCENTHESIS.". EKB Journal Management System, 62, Issue 1 - January (Oral Surgery), 2016, 1003-1012. doi: 10.21608/edj.2016.95236
Hussein, S., Shindy, I., Ahmed, M. (2016). 'THE EFFECT OF COMBINING CORTICOSTEROIDS AND HYALURONIC ACID, AS OPPOSED TO THAT OF CORTICOSTEROIDS ALONE, FOLLOWING TEMPOROMANDIBULAR JOINT ARTHROCENTHESIS.', EKB Journal Management System, 62(Issue 1 - January (Oral Surgery)), pp. 1003-1012. doi: 10.21608/edj.2016.95236
Hussein, S., Shindy, I., Ahmed, M. THE EFFECT OF COMBINING CORTICOSTEROIDS AND HYALURONIC ACID, AS OPPOSED TO THAT OF CORTICOSTEROIDS ALONE, FOLLOWING TEMPOROMANDIBULAR JOINT ARTHROCENTHESIS.. EKB Journal Management System, 2016; 62(Issue 1 - January (Oral Surgery)): 1003-1012. doi: 10.21608/edj.2016.95236

THE EFFECT OF COMBINING CORTICOSTEROIDS AND HYALURONIC ACID, AS OPPOSED TO THAT OF CORTICOSTEROIDS ALONE, FOLLOWING TEMPOROMANDIBULAR JOINT ARTHROCENTHESIS.

Egyptian Dental Journal
Article 18, Volume 62, Issue 1 - January (Oral Surgery), January 2016, Page 1003-1012  XML PDF (631.81 K)
Document Type: Original Article
DOI: 10.21608/edj.2016.95236
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Authors
Sherif Assem Hussein1; Ibrahim Ezzat Shindy2; Mohamed Hassan Ahmed3
1B.D.S Faculty of Oral and Dental Medicine, Cairo University 2005.
2Professor of Oral and Maxillofacial Surgery, Cairo University
3Lecturer of Oral and Maxillofacial Surgery, Cairo University
Abstract
objective: The purpose of this study is to evaluate the therapeutic effect of the combination of Hyaluronic acid and Corticosteroids in treatment of Temporomandibular joint disorder following Temporomandibular arthrocenthesis using single needle technique.
 
materials   and  methods:   12  young  females  that  have  been  diagnosed  for  internal derangement of the Temporomandibular joint, were divided into two groups where the first group (Study group) were treated by a combination of Hyaluronic acid and Corticosteroids following TMJ arthrocenthesis. While the second group (Control group) were treated only by Corticosteroids.
 
All procedures were performed using single needle technique and took place at the outpatient clinic of the Oral and Maxillofacial Department, Faculty of Oral and Dental Medicine, Cairo University.
 
results: The study showed a remarkable decrease in pain sensation and increase in range of mouth opening in the majority of the cases.
conclusion:
•  Single needle arthrocenthesis is an effective technique for treatment of internal derangement of the TMJ.
•  The mix of hyaluronic acid and corticosteroid did not show any significant difference whenMN compared to the injection of corticosteroids alone in mouth opening and VAS score.
•   Psychological stresses have a negative effect on temporomandibular condition, and the effectiveness of the treatment procedure.
 
Keywords
Temporomandibular joint; Arthrocenthesis; Lavage; Hyaluronic acid; Corticosteroid; Single needle
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