Long-term effectiveness of arthrocentesis with and without hyaluronic acid injection for treatment of temporomandibular joint osteoarthritis

被引:50
作者
Bergstrand, Sara [1 ]
Ingstado, Hanne K. [1 ]
Moystad, Anne [2 ]
Bjornland, Tore [1 ]
机构
[1] Univ Oslo, Dept Oral Surg & Oral Med, Fac Dent, Oslo, Norway
[2] Univ Oslo, Fac Dent, Inst Clin Dent, Oslo, Norway
关键词
temporomandibular joint disorder; arthrocentesis; intra-articular injections; hyaluronic acid; PAINFUL JAW MOVEMENTS; RICH PLASMA SUPERIOR; DISC DISPLACEMENT; DISORDERS; VISCOSUPPLEMENTATION; QUALITY; LAVAGE; TRIAL; KNEE;
D O I
10.2334/josnusd.17-0423
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
This study evaluated the long-term effectiveness of intra-articular temporoman dibular joint arthrocentesis for patients with osteoarthritis and compared arthrocentesis/lavage alone with arthrocentesis/lavage and injected hyaluronic acid. Forty patients met the inclusion criteria, and 37 completed long-term follow-up (approximately 4 years). The patients were randomly allocated to two groups: arthrocentesis with lavage alone (A-group, n = 17) or combined with hyaluronic acid treatment (AS-group, n = 20). Standard two-needle arthrocentesis was performed. Pain and joint sounds were measured at baseline and approximately 4 years after treatment. Reported pain, as indicated by visual analogue scale (VAS) score, significantly decreased from baseline to the final follow-up examination in both groups. Mean VAS score decreased from 64 to 16 (P < 0.001) in the A-group and from 63 to 25 (P < 0.001) in the AS-group. Average maximum incisor opening increased significantly in both groups but did not significantly differ between groups (P = 0.223). Joint sounds did not significantly improve within groups (A-group, P = 0.495; AS-group, P= 0.236). Both methods resulted in significant long-term improvements in pain and jaw function.
引用
收藏
页码:82 / 88
页数:7
相关论文
共 32 条
[1]   Arthrocentesis for the treatment of temporomandibular. joint closed lock: a review article [J].
Al-Belasy, F. A. ;
Dolwick, M. F. .
INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2007, 36 (09) :773-782
[2]   Questionable effect of lavage for treatment of painful jaw movements at disc displacement without reduction: a 3-year randomised controlled follow-up [J].
Baker, Z. ;
Eriksson, L. ;
Sahlstrom, L. Englesson ;
Ekberg, EC. .
JOURNAL OF ORAL REHABILITATION, 2015, 42 (10) :742-750
[3]   Osteoarthritis of the temporomandibular joint: an evaluation of the effects and complications of corticosteroid injection compared with injection with sodium hyaluronate [J].
Bjornland, T. ;
Gjaerum, A. A. ;
Moystad, A. .
JOURNAL OF ORAL REHABILITATION, 2007, 34 (08) :583-589
[4]   Is Hyaluronic Acid or Corticosteroid Superior to Lactated Ringer Solution in the Short Term for Improving Function and Quality of Life After Arthrocentesis? Part 2 [J].
Bouloux, Gary F. ;
Chou, Jolie ;
Krishnan, Deepak ;
Aghaloo, Tara ;
Kahenasa, Nora ;
Smith, Julie Ann ;
Giannakopoulos, Helen .
JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2017, 75 (01) :63-72
[5]   Temporomandibular disorders and oral health-related quality of life. A systematic review [J].
Dahlstrom, Lars ;
Carlsson, Gunnar E. .
ACTA ODONTOLOGICA SCANDINAVICA, 2010, 68 (02) :80-85
[6]  
Dworkin Samuel F., 1992, Journal of Craniomandibular Disorders, V6, P301
[7]   Temporomandibular joint arthrocentesis - More questions than answers? [J].
Ethunandan, Madanagopalan ;
Wilson, Alan W. .
JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2006, 64 (06) :952-955
[8]   Conservative treatment of temporomandibular joint osteoarthrosis: intra-articular injection of sodium hyaluronate [J].
Guarda-Nardini, L ;
Masiero, S ;
Marioni, G .
JOURNAL OF ORAL REHABILITATION, 2005, 32 (10) :729-734
[9]   Single- or multiple-session viscosupplementation protocols for temporomandibular joint degenerative disorders: a randomized clinical trial [J].
Guarda-Nardini, L. ;
Rossi, A. ;
Arboretti, R. ;
Bonnini, S. ;
Stellini, E. ;
Manfredini, D. .
JOURNAL OF ORAL REHABILITATION, 2015, 42 (07) :521-528
[10]   Effectiveness of treatment with viscosupplementation in temporomandibular joints with or without effusion [J].
Guarda-Nardini, L. ;
Rossi, A. ;
Ramonda, R. ;
Punzi, L. ;
Ferronato, G. ;
Manfredini, D. .
INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2014, 43 (10) :1218-1223