Arthrocentesis and Sodium Hyaluronate Infiltration in Temporomandibular Disorders Treatment. Clinical and MRI Evaluation
Abstract
:1. Introduction
2. Materials and Methods
- Severity of the joint damage (assessed using Wilkes staging system for TMJ internal derangement stages 0–5) [27].
- Maximum non-assisted mouth openings (in mm).
- Pain at rest and during mastication, assessed by means of a Visual Analogic Scale (VAS) from 0 to 10, with the extremes “no pain” and “pain as bad as the patient ever experienced”, respectively [28].
- Mastication efficiency, assessed by a VAS scale from 0 to 10, whose extremes were “eating only semi-liquids” and “eating solid hard food”, respectively.
2.1. Clinical Procedure
2.2. Imaging Procedure
2.3. Statistical Analysis
3. Results
4. Discussion
- Infiltration of the local anesthetic that is activated at the time of treatment;
- Use of lavage solution, which removes the intra-articular catabolites;
- Sodium hyaluronate infiltration, with its analgesic, anti-inflammatory, and lubricant properties.
5. Conclusions
Author Contributions
Funding
Conflicts of Interest
References
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Characteristics | ||
---|---|---|
Subjects | Total | 28 |
Sex | Male, N (%) Female, N (%) | 1 (3.5) 27 (96.5) |
Age, mean (years) | 40.6 (16–69) | |
Treatment tolerability (%) | Slight Moderate Good | 7.2 46.4 46.4 |
Indexes | T0 | T1 | p (T0 vs. T1) |
---|---|---|---|
Maximum non-assisted mouth opening, mean ± SD (millimeters) | 36.3 ± 7.5 | 45.1 ± 1.9 | <0.05 |
Severity joint damage, mean ± SD (Wilkes Score) | 2.4 ± 0.9 | 0.4 ± 0.3 | <0.05 |
Pain at rest, mean ± SD (VAS Score) | 6.4 ± 2.5 | 0.7 ± 0.5 | <0.0001 |
Pain during mastication, mean ± SD (VAS Score) | 8.1 ± 1.7 | 0.9 ± 0.6 | <0.0001 |
Mastication efficiency, mean ± SD (VAS Score) | 3.1 ± 1.2 | 8.5 ± 1.2 | <0.0001 |
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Santagata, M.; De Luca, R.; Lo Giudice, G.; Troiano, A.; Lo Giudice, G.; Corvo, G.; Tartaro, G. Arthrocentesis and Sodium Hyaluronate Infiltration in Temporomandibular Disorders Treatment. Clinical and MRI Evaluation. J. Funct. Morphol. Kinesiol. 2020, 5, 18. https://doi.org/10.3390/jfmk5010018
Santagata M, De Luca R, Lo Giudice G, Troiano A, Lo Giudice G, Corvo G, Tartaro G. Arthrocentesis and Sodium Hyaluronate Infiltration in Temporomandibular Disorders Treatment. Clinical and MRI Evaluation. Journal of Functional Morphology and Kinesiology. 2020; 5(1):18. https://doi.org/10.3390/jfmk5010018
Chicago/Turabian StyleSantagata, Mario, Roberto De Luca, Giorgio Lo Giudice, Antonio Troiano, Giuseppe Lo Giudice, Giovanni Corvo, and Gianpaolo Tartaro. 2020. "Arthrocentesis and Sodium Hyaluronate Infiltration in Temporomandibular Disorders Treatment. Clinical and MRI Evaluation" Journal of Functional Morphology and Kinesiology 5, no. 1: 18. https://doi.org/10.3390/jfmk5010018
APA StyleSantagata, M., De Luca, R., Lo Giudice, G., Troiano, A., Lo Giudice, G., Corvo, G., & Tartaro, G. (2020). Arthrocentesis and Sodium Hyaluronate Infiltration in Temporomandibular Disorders Treatment. Clinical and MRI Evaluation. Journal of Functional Morphology and Kinesiology, 5(1), 18. https://doi.org/10.3390/jfmk5010018