152923

Comparative study between Sodium hyaluronic acid and dextrose prolotherapy in management of Temporo-mandibular joint internal derangement.

Article

Last updated: 04 Jan 2025

Subjects

-

Tags

oral and maxillofacial surgery

Abstract

Introduction: Internal derangements of TMJ were nonsurgical treated in initial stages with medications, physiotherapy and occlusal splints. Intra articular injection of corticosteroids alone or after arthrocentesis provides long-term palliative effects on clinical signs and subjective symptoms of TMJ pain. Aim: The study was done to compare between hyaluronic acid and dextrose prolotherapy in management of temporomandibular joint internal derangement. Patients and methods: The present study included 30 adult patients suffering from internal derangement of Temporo-mandibular joint were selected from outpatient clinic, oral and maxillofacial surgery department in faculty of dentistry, Suez Canal University as well as October 6 university. Group I: Composed of 15 patients (10 females, 5 males) where hyaluronic acid was injected intra-articular. Group II: Composed of 15 patients (9 females, 6 males) where dextrose prolotherapy was injected (4 times) at 2 weeks, 4 weeks and 6 weeks intervals over a total of 12 weeks. Results: No difference between Group I and II; both showed the highest mean MIO values. Group I and Group II; both showed lower mean of VAS scores after 12 months compared to pre-operative measurement. After 6 months, Group II showed the highest prevalence of deviation followed by Group I. Conclusion: Sodium hyaluronic acid and Prolotherapy is a successful technique to improve maximum inter-incisal opening as well as assisted interincisal opening and improved higher significant changes in pain intensity.

DOI

10.21608/dsu.2021.24268.1029

Keywords

TMJ, internal derangement, PRP, Hyaluronic acid, Arthrocentesis, Dextrose prolotherapy

Authors

First Name

Yasser

Last Name

Habaka

MiddleName

Fekry

Affiliation

Oral surgery department, faculty of dentistry, October 6 University, Giza, Egypt

Email

yasserhabaka35@gmail.com

City

Cairo

Orcid

-

First Name

Eman

Last Name

Al Sharawy

MiddleName

-

Affiliation

Oral and Maxillofacial surgery department, Faculty of Dentistry, Suez Canal University

Email

elsharrawy@hotmail.com

City

-

Orcid

-

First Name

tamer

Last Name

bary

MiddleName

-

Affiliation

oral and maxillofacial surgery, swez canal university, Egypt

Email

tamer_bari@hotmail.com

City

cairo

Orcid

-

First Name

abdelbadia

Last Name

abdelmabood

MiddleName

-

Affiliation

Oral and Maxillofacial surgery, Faculty of Dentistry, Zagazig University .

Email

sabdelbadia77@gmail.com

City

-

Orcid

-

Volume

2

Article Issue

1

Related Issue

22511

Issue Date

2021-03-01

Receive Date

2020-07-01

Publish Date

2021-03-01

Page Start

47

Page End

54

Print ISSN

2636-3836

Online ISSN

2636-3844

Link

https://dsu.journals.ekb.eg/article_152923.html

Detail API

https://dsu.journals.ekb.eg/service?article_code=152923

Order

6

Type

Original Article

Type Code

772

Publication Type

Journal

Publication Title

Dental Science Updates

Publication Link

https://dsu.journals.ekb.eg/

MainTitle

Comparative study between Sodium hyaluronic acid and dextrose prolotherapy in management of Temporo-mandibular joint internal derangement.

Details

Type

Article

Created At

22 Jan 2023