Efficacy of Hyaluronic Acid Injection for Temporomandibular Joint Disorders with and without Arthrocentesis
DOI:
https://doi.org/10.15218/edj.2025.2Keywords:
Temporomandibular joint disorders, Arthrocentesis, Hyaluronic acidAbstract
Temporomandibular disorder affects millions of people worldwide. Temporomandibular joint internal derangement, is a common condition. Temporomandibular joint internal derangement is a progressive disorder that begins with clicking during nor- mal opening and progresses to restricted mouth opening (closed lock). Arthrocentesis and Visco supplementation as Hyluronic acid are minimally invasive techniques that involves wash out the joint and replacement of synovial fluid by intra-articular injection of Hyaluronic Acid which restores its concentration and molecular weight in joint cavity.
Aims for this study is to comparison the effect of Hyaluronic acid injection to temporomandibular joint in addition to Arthrocentesis and without arthrocentesis, to see the effect of Hyaluronic acid injection to temporomandibular joint without arthrocentesis.
Patient and Methods: The study was prospective, randomized, and clinical, with a period of 3 months follow-up comparing the efficacy of arthrocentesis with HA injection to that of HA injection alone. The data were collected after first and third months in order to gauge the effectiveness of the treatment modality at Rizgary Teaching Hospital. It included patients from November 2023 to February 2024.
Result: A total of (60) patients 13 males and 47 females, as they distributed on three groups (Group A: 20 patients undergone Arthrocentesis and Hyaluronic acid injection, Group B1: 20 patients undergone single time Hyaluronic acid injection and Group B2: 20 patients undergone double time Hyaluronic acid injection).
P value were highly significant for pain, maximum mouth opening and joint sound for group A and B2 in compare to group B1, while there were no significant different seen between group A and B2.
Conclusion: The combination of arthrocentesis and HA injection showed much better outcome than hyaluronic acid injection alone, but procedure HA injection alone is less invasive.
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