The safety and clinical utility of intraarticular injection of sodium hyaluronate for the treatment of symptoms associated with internal derangement of the temporomandibular joint (TMJ)

Repeated sodium hyaluronate injections following multiple arthrocenteses in the treatment of early stage reducing disc displacement of the temporomandibular joint: a preliminary report.

Article specifications

This clinical trial was published in 2012 in Journal of J Craniomaxillofac Surg. (IF 2015: 1.48) by Turkish dentists. The aim of this study was to assess the safety and clinical utility of intraarticular injection of sodium hyaluronate for the treatment of symptoms associated with internal derangement of the temporomandibular joint (TMJ). Twenty patients, who have early stage temporomandibular dysfunction (TMD), were treated with intraarticular sodium hyaluronate injection and arthrocentesis. The patients received sodium hyaluronate (15 mg/ml) (1 ml) injections two times a week first following arthrocentesis with 200 ml Ringer's Lactate and the second without. The follow-up period was 6 months.

 

Result

There was a statistically significant reduction of pain intensity and joint sound in all patients. We suggest that repeated sodium hyaluronate injections following multiple arthrocenteses with Ringer's Lactate is an effective and safe method for the treatment of early stage reducing disc displacement of TMJ.