Habaka, Y., Al Sharawy, E., bary, T., abdelmabood, A. (2021). Comparative study between Sodium hyaluronic acid and dextrose prolotherapy in management of Temporo-mandibular joint internal derangement.. Dental Science Updates, 2(1), 47-54. doi: 10.21608/dsu.2021.24268.1029
Yasser Fekry Habaka; Eman Al Sharawy; tamer bary; abdelbadia abdelmabood. "Comparative study between Sodium hyaluronic acid and dextrose prolotherapy in management of Temporo-mandibular joint internal derangement.". Dental Science Updates, 2, 1, 2021, 47-54. doi: 10.21608/dsu.2021.24268.1029
Habaka, Y., Al Sharawy, E., bary, T., abdelmabood, A. (2021). 'Comparative study between Sodium hyaluronic acid and dextrose prolotherapy in management of Temporo-mandibular joint internal derangement.', Dental Science Updates, 2(1), pp. 47-54. doi: 10.21608/dsu.2021.24268.1029
Habaka, Y., Al Sharawy, E., bary, T., abdelmabood, A. Comparative study between Sodium hyaluronic acid and dextrose prolotherapy in management of Temporo-mandibular joint internal derangement.. Dental Science Updates, 2021; 2(1): 47-54. doi: 10.21608/dsu.2021.24268.1029
Comparative study between Sodium hyaluronic acid and dextrose prolotherapy in management of Temporo-mandibular joint internal derangement.
1Oral surgery department, faculty of dentistry, October 6 University, Giza, Egypt
2Oral and Maxillofacial surgery department, Faculty of Dentistry, Suez Canal University
3oral and maxillofacial surgery, swez canal university, Egypt
4Oral and Maxillofacial surgery, Faculty of Dentistry, Zagazig University .
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.
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