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Volume 4 Issue 1 (January - February, 2016)

Original Articles

EFFICACY OF ARTHOCENTESIS WITH STEROID IN MANAGEMENT OF INTERNAL DERANGEMENT OF TEMPOROMANDIBULAR JOINT
Vishal Halgatti, Rajdeep Singh, Santosh B S, Hanumanth Reddy, Shilpa I G, Thippeswamy SH

Background: The aim of this study was to compare the efficacy of arthrocentesis with arthrocentesis plus steroid in the treatment of temporomandibular joint (TMJ) internal derangements. Materials and Methods: This study was conducted in Oral maxillofacial department from Jan. 2013 to Dec 2015. A total of 30 patients who had been diagnosed with internal derangements (20 females and 10 males) aged 20-42 years were involved in this study. Arthrocentesis was performed under aseptic conditions. All patients were clinically evaluated before the procedure, and 1 week and 6 months after the procedure. Intensity of TMJ pain and maximal mouth opening, right lateral movements, left lateral movements and protrusive movements were recorded at each follow-up visit. Results: Both groups showed reduction in pain scores, improvement in mouth opening, right lateral movements, left lateral movements and protrusive movements; however, the addition of steroid did not improve the overall outcome of the procedure. Conclusion: Temporomandibular joint arthrocentesis with steroid should be considered as an effective and efficient alternative to more invasive surgical procedures for a selected group of patients and as a minimally invasive, highly effective procedure in the treatment of patients with internal derangement of the TMJ with closed lock.
Key words: Arthocentesis, internal derangement, steroid, temporomandibular joint.

Corresponding author: Dr. Santosh B S, Reader, Department of Oral and Maxillofacial Surgery, Chhattisgarh dental college and research institute, Rajnandgaon, E mail: drsantoshbs@gmail.com

This article may be cited as: Halgatti V, Singh R, B S Santosh, Reddy H, IG Shilpa, SH Thippeswamy. Efficacy of arthocentesis with steroid in management of internal derangement of temporomandibular joint. J Adv Med Dent Scie Res 2016;4(1):143-147.

 
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