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Original Article Evaluation of efcacy of arthrocentesis (with normal saline) with or without sodium hyaluronate in treatment of internal derangement of TMJ  e A prospective randomized study in 20 patients  Aditi Sharma a , Amar Singh Rana b, *, Gaurav Jain c , Puneet Kalra c , Deepak Gupta c , Siddharth Sharma d a Senior Resident, Safdarjung Hospital, Delhi 110029, India b Principal, Professor and Head, Oral & Maxillofacial Surgery, Institute of Dental Studies & Technologies, Modinagar 201201, Uttar Pradesh, India c Reader, Oral & Maxillofacial Surgery, Institute of Dental Studies & Technologies, Modinagar 201201, Uttar Pradesh, India d Senior Lecturer, Oral & Maxillofacial Surgery, Institute of Dental Studies & Technologies, Modinagar 201201, Uttar Pradesh, India a r t i c l e i n f o Article history: Recei ved 8 August 2013 Accep ted 20 August 2013 Keywords: TMJ internal derangements Arthrocentesis Sodium hyaluronidase a b s t r a c t Purpose:  To compare the outcome of arthrocentesis alone and arthrocentesis with sodium hyaluronate in internal derangement of TMJ. Materials and methods:  20 patients of disc displacement with reduction of TMJ were ran- domized into 2 experimental groups. Control group of patients received arthrocentesis alone and study group of patients received arthrocentesis with sodium hyaluronate. Pa- tients TMJ status and clinical symptoms were evaluated for 6 months follow up. The clinical parameter recorded were maximal mouth opening (MMO), lateral excursions (right and left side), protru sive movement , joint noises, and pain (at rest, at function ). Results:  When 2 groups are compared there was no statistically signicant difference in terms of inter-incisal opening, lateral excursion, protrusive movement, joint noises and pain however the group with sodium hyaluronidase has shown better results than the control group. Conclusion:  Both study and control group found to be statistically insignicant but patient who were in the group of arthrocentesis with admission of sodium hyaluronidase had better results. Copyright  ª 2013, Craniofacial Research Foundation. All rights reserved. *  Corresponding author. Tel.:  þ91 (0) 9837263193. E-mail address: [email protected] (A.S. Rana).  Available online at  www.sciencedirect.com journal homepage:  www.elsevier.com/locate/jobcr  j o u rn a l o f o r a l b i o l o g y a n d c r a niof a ci a l r ese a r c h 3 ( 201 3 ) 112 e119 2212-4268/$ e  see front matter Copyright  ª 2013, Craniofacial Research Foundation. All rights reserved. http://dx.doi.org/10.1016/j.jobcr.2013.08.001

Evaluation of Efficacy of Arthrocentesis

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