Comparativestudy Between Tramadol Hydrochloride and Sodium Hyaloronatefor Management of Tempromandibular Joint Internal Derangement
Advances in Surgical Sciences
Volume 3, Issue 3, June 2015, Pages: 19-26
Received: Aug. 12, 2015;
Accepted: Aug. 24, 2015;
Published: Sep. 2, 2015
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Yasser Mohammed El-Gerby, Oral and Maxillofacial Surgery,Faculty of Dentistry,Suez Canal University, Eygpt
Mohammed Ahmed El-Sholkamy, Oral and Maxillofacial Surgery,Faculty of Dentistry,Suez Canal University, Eygpt
Eman Abdelhalim El-Sharrawy, Oral and Maxillofacial Surgery,Faculty of Dentistry,Suez Canal University, Eygpt
Purpose. This study was conducted to evaluate the efficacy and safety of arthrocentesis with injection of tramadol hydrochloridefor management of tempromandibular joint with internal derangement compared with traditional method with sodium hyaloronate injection.Patient&methods.The study was conducted on forty patients classified as class ASA type I with chief complain of limited mouth opening, TMJ pain, and clicking sounds in the TMJ was included in this study. All patients included in the study was selected from the outpatient clinic oforal and maxillofacial department, faculty of dentistry, Suez canal university.The selected patients were divided randomly into two equal groups,group I:consists of 20 patients where arthrocentesis was performed for the affected joint followed by intraarticular injection of one ml, commercially available tramadolhydrochloride.GroupII: consisted of 20 patients where arthrocentesis was performed for the affected joint followed by intraarticular injection of one ml. commercially available sodium hyaloronate.Evaluation of the patients was done preoperatively, after1,3,6 months postoperativelywhich includedmaximal mouth opening, pain&clicking sound presence in TMJ.Results.patients with either disc displacement with reduction or without reductionwere benefited from the arthrocentesis procedure with injection of Sodium Hyaluronate and also with tramadol hydrochloride.Both treatments were able to reduce pain levels, increase maximal mouth opening and reduce clicking withstatistically significant difference. However, arthrocentesis with injection of tramadol hydrochloride was superiorto arthrocentesiswithinjection of sodium hyaluronate in terms oftreatment of internal derangements of the temporomandibular joint.Conclusion. It has been concluded arthrocentesis is an effective conservative procedure in treatment of temporomandibular joint internal derangement,clinical efficacy of arthrocentesis with tramadolhydrochloride in the temporomandibular joint internal derangements&safty of tramadolintraarticular injection in the temporomandibular joint.
Yasser Mohammed El-Gerby,
Mohammed Ahmed El-Sholkamy,
Eman Abdelhalim El-Sharrawy,
Comparativestudy Between Tramadol Hydrochloride and Sodium Hyaloronatefor Management of Tempromandibular Joint Internal Derangement, Advances in Surgical Sciences.
Vol. 3, No. 3,
2015, pp. 19-26.
Alkan A and Kilic E: A new approach to arthrocentesis of the temporomandibular joint, Int J Oral Maxillofac Surg 38: 85 – 86, 2008.
Bjørnland T, Gjaerum AA, Møystad A: Osteoarthritis of the temporomandibular joint: an evaluation of the effects and complications of corticosteroid injection compared with injection with sodium hyaluronate.J Oral Rehabil.; 34(8):583-9, 2007.
El-Sharrawy EA, Hakim IE, Sameeh E. Attenuation of C-reactive protein increases after exodontia by tramadol and ibuprofen. AnesthProg 2006;53:78-82.
EmshoffR.: Clinical factors affecting the outcome of arthrocentesis and hydraulic distension of the temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral RadiolEndod; 100:409-14.2005
Emshoff R., Rudisch A.: Determining predictor variables for treatment outcomes of arthrocentesis and hydraulic distention of the temporomandibular joint, J Oral MaxillofacSurg 62(7):816-23, 2004.
Escoda-Francolí J, Vázquez-Delgado E, Gay-EscodaC. : Scientificevidence on the usefulness of intraarticular hyaluronic acid injection in the management of temporomandibular dysfunction. Med Oral Patol Oral Cir Bucal. 1;15(4):644-8. 2010
Guarda-Nardini L. ,Stifano M, BrombinC,SalmasoL,Manfredini D.:A one year case series of arthrothentesis with hyaluronic acid injection for tempromandiblar joint osteoarthritis,OralSurg Oral Med Oral PatholOral Radiol Endod,1039(6):14-22,2007.
Gulen H, Ataoglu H, Haliloglu S, Isik K.: Proinflammatory cytokines in temporomandibular joint synovial fluid before and after arthrocentesis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod.; 107(5): 1010-1016. 2009
Hanife A Hilal A. Ahmet BIsil O TYetkin OAhmet E:The effect of intraarticular combinations of tramadol and ropivacaine with ketamine on postoperative pain after arthroscopic meniscectomy,ArchOrthop Trauma Surg (2010) 130:307–312
Kaneyama K, Segami N, Nishimura M,SuzukiT,Sato J,Fujimura K.: Comparison of Cytokine Level in Synovial Fluid Between Successful and Unsuccessful Cases in Arthrocentesis of the Temporomandibular Joint,J Oral MaxillofacSurg 62:284-287, 2004.
Kapral S, Gollmann G, Walt B et al: Tramadol added to mepivacaine prolongs the duration of axillary plexus blockage. AnesthAnalg1999,88:853–856
Laskin D. M. : Arthrocentesis for the Treatment of Internal Derangements of the Temporomandibular Joint, Alpha Omegan 102 ( 2 ): 46 - 50, 2009.
Manfredini D., Rancitelli D.,Ferronato G. &Guarda-NardiniL.: Arthrocentesis with or without additional drugs in temporomandibular joint inflammatory degenerative disease: comparison of six treatment protocols.J Oral Rehabil.; 39(4):245-51, (2012)
Marshall K.W.: The current status of Hylan therapy for the treatment of osteoarthritis, Today’s Therapeutic Trends 15: 99–108, 1997.
Monje-Gil F, Nitzan D, González-Garcia R.: Temporomandibular joint arthrocentesis. Review of the literature. Med Oral Patol Oral Cir Bucal.; 1:17(4): 575-81, 2012.
Neeli AS, Umarani M, Kotrashetti SM, Baliga S.: Arthrocentesis for the treatment of internal derangement of the temporomandibular joint. J Maxillofac Oral Surg.;9(4):350-4,2010
Nitzan D.W., Dolwick M., Martinez G.: Temporomandibular joint arthrocentesis: A Simplified treatment for sever limited mouth opening, J Oral MaxillofacSurg 48: 1163, 1991.
Prinz J.F., NG K.W.:Classification of TMJ Sounds, Archives of Oral Biology, 41, 631, 1997.
Roy M. F, Jacques R. C, Sanford H. R, John R.P. T, William O, and Marc K: Tramadol for the Treatment of joint Pain Associated with Osteoarthritis: A Randomized,Double-Blind, Placebo-Controlled Trial, current therapeutic research’VOL. 62, No. 2. FEB 2001.
Tamer A. H:Arthrocentesis with Injection of Tramadol and Cox-2 Inhibitor for the Management of Internal Derangements of the Tempromandibular Joint (A Comparative Study) Journal of American Science,66-72, 2012;8(1)
Van Loon J P, Grauw J C, Brunott A, WeertsE A, Van Weber P R:Upregulation of articular synovial membrane l-opioid-like receptors in an acute equine synovitis model,The Veterinary Journal.550-558, (2012).
Yeung RW, Chow RL, Samman N, Chiu K.: Short-term therapeutic outcome of intra-articular high molecular weight hyaluronic acid injection for non-reducing disc displacement of the temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral RadiolEndod.; 102(4):453-61,2006.
Yura S, Ooi K, Izumiyama Y.: Relationship between the Effectiveness of Arthrocentesisunder Sufficient Pressure and Conditions of the Temporomandibular Joint. ISRN Dentistry; 2011, 5 pages. 2011.
Yura S., Totsuka Y.: Relationship between effectiveness of arthrocentesis undersufficient pressure and conditions of the temporomandibular joint, J Oral MaxillofacSurg 63(2):225-228, 2005.