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Comparativestudy Between Tramadol Hydrochloride and Sodium Hyaloronatefor Management of Tempromandibular Joint Internal Derangement

Received: 12 August 2015     Accepted: 24 August 2015     Published: 2 September 2015
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Abstract

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.

Published in Advances in Surgical Sciences (Volume 3, Issue 3)
DOI 10.11648/j.ass.20150303.11
Page(s) 19-26
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Sodium Hyaloronate,TramadolHydrochloride, Arthrocentesis,Internal Derangement

References
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[3] El-Sharrawy EA, Hakim IE, Sameeh E. Attenuation of C-reactive protein increases after exodontia by tramadol and ibuprofen. AnesthProg 2006;53:78-82.
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[7] 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.
[8] 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
[9] 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
[10] 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.
[11] Kapral S, Gollmann G, Walt B et al: Tramadol added to mepivacaine prolongs the duration of axillary plexus blockage. AnesthAnalg1999,88:853–856
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    Yasser Mohammed El-Gerby, Mohammed Ahmed El-Sholkamy, Eman Abdelhalim El-Sharrawy. (2015). Comparativestudy Between Tramadol Hydrochloride and Sodium Hyaloronatefor Management of Tempromandibular Joint Internal Derangement. Advances in Surgical Sciences, 3(3), 19-26. https://doi.org/10.11648/j.ass.20150303.11

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    ACS Style

    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. Adv. Surg. Sci. 2015, 3(3), 19-26. doi: 10.11648/j.ass.20150303.11

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    AMA Style

    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. Adv Surg Sci. 2015;3(3):19-26. doi: 10.11648/j.ass.20150303.11

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  • @article{10.11648/j.ass.20150303.11,
      author = {Yasser Mohammed El-Gerby and Mohammed Ahmed El-Sholkamy and Eman Abdelhalim El-Sharrawy},
      title = {Comparativestudy Between Tramadol Hydrochloride and Sodium Hyaloronatefor Management of Tempromandibular Joint Internal Derangement},
      journal = {Advances in Surgical Sciences},
      volume = {3},
      number = {3},
      pages = {19-26},
      doi = {10.11648/j.ass.20150303.11},
      url = {https://doi.org/10.11648/j.ass.20150303.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ass.20150303.11},
      abstract = {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.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Comparativestudy Between Tramadol Hydrochloride and Sodium Hyaloronatefor Management of Tempromandibular Joint Internal Derangement
    AU  - Yasser Mohammed El-Gerby
    AU  - Mohammed Ahmed El-Sholkamy
    AU  - Eman Abdelhalim El-Sharrawy
    Y1  - 2015/09/02
    PY  - 2015
    N1  - https://doi.org/10.11648/j.ass.20150303.11
    DO  - 10.11648/j.ass.20150303.11
    T2  - Advances in Surgical Sciences
    JF  - Advances in Surgical Sciences
    JO  - Advances in Surgical Sciences
    SP  - 19
    EP  - 26
    PB  - Science Publishing Group
    SN  - 2376-6182
    UR  - https://doi.org/10.11648/j.ass.20150303.11
    AB  - 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.
    VL  - 3
    IS  - 3
    ER  - 

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Author Information
  • Oral and Maxillofacial Surgery,Faculty of Dentistry,Suez Canal University, Eygpt

  • Oral and Maxillofacial Surgery,Faculty of Dentistry,Suez Canal University, Eygpt

  • Oral and Maxillofacial Surgery,Faculty of Dentistry,Suez Canal University, Eygpt

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