INTRA-ARTICULAR INJECTION OF CORTICOSTEROIDS MIXED WITH LOCAL ANAESTHETIC FOR INTERNAL DERANGEMENT OF TEMPOROMANDIBULAR JOINT (DISC DISPLACEMENT WITHOUT REDUCTION)

Authors

  • Zainab Akbar Rehman College of Dentistry. Peshawar
  • Waseem Ahmad Shaheed Zulfiqar Ali Bhutto Medical University Islamabad
  • Farha Farhan Foundation University College of Dentistry Peshawar
  • Zainab Shah Sardar Begum Dental Hospital Peshawar
  • Umer Ullah Rehman College of Dentistry. Peshawar
  • Khaula Gul Bacha Khan Dental College Mardan

DOI:

https://doi.org/10.33279/jkcd.v12i04.10

Abstract

Objectives: To determine the mean change in pain and mouth opening after intra-articular corticosteroid injection mixed with local anesthetic in patients of temporomandibular joint internal
derangement (disc displacement without reduction).
Materials and Methods: A Quasi-experimental study was conducted at the Oral and Maxillofacial
Surgery Department, Armed Forces Institute of Dentistry (AFID), Rawalpindi; from February
2016 to December 2019. Patients of either gender, aged between 16-70 years, presenting with
disc displacement without reduction were included in the study. Intra-articular injection of corticosteroids mixed with local anesthetic was administered into the aff ected joint. Pin using a Visual
analog scale (VAS) and maximum mouth opening (MMO)using a vernier caliper were measured
in every patient before and one week after the intra-articular injection. Data were entered in the
statistical package for social sciences (SPSS) version 22 for analysis.
Results: A total of 107 patients were included in the study with a mean age of 30.5 ±6.92 years
(range 17 to 42 years). The mean pre-injection VAS score for pain was 6.29±1.06 which decreased
signifi cantly to 3.46±1.07at at one week following injection (p=<0.001) with a mean decrease
of 2.83±1.03. This improvement in VAS score with injection was signifi cant across all age, gender, educational and occupational groups. The mean pre-injection MMO was 28.76±4.20 which
increased signifi cantly to 38.89±3.88at at one week following injection (p=<0.001) with a mean
increase of 10.0±3.33.

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Published

— Updated on 2022-12-31

How to Cite

Akbar, Z., Ahmad, W., Farhan, F., Shah, Z., Ullah, U. ., & Gul, K. (2022). INTRA-ARTICULAR INJECTION OF CORTICOSTEROIDS MIXED WITH LOCAL ANAESTHETIC FOR INTERNAL DERANGEMENT OF TEMPOROMANDIBULAR JOINT (DISC DISPLACEMENT WITHOUT REDUCTION). JOURNAL OF KHYBER COLLEGE OF DENTISTRY, 12(04), 33–38. https://doi.org/10.33279/jkcd.v12i04.10

Issue

Vol. 12 No. 04 (2022): Journal of Khyber College of Dentistry

Section

Original Article

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Copyright (c) 2022 Zainab Akbar, Waseem Ahmad, Farha Farhan, Zainab Shah, Umer Ullah, Khaula Gul

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