Evaluation of the effectiveness of dextrose injection in improving chewing function in patients with the temporomandibular joint closed lock: a pilot study.
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引用次数: 0
Abstract
Objective: To evaluate the intra-articular injection of 5% Dextrose efficacy in treating difficulty chewing patients with Temporomandibular Joint (TMJ) Closed Lock (CL).
Materials and methods: This pilot study included twenty female patients suffering from symptoms of Disc Displacement without Reduction (DDwoR) with limited mouth opening (Closed Lock) mentioned in the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD). Participants were randomly assigned into two groups; the study group patients were injected with D5W, while the control group patients were injected with 0.9% normal saline. The chewing Pain Index (CPI) was measured based on the criteria recommended by the International Association of Oral and Maxillofacial Surgeons (IAOMS) that assessed mandibular function by relating pain with the type of food eaten and using it as an index of improvement in function. The CPI was measured before and thrice after injection (2 weeks, 2 months, and 6 months). The significance level was set at α = 0.05.
Results: A decrease in the CPI grades was observed in both groups, with a significant difference in favor of the study group at all follow-up times(< 0.001).
Conclusion: D5W improved the chewing function in female closed-lock patients.
期刊介绍：
Oral & Maxillofacial Surgery founded as Mund-, Kiefer- und Gesichtschirurgie is a peer-reviewed online journal. It is designed for clinicians as well as researchers.The quarterly journal offers comprehensive coverage of new techniques, important developments and innovative ideas in oral and maxillofacial surgery and interdisciplinary aspects of cranial, facial and oral diseases and their management. The journal publishes papers of the highest scientific merit and widest possible scope on work in oral and maxillofacial surgery as well as supporting specialties. Practice-oriented articles help improve the methods used in oral and maxillofacial surgery.Every aspect of oral and maxillofacial surgery is fully covered through a range of invited review articles, clinical and research articles, technical notes, abstracts, and case reports. Specific topics are: aesthetic facial surgery, clinical pathology, computer-assisted surgery, congenital and craniofacial deformities, dentoalveolar surgery, head and neck oncology, implant dentistry, oral medicine, orthognathic surgery, reconstructive surgery, skull base surgery, TMJ and trauma.Time-limited reviewing and electronic processing allow to publish articles as fast as possible. Accepted articles are rapidly accessible online.Clinical studies submitted for publication have to include a declaration that they have been approved by an ethical committee according to the World Medical Association Declaration of Helsinki 1964 (last amendment during the 52nd World Medical Association General Assembly, Edinburgh, Scotland, October 2000). Experimental animal studies have to be carried out according to the principles of laboratory animal care (NIH publication No 86-23, revised 1985).
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