The outstanding potential of hyaluronic acid for treating temporomandibular disorders, with emphasis on TMJ rehabilitation
DOI:
https://doi.org/10.33448/rsd-v12i10.43449Keywords:
Temporomandibular joint; Temporomandibular joint dysfunction syndrome; Hyaluronic acid.Abstract
The temporomandibular joint (TMJ) is the most complex joint in the human body and the most used, moving around two thousand times a day on average, composed of the mandibular condyle that articulates with the squamous portion of the temporal bone (Glenoid). together with the articular meniscus, its posterior portion presents retrodiscal tissue. Its innervation and vascularization are composed respectively of the mandibular nerves, temporal atrium, posterior temporal and masseteric nerves and arteries; superficial temporal, middle meningeal and internal maxilla. Temporomandibular dysfunction is an abnormality of this joint and/or the muscles that work with the TMJ. The administration of hyaluronic acid provides unique cell renewal in addition to facilitating the nutrition of the avascular areas of the disc and articular cartilage with anti-inflammatory and analgesic properties. To obtain the necessary data, a bibliographical search was carried out in the PUBMED databases with the MeSH descriptors: “Temporomandibular Joint Dysfunction Syndrome” and "Hyaluronic acid", combined using the Boolean operator "AND" and SCIELO with the keyword "Temporomandibular Joint". Only original articles were included, in Portuguese, English and Spanish, between 1991 and 2018. In total, 482 studies were found, but only 34 were selected using the inclusion criteria. Our objective is to confirm that hyaluronic acid plays a fundamental role in the treatment of disorders, in which multidisciplinary cohesion is extremely important to contribute not only to an early diagnosis and specific management, but also to an improvement in individualized treatment, providing a greater quality of life for patients.
References
Akkoc, Y. S., Pehlivan, M., Ozturk, C., Celebi, G., Sracoglu, A., et al. (2002). A eficácia do hialuronato de sódio intraarticular em pacientes com redução do disco deslocado da articulação temporomandibular. Journal of Oral Rehabilitation, 29(1), 80-86.
Campos, G. C. de, & Rezende, M. U. de. (2012). Viscossuplementação. Revista Brasileira de Ortopedia, 47(2), 160-164.
Coronatto E. A. S., Zuccoloto M. C. C, Bataglion C, & Bitondi M. B. M. (2009). Associação entre disfunção temporomandibular e ansiedade: estudo epidemiológico.
Dawson, P. E. (2008). A Articulação Temporomandibular. In Diagnóstico Diferencial das Desordens Temporomandibulares, Desordens Intracapsulares da ATM, Classificação das Desordens Intracapsulares. Livraria Santos Editora.
Giannakopoulos, N. N., Keller, L., Rammelsberg, P., Kronmüller, K. T., & Schmitter, M. (2010). Anxiety and depression in patients with chronic temporomandibular pain and in controls. Journal of Dentistry, 38(5), 369-376.
Goyatá, F.,Taira, N., Almeida, S., Silva, D., & Taira, C. (2010). Avaliação de sinais e sintomas de disfunção temporomandibular entre acadêmicos do curso de odontologia da Universidade Severino Sombra. Int J. Dent., 9(4), 181-186.
Guarda-Nardini L, Manfredini D, & Ferronato G. (s.d.). Short-term effects of arthrocentesis plus viscosupplementation in the management of signs and symptoms of painful TMJ disc.
Guarda-Nardini, L., Cadorin, C., Frizziero, A., Masiero, S., & Manfredini, D. (2017). Interrelationship between temporomandibular joint osteoarthritis (OA) and cervical spine pain: Effects of intra-articular injection with hyaluronic acid. Cranio, 35(5), 276-282.
Guarda-Nardini, L., Ferronato, G., Favero, L., & Manfredini, D. (2011). Predictive factors of hyaluronic acid injections short-term effectiveness for TMJ degenerative joint disease. Journal of Oral Rehabilitation, 38(5), 315-320.
Guarda-Nardini, L., Ferronato, G., & Manfredini, D. (2012). Two-Needle vs. Single-Needle Technique for TMJ Arthrocentesis Plus Hyaluronic Acid Injections: A Comparative Trial Over a Six-Month Follow-Up. International Journal of Oral and Maxillofacial Surgery, 41(4), 506-513.
Guarda-Nardini, L., Manfredini, D., Stifano, M., Staffieri, A., & Marioni, G. (2009). Intra-articular injection of hyaluronic acid for temporomandibular joint osteoarthritis in elderly patients. Stomatologija, 11(2), 60-65.
Guarda-Nardini, L., Rossi, A., Arboretti, R., Bonnini, S., Stellini, E., & Manfredini, D. (2015). Single- or multiple-session viscosupplementation protocols for temporomandibular joint degenerative disorders: A randomized clinical trial. Journal of Oral Rehabilitation, 42(7), 521-528.
Guarda-Nardini, L., Rossi, A., Ramonda, R., Punzi, L., Ferronato, G., & Manfredini, D. (2014). Effectiveness of treatment with viscosupplementation in temporomandibular joints with or without effusion. International Journal of Oral and Maxillofacial Surgery, 43(10), 1218-1223.
Koyano K, Tsukiyama Y, Ichiki R, Kuwata T et al (2008). Assessment of bruxism in the clinic. J Oral Rehabil. 35(7):495-508.
Leeuw, R. (2010). Dor orofacial: Guia de avaliação, diagnóstico e tratamento (4a ed.). São Paulo: Quintessence.
Long, X., Chen, G., An Cheng, A. H., Cheng, Y., Deng, M., Cai, H., & Meng, Q. (2009). A randomized controlled trial of superior and inferior temporomandibular joint space injection with hyaluronic acid in treatment of anterior disc displacement without reduction. Journal of Oral and Maxillofacial Surgery, 67, 357-361.
Machado, B. C., Mazzetto, M. O., Da Silva, M. A. M. R., & de Felício, C. M. (2016). Effects of oral motor exercises and laser therapy on chronic temporomandibular disorders: A randomized study with follow-up. Lasers in Medical Science, 31(5), 945-954.
Manfredini, D., Bonnini, S., Arboretti, R., & Guarda-Nardini, L. (2009). Temporomandibular joint osteoarthritis: An open label trial of 76 patients treated with arthrocentesis plus hyaluronic acid injections. International Journal of Oral and Maxillofacial Surgery, 38(8), 827-834.
Manfredini D, Bucci M B, & Nardini L G. (2007). The diagnostic process for temporomandibular disorders. Stomatologija, Baltic Dental and Maxillofacial Journal, 9(2), 35-39.
Melo G M, & Barbosa F S. (2009). Parafunção x DTM: a influência dos hábitos parafuncionais na etiologia das desordens temporomandibulares. POS- Prespect. Oral Sci, 1(1), 43-88.
Millon-Cruz, A., Martín-Granizo, R., Encinas, A., & Berguer, A. (2015). Relação entre ressonância e aderências intraarticulares e posição do disco nas articulações temporomandibulares: achados artroscópicos e resultados clínicos. Journal of Craniomaxillofacial Surgery, 43(4), 497-502.
Mongini F. (1998) Exame Clínico. In: Mongini, F. ATM e Músculos Craniocervicofaciais – Fisiopatologia e Tratamento. São Paulo: Santos.
Okeson, J. (2003). Tratamiento de Oclusión y Afecciones Temporomandibulares (5a ed.). Editora Artes Medicas Lda.
Okeson, J. P., & de Leeuw, R. (2011). Differential diagnosis of temporomandibular disorders and other orofacial pain disorders. Dent Clin North Am, 55(1), 105-120.
Okeson, J. (2003). Tratamiento de Oclusión y Afecciones Temporomandibulares (5a ed.). Editora Artes Medicas Lda.
Oliveira, L. L. et al. (2017). Os benefícios da viscossuplementação na melhoria dos sintomas das desordens temporomandibulares: Revisão de literatura. Jornada Odontológica dos Acadêmicos da Católica, 3(1).
Paiva, H. (2008). Noções e conceitos básicos em oclusão, disfunção temporomandibular e dor orofacial. Editora Santos.
Parry B. W. (1999). Synovial fluid, p.104-119. In: Cowell R. L., Tyler, R. D. & Meinkoth J.H. (Eds), Diagnostic Cytology and Hematology of the Dog and Cat. (2a ed.), Mosby, St Louis.
Pereira A. S. et al. (2018). Metodologia da pesquisa científica. UFSM.
Ramalho, A. (2023). O Ácido Hialurônico (AH) e a Sua Efetividade no Tratamento de Disfunções Temporomandibulares: Revisão de Literatura. In Anais do Workshop Inova Estética. Recife, PE: UFPE. Recuperado de https://www.even3.com.br/anais/wie2023/624952-O-ACIDO-HIALURONICO-(AH)-E-A-SUA-EFETIVIDADE-NO-TRATAMENTO-DE-DISFUNCOES-TEMPOROMANDIBULARES-REVISAO-DE-LITERATU.
Rosa, R. S. (2004). Prevalência de Desordens Temporomandibulares em Universitários e Sua Associação com Fatores Oclusais, Articulares e Bruxismo (Tese de doutorado, Universidade Estadual de Campinas).
Soares I S Q, Miranda A F V, Ferreira V J A, & Di Nino C. Q. M. S. (2004). Bruxismo: desempenho da mastigação em adultos jovens. Rev. CEFAC, 6(4), 358-362.
Hilander B, Rubio G, Pena L, & Mayorga C. (2002). Prevalence of Temporomandibular Dysfunction and Its Association With Malocclusion in Children and Adolescents: An Epidemiologic Study Related to Specified Stages of Dental.
Wright, E. F. (2009). Manual of Temporomandibular Disorders. Wiley.
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Copyright (c) 2023 Pedro de Alcantara Torquette D'Dalarponio; Heloyse Vitória dos Santos Faria; Magno Liberato Silva; Leonardo de Almeida Prado Domingues; Sérgio Lucas Lage Aleixo; Júlia Esteves de Assunção; Mariana Bassoli Felix Dutra; Matheus Machado Melo
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