Comparison of outcomes with intra-articular hyaluronic acid vs corticosteroids after TMJ arthrocentesis: a systematic review and meta-analysis.

IF 1.3 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Quintessence international Pub Date : 2024-09-27 DOI:10.3290/j.qi.b5586037

Tianfu Mao, Weilin Wang

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Abstract

Objective: This review aimed to examine differences in outcomes with the use of intra-articular hyaluronic acid vs corticosteroids after temporomandibular joint arthrocentesis.

Method and materials: Studies were searched on PubMed, Embase, Web of Science, and Google Scholar up to 15th January 2024. Randomized controlled trials comparing hyaluronic acid with corticosteroids after TMJ arthrocentesis were included. The outcomes were pain and maximal mouth opening.

Results: Ten articles corresponding to nine randomized clinical trials were included. There was no statistically significant difference in pain scores at 1 week (mean difference [MD] -0.30, 95% CI -1.25 to 0.65, I2 = 0%), 1 month (MD -0.55, 95% CI -1.23 to 0.13, I2 = 0%), and 6 months (MD -0.57, 95% CI -2.10 to 0.96, I2 = 58%) between the two groups. However, pain scores were found to be significantly lower in the hyaluronic acid group at 3 months (MD -1.07, 95% CI -1.84 to -0.31, I2 = 0%). No statistically significant difference was noted in maximal mouth opening at 1 week (MD 0.78, 95% CI -1.79 to 3.35, I2 = 0%), 1 month (MD 0.32, 95% CI -1.83 to 2.46, I2 = 0%), and 3 months (MD -0.41, 95% CI -3.90 to 3.07, I2 = 0%) between the two groups. Descriptive analysis for studies not included in the meta-analysis also presented similar results.

Conclusions: Low-quality evidence suggests that both intra-articular hyaluronic acid and corticosteroids have similar efficacy in improving pain scores and maximal mouth opening after temporomandibular joint arthrocentesis.

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颞下颌关节关节腔穿刺术后关节内透明质酸与皮质类固醇的疗效比较：系统综述和荟萃分析。

目的本综述旨在研究颞下颌关节（TMJ）关节腔穿刺术后使用关节腔内透明质酸（HA）与皮质类固醇（CS）的疗效差异：在PubMed、Embase、Web of Science和Google Scholar上搜索截至2024年1月15日的研究。纳入了颞下颌关节穿刺术后比较 HA 与 CS 的随机对照试验（RCT）。结果：结果：共纳入 10 篇文章，对应 9 项 RCT。两组患者在 1 周（MD：-0.30 95% CI：-1.25，0.65 I2=0%）、1 个月（MD：-0.55 95% CI：-1.23，0.13 I2=0%）和 6 个月（MD：-0.57 95% CI：-2.10，0.96 I2=58%）时的疼痛评分差异无统计学意义。但在 3 个月时，HA 组的疼痛评分明显较低（MD：-1.07 95% CI：-1.84, -0.31 I2=0%）。两组在 1 周（MD：0.78 95% CI：-1.79, 3.35 I2=0%）、1 个月（MD：0.32 95% CI：-1.83, 2.46 I2=0%）和 3 个月（MD：-0.41 95% CI：-3.90, 3.07 I2=0%）时的 MMO 均无明显统计学差异。对未纳入荟萃分析的研究进行的描述性分析也得出了类似的结果：低质量证据表明，关节内HA和CS在改善颞下颌关节穿刺术后疼痛评分和MMO方面具有相似的疗效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Quintessence international 医学-牙科与口腔外科

CiteScore

3.30

自引率

5.30%

发文量

审稿时长

1 months

期刊介绍： QI has a new contemporary design but continues its time-honored tradition of serving the needs of the general practitioner with clinically relevant articles that are scientifically based. Dr Eli Eliav and his editorial board are dedicated to practitioners worldwide through the presentation of high-level research, useful clinical procedures, and educational short case reports and clinical notes. Rigorous but timely manuscript review is the first order of business in their quest to publish a high-quality selection of articles in the multiple specialties and disciplines that encompass dentistry.