COMPARATIVE EVALUATION OF OZONE GAS AND OZONATED WATER AFTER ARTHROCENTESIS IN MANAGEMENT OF TEMPRO MANDIBULAR JOINT INTERNAL DERANGEMENT: A CLINICAL RANDOMIZED CONTROLLED STUDY | ||
| Egyptian Dental Journal | ||
| Article 3, Volume 68, Issue 2, April 2022, Pages 1339-1347 PDF (950.06 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/edj.2022.111917.1916 | ||
| Author | ||
| Saleh Bakry* | ||
| Associate Professor, Oral surgery Department, Faculty of dentistry, Cairo University, Egypt | ||
| Abstract | ||
| Tempro-mandibular joint pathology is a dilemma that concerns with temporo-mandibular disorders, tumors, infections, growth development anomalies, and traumatic lesions. TMDs require a multidisciplinary approach. Usually, first treatment options are noninvasive treatments. Other treatment option was present when conservative (non-invasive) treatment of TMD was failed to obtain the suggested results as TMJ arthrocentesis. There are many different materials that can be injected after TMJ arthrocentesis including non-steroidal anti-inflammatory drugs (NSAIDs), opioid analgesics, corticosteroid, sodium hyaluronate (SH), platelet-rich plasma (PRP) and recently ozone. AIM: The aim of this study was to compare and evaluate the effect of ozone gas and ozonated water after arthrocentesis in management of temporomandibular joint internal derangement. PATIENTS AND METHODS: This was a clinical randomized controlled study conducted on 28 patients suffered TMJ internal derangement (anterior disc displacement with reduction). The patients were randomly divided into 2 groups, each group consists of 14 patients. Group A (Ozone group) received ozone gas injection after arthrocentesis with Ringer's solution. Group B (ozonated water group) received ozonized water arthrocentesis after arthrocentesis with Ringer's solution. RESULTS: When comparing the two groups, there were no statistically significant differences; between group A and group B regards changes in measuring pain on visual analogue scale (VAS) from pre-operative till post-operative at 12 months follow up periods (P value= 0.086). While, there were statistically significant differences; between group A and group B regards changes in maximum painless opening from pre-operative till post-operative at 12 months follow up periods (P value= 0.002) | ||
| Keywords | ||
| TMJ; Ozone gas; Ozonized water; arthrocentesis | ||
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