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International journal of odontostomatology

versión On-line ISSN 0718-381X


FERNANDEZ-HERNANDEZ, Saray et al. Intraarticular Injections of Hyaluronic Acid as an Alternative to Corticosteroids in the Treatment of Osteoarthritis of the Temporomandibular Joint: Study of Systematic Review. Int. J. Odontostomat. [online]. 2017, vol.11, n.2, pp.157-164. ISSN 0718-381X.

The aim of this study was to determine decreasing pain and improving function in TMJ osteoarthritic processes using sodium hyaluronate or corticosteroids. A systematic review was carried out based on the PICO methodology of the Centre for Evidence-Based Medicine in Oxford. A question is addressed to the fixed aim and a search strategy is developed using specific MeSH terms and key words which come from the question in the PubMed database from January 1985 to April 2016. A total of 43 articles are consulted, finally including 7 randomized controlled trials which met the inclusion criteria and a critical assessment of the level of evidence is performed. Works that compare the efficacy of sodium hyaluronate to corticosteroids in the osteoarthritic pathologies articular injection were studied. No significant differences were found when injecting the sodium hyaluronate and the corticosteroids. It is necessary to do studies with a broader sample and a longer follow-up. In the long term sodium hyaluronate could be more effective because of possible corticosteroids adverse effects; however, no bone change has been shown with either treatment.

Palabras clave : temporomandibular dysfunction; temporomandibular joint; temporomandibular disorder; osteoarthritis; osteoartrosis; hyaluronic acid; coirticosteroids.

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