Comparativestudy Between Tramadol Hydrochloride and Sodium Hyaloronatefor Management of Tempromandibular Joint Internal Derangement

Yasser Mohammed El-Gerby; Mohammed Ahmed El-Sholkamy; Eman Abdelhalim El-Sharrawy

doi:doi:10.11648/j.ass.20150303.11

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Comparativestudy Between Tramadol Hydrochloride and Sodium Hyaloronatefor Management of Tempromandibular Joint Internal Derangement

Yasser Mohammed El-Gerby, Mohammed Ahmed El-Sholkamy, Eman Abdelhalim El-Sharrawy

Published in Advances in Surgical Sciences (Volume 3, Issue 3)

Received: 12 August 2015 Accepted: 24 August 2015 Published: 2 September 2015

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Abstract

Purpose. This study was conducted to evaluate the efficacy and safety of arthrocentesis with injection of tramadol hydrochloridefor management of tempromandibular joint with internal derangement compared with traditional method with sodium hyaloronate injection.Patient&methods.The study was conducted on forty patients classified as class ASA type I with chief complain of limited mouth opening, TMJ pain, and clicking sounds in the TMJ was included in this study. All patients included in the study was selected from the outpatient clinic oforal and maxillofacial department, faculty of dentistry, Suez canal university.The selected patients were divided randomly into two equal groups,group I:consists of 20 patients where arthrocentesis was performed for the affected joint followed by intraarticular injection of one ml, commercially available tramadolhydrochloride.GroupII: consisted of 20 patients where arthrocentesis was performed for the affected joint followed by intraarticular injection of one ml. commercially available sodium hyaloronate.Evaluation of the patients was done preoperatively, after1,3,6 months postoperativelywhich includedmaximal mouth opening, pain&clicking sound presence in TMJ.Results.patients with either disc displacement with reduction or without reductionwere benefited from the arthrocentesis procedure with injection of Sodium Hyaluronate and also with tramadol hydrochloride.Both treatments were able to reduce pain levels, increase maximal mouth opening and reduce clicking withstatistically significant difference. However, arthrocentesis with injection of tramadol hydrochloride was superiorto arthrocentesiswithinjection of sodium hyaluronate in terms oftreatment of internal derangements of the temporomandibular joint.Conclusion. It has been concluded arthrocentesis is an effective conservative procedure in treatment of temporomandibular joint internal derangement,clinical efficacy of arthrocentesis with tramadolhydrochloride in the temporomandibular joint internal derangements&safty of tramadolintraarticular injection in the temporomandibular joint.

Published in	Advances in Surgical Sciences (Volume 3, Issue 3)
DOI	10.11648/j.ass.20150303.11
Page(s)	19-26
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Sodium Hyaloronate,TramadolHydrochloride, Arthrocentesis,Internal Derangement

References

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[3]	El-Sharrawy EA, Hakim IE, Sameeh E. Attenuation of C-reactive protein increases after exodontia by tramadol and ibuprofen. AnesthProg 2006;53:78-82.
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[15]	Monje-Gil F, Nitzan D, González-Garcia R.: Temporomandibular joint arthrocentesis. Review of the literature. Med Oral Patol Oral Cir Bucal.; 1:17(4): 575-81, 2012.
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Yasser Mohammed El-Gerby, Mohammed Ahmed El-Sholkamy, Eman Abdelhalim El-Sharrawy. (2015). Comparativestudy Between Tramadol Hydrochloride and Sodium Hyaloronatefor Management of Tempromandibular Joint Internal Derangement. Advances in Surgical Sciences, 3(3), 19-26. https://doi.org/10.11648/j.ass.20150303.11

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ACS Style

Yasser Mohammed El-Gerby; Mohammed Ahmed El-Sholkamy; Eman Abdelhalim El-Sharrawy. Comparativestudy Between Tramadol Hydrochloride and Sodium Hyaloronatefor Management of Tempromandibular Joint Internal Derangement. Adv. Surg. Sci. 2015, 3(3), 19-26. doi: 10.11648/j.ass.20150303.11

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AMA Style

Yasser Mohammed El-Gerby, Mohammed Ahmed El-Sholkamy, Eman Abdelhalim El-Sharrawy. Comparativestudy Between Tramadol Hydrochloride and Sodium Hyaloronatefor Management of Tempromandibular Joint Internal Derangement. Adv Surg Sci. 2015;3(3):19-26. doi: 10.11648/j.ass.20150303.11

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@article{10.11648/j.ass.20150303.11,
  author = {Yasser Mohammed El-Gerby and Mohammed Ahmed El-Sholkamy and Eman Abdelhalim El-Sharrawy},
  title = {Comparativestudy Between Tramadol Hydrochloride and Sodium Hyaloronatefor Management of Tempromandibular Joint Internal Derangement},
  journal = {Advances in Surgical Sciences},
  volume = {3},
  number = {3},
  pages = {19-26},
  doi = {10.11648/j.ass.20150303.11},
  url = {https://doi.org/10.11648/j.ass.20150303.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ass.20150303.11},
  abstract = {Purpose. This study was conducted to evaluate the efficacy and safety of arthrocentesis with injection of tramadol hydrochloridefor management of tempromandibular joint with internal derangement compared with traditional method with sodium hyaloronate injection.Patient&methods.The study was conducted on forty patients classified as class ASA type I with chief complain of limited mouth opening, TMJ pain, and clicking sounds in the TMJ was included in this study. All patients included in the study was selected from the outpatient clinic oforal and maxillofacial department, faculty of dentistry, Suez canal university.The selected patients were divided randomly into two equal groups,group I:consists of 20 patients where arthrocentesis was performed for the affected joint followed by intraarticular injection of one ml, commercially available tramadolhydrochloride.GroupII: consisted of 20 patients where arthrocentesis was performed for the affected joint followed by intraarticular injection of one ml. commercially available sodium hyaloronate.Evaluation of the patients was done preoperatively, after1,3,6 months postoperativelywhich includedmaximal mouth opening, pain&clicking sound presence in TMJ.Results.patients with either disc displacement with reduction or without reductionwere benefited from the arthrocentesis procedure with injection of Sodium Hyaluronate and also with tramadol hydrochloride.Both treatments were able to reduce pain levels, increase maximal mouth opening and reduce clicking withstatistically significant difference. However, arthrocentesis with injection of tramadol hydrochloride was superiorto arthrocentesiswithinjection of sodium hyaluronate in terms oftreatment of internal derangements of the temporomandibular joint.Conclusion. It has been concluded arthrocentesis is an effective conservative procedure in treatment of temporomandibular joint internal derangement,clinical efficacy of arthrocentesis with tramadolhydrochloride in the temporomandibular joint internal derangements&safty of tramadolintraarticular injection in the temporomandibular joint.},
 year = {2015}
}

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TY  - JOUR
T1  - Comparativestudy Between Tramadol Hydrochloride and Sodium Hyaloronatefor Management of Tempromandibular Joint Internal Derangement
AU  - Yasser Mohammed El-Gerby
AU  - Mohammed Ahmed El-Sholkamy
AU  - Eman Abdelhalim El-Sharrawy
Y1  - 2015/09/02
PY  - 2015
N1  - https://doi.org/10.11648/j.ass.20150303.11
DO  - 10.11648/j.ass.20150303.11
T2  - Advances in Surgical Sciences
JF  - Advances in Surgical Sciences
JO  - Advances in Surgical Sciences
SP  - 19
EP  - 26
PB  - Science Publishing Group
SN  - 2376-6182
UR  - https://doi.org/10.11648/j.ass.20150303.11
AB  - Purpose. This study was conducted to evaluate the efficacy and safety of arthrocentesis with injection of tramadol hydrochloridefor management of tempromandibular joint with internal derangement compared with traditional method with sodium hyaloronate injection.Patient&methods.The study was conducted on forty patients classified as class ASA type I with chief complain of limited mouth opening, TMJ pain, and clicking sounds in the TMJ was included in this study. All patients included in the study was selected from the outpatient clinic oforal and maxillofacial department, faculty of dentistry, Suez canal university.The selected patients were divided randomly into two equal groups,group I:consists of 20 patients where arthrocentesis was performed for the affected joint followed by intraarticular injection of one ml, commercially available tramadolhydrochloride.GroupII: consisted of 20 patients where arthrocentesis was performed for the affected joint followed by intraarticular injection of one ml. commercially available sodium hyaloronate.Evaluation of the patients was done preoperatively, after1,3,6 months postoperativelywhich includedmaximal mouth opening, pain&clicking sound presence in TMJ.Results.patients with either disc displacement with reduction or without reductionwere benefited from the arthrocentesis procedure with injection of Sodium Hyaluronate and also with tramadol hydrochloride.Both treatments were able to reduce pain levels, increase maximal mouth opening and reduce clicking withstatistically significant difference. However, arthrocentesis with injection of tramadol hydrochloride was superiorto arthrocentesiswithinjection of sodium hyaluronate in terms oftreatment of internal derangements of the temporomandibular joint.Conclusion. It has been concluded arthrocentesis is an effective conservative procedure in treatment of temporomandibular joint internal derangement,clinical efficacy of arthrocentesis with tramadolhydrochloride in the temporomandibular joint internal derangements&safty of tramadolintraarticular injection in the temporomandibular joint.
VL  - 3
IS  - 3
ER  -

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Author Information

Yasser Mohammed El-Gerby

Oral and Maxillofacial Surgery,Faculty of Dentistry,Suez Canal University, Eygpt
Mohammed Ahmed El-Sholkamy

Oral and Maxillofacial Surgery,Faculty of Dentistry,Suez Canal University, Eygpt
Eman Abdelhalim El-Sharrawy

Oral and Maxillofacial Surgery,Faculty of Dentistry,Suez Canal University, Eygpt

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Yasser Mohammed El-Gerby, Mohammed Ahmed El-Sholkamy, Eman Abdelhalim El-Sharrawy. (2015). Comparativestudy Between Tramadol Hydrochloride and Sodium Hyaloronatefor Management of Tempromandibular Joint Internal Derangement. Advances in Surgical Sciences, 3(3), 19-26. https://doi.org/10.11648/j.ass.20150303.11

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Yasser Mohammed El-Gerby; Mohammed Ahmed El-Sholkamy; Eman Abdelhalim El-Sharrawy. Comparativestudy Between Tramadol Hydrochloride and Sodium Hyaloronatefor Management of Tempromandibular Joint Internal Derangement. Adv. Surg. Sci. 2015, 3(3), 19-26. doi: 10.11648/j.ass.20150303.11

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AMA Style

Yasser Mohammed El-Gerby, Mohammed Ahmed El-Sholkamy, Eman Abdelhalim El-Sharrawy. Comparativestudy Between Tramadol Hydrochloride and Sodium Hyaloronatefor Management of Tempromandibular Joint Internal Derangement. Adv Surg Sci. 2015;3(3):19-26. doi: 10.11648/j.ass.20150303.11

Copy | Download

@article{10.11648/j.ass.20150303.11,
  author = {Yasser Mohammed El-Gerby and Mohammed Ahmed El-Sholkamy and Eman Abdelhalim El-Sharrawy},
  title = {Comparativestudy Between Tramadol Hydrochloride and Sodium Hyaloronatefor Management of Tempromandibular Joint Internal Derangement},
  journal = {Advances in Surgical Sciences},
  volume = {3},
  number = {3},
  pages = {19-26},
  doi = {10.11648/j.ass.20150303.11},
  url = {https://doi.org/10.11648/j.ass.20150303.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ass.20150303.11},
  abstract = {Purpose. This study was conducted to evaluate the efficacy and safety of arthrocentesis with injection of tramadol hydrochloridefor management of tempromandibular joint with internal derangement compared with traditional method with sodium hyaloronate injection.Patient&methods.The study was conducted on forty patients classified as class ASA type I with chief complain of limited mouth opening, TMJ pain, and clicking sounds in the TMJ was included in this study. All patients included in the study was selected from the outpatient clinic oforal and maxillofacial department, faculty of dentistry, Suez canal university.The selected patients were divided randomly into two equal groups,group I:consists of 20 patients where arthrocentesis was performed for the affected joint followed by intraarticular injection of one ml, commercially available tramadolhydrochloride.GroupII: consisted of 20 patients where arthrocentesis was performed for the affected joint followed by intraarticular injection of one ml. commercially available sodium hyaloronate.Evaluation of the patients was done preoperatively, after1,3,6 months postoperativelywhich includedmaximal mouth opening, pain&clicking sound presence in TMJ.Results.patients with either disc displacement with reduction or without reductionwere benefited from the arthrocentesis procedure with injection of Sodium Hyaluronate and also with tramadol hydrochloride.Both treatments were able to reduce pain levels, increase maximal mouth opening and reduce clicking withstatistically significant difference. However, arthrocentesis with injection of tramadol hydrochloride was superiorto arthrocentesiswithinjection of sodium hyaluronate in terms oftreatment of internal derangements of the temporomandibular joint.Conclusion. It has been concluded arthrocentesis is an effective conservative procedure in treatment of temporomandibular joint internal derangement,clinical efficacy of arthrocentesis with tramadolhydrochloride in the temporomandibular joint internal derangements&safty of tramadolintraarticular injection in the temporomandibular joint.},
 year = {2015}
}

Copy | Download

TY  - JOUR
T1  - Comparativestudy Between Tramadol Hydrochloride and Sodium Hyaloronatefor Management of Tempromandibular Joint Internal Derangement
AU  - Yasser Mohammed El-Gerby
AU  - Mohammed Ahmed El-Sholkamy
AU  - Eman Abdelhalim El-Sharrawy
Y1  - 2015/09/02
PY  - 2015
N1  - https://doi.org/10.11648/j.ass.20150303.11
DO  - 10.11648/j.ass.20150303.11
T2  - Advances in Surgical Sciences
JF  - Advances in Surgical Sciences
JO  - Advances in Surgical Sciences
SP  - 19
EP  - 26
PB  - Science Publishing Group
SN  - 2376-6182
UR  - https://doi.org/10.11648/j.ass.20150303.11
AB  - Purpose. This study was conducted to evaluate the efficacy and safety of arthrocentesis with injection of tramadol hydrochloridefor management of tempromandibular joint with internal derangement compared with traditional method with sodium hyaloronate injection.Patient&methods.The study was conducted on forty patients classified as class ASA type I with chief complain of limited mouth opening, TMJ pain, and clicking sounds in the TMJ was included in this study. All patients included in the study was selected from the outpatient clinic oforal and maxillofacial department, faculty of dentistry, Suez canal university.The selected patients were divided randomly into two equal groups,group I:consists of 20 patients where arthrocentesis was performed for the affected joint followed by intraarticular injection of one ml, commercially available tramadolhydrochloride.GroupII: consisted of 20 patients where arthrocentesis was performed for the affected joint followed by intraarticular injection of one ml. commercially available sodium hyaloronate.Evaluation of the patients was done preoperatively, after1,3,6 months postoperativelywhich includedmaximal mouth opening, pain&clicking sound presence in TMJ.Results.patients with either disc displacement with reduction or without reductionwere benefited from the arthrocentesis procedure with injection of Sodium Hyaluronate and also with tramadol hydrochloride.Both treatments were able to reduce pain levels, increase maximal mouth opening and reduce clicking withstatistically significant difference. However, arthrocentesis with injection of tramadol hydrochloride was superiorto arthrocentesiswithinjection of sodium hyaluronate in terms oftreatment of internal derangements of the temporomandibular joint.Conclusion. It has been concluded arthrocentesis is an effective conservative procedure in treatment of temporomandibular joint internal derangement,clinical efficacy of arthrocentesis with tramadolhydrochloride in the temporomandibular joint internal derangements&safty of tramadolintraarticular injection in the temporomandibular joint.
VL  - 3
IS  - 3
ER  -

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