[Different types of injection in temporomandibular disorders (TMD) treatment].

Abstract

INTRODUCTION:

Intramuscular injections of botulinum toxin of type A (BoNTA) can release tension from masticatory and cervical muscles. Intra-articular injections relieve pain and sometimes diminish joint clicking and locking that occur during mouth opening.

METHODS:

Intramuscular injection of BoNTA is performed in our department since 2002. Injected muscles are masseter and temporal muscles. Later on, intra-articular injections of sodium hyaluronate were added, followed on a later stage by intra-articular injections of BoNTA for patients presenting with pain higher than 5/10 on an analogic visual scale.

RESULTS:

Eighty-five percent of the patients treated with intramuscular BoNTA injection improved. Total or partial pain relief was obtained in 95 % of the patients after intra-articular sodium hyaluronate injections. Seventy-six percent of the 56 patients treated by mean of intra-articular BoNTA injections improved, sometimes with a complete pain relief.

DISCUSSION:

These different techniques allow for good results, even if they do not represent a revolution in the treatment of temporomandibular disorders. In the hands of experienced practitioners, they have a low morbidity, are well accepted and are cost-effective.

• Authors: D Batifol
• Journal: Revue de stomatologie, de chirurgie maxillo-faciale et de chirurgie orale (Rev Stomatol Chir Maxillofac Chir Orale) Vol. 117 Issue 4 Pg. 256-8 (Sep 2016) ISSN: 2213-6541 [Electronic] France
• Vernacular Title: Les différents types d'injection pour traiter les dysfonctions de l'articulation temporomandibulaire.
• PMID: 27561987 (Publication Type: Journal Article)
• Copyright: Copyright © 2016. Published by Elsevier Masson SAS.

Chemical References

• Hyaluronic Acid
• Botulinum Toxins, Type A

Topics

• Adult
• Botulinum Toxins, Type A (administration & dosage, adverse effects)
• Child
• Dose-Response Relationship, Drug
• Humans
• Hyaluronic Acid (administration & dosage)
• Injections, Intra-Articular (adverse effects, methods)
• Masseter Muscle (drug effects, pathology)
• Pain Measurement
• Temporal Muscle (drug effects, pathology)
• Temporomandibular Joint Disorders (drug therapy)
• Treatment Outcome