Inyecciones Intraarticulares de Ácido Hialurónico como Alternativa a los Corticoesteroides enel Tratamiento de la Osteoartritis de la Articulación TémporomandibularEstudio de Revisión Sistemática

  1. Saray Fernández-Hernández 1
  2. Lorena Brenes-Ortega 1
  3. David Chávarri-Prado 2
  4. Felipe José Fernández-González 3
  5. Esteban Pérez-Pevida 4
  6. Antonio Jiménez-Garrudo 5
  7. Aritza Brizuela-Velasco 6
  1. 1 Universidad de Oviedo Facultad de Medicina y Ciencias de la Salud
  2. 2 Universidad del País Vasco Departamento de Estomatología I
  3. 3 Universidad de Oviedo Facultad de Medicina y Ciencias de la Salud Departamento de Ortodoncia y Ortopedia Dentofacial
  4. 4 Universidad Autónoma de Chile Facultad de Ciencias de la Salud
  5. 5 Universidad de Zaragoza Facultad de Ciencias de la Salud y el Deporte Departamento de Cirugía, Ginecología y Obstetricia
  6. 6 Universidad de Salamanca Facultad de Medicina Departamento de Cirugía
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Journal:
International Journal of Odontostomatology

ISSN: 0718-381X,  0718-3801

Year of publication: 2017

Volume: 11

Issue: 2

Pages: 157-164

Type: Article

DOI: 10.4067/S0718-381X2017000200007 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: International Journal of Odontostomatology

Abstract

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.

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