Citation

Fouda AA (2018) Association between Intra-Articular Corticosteroid Injection and Temporomandibular Joint Structure Changes. Int Arch Oral Maxillofac Surg 2:015. doi.org/10.23937/iaoms-2017/1710015

Copyright

© 2018 Fouda AA. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

RESEARCH ARTICLE | OPEN ACCESS DOI: 10.23937/iaoms-2017/1710015

Association between Intra-Articular Corticosteroid Injection and Temporomandibular Joint Structure Changes

Atef A Fouda*

Department of Oral and Maxillofacial Surgery, Cairo University, Giza, Egypt

Abstract

Aim

To study the short-term effect of corticosteroid injection on temporomandibular joint structures.

Materials and methods

Thirty-six female adult Wistar albino rats divided into three groups according to the number of corticosteroid injection, each group has two subgroups according to the time of scarification either after one week or two weeks after the last injection.

Results

The most affected structure of the temporomandibular joint is condylar head and temporal bone, followed by hyaline cartilage and the fibrous layer. The articular disc and retro-discal tissue are the last structure to be affected with intra-articular corticosteroid injection. Single corticosteroid injection with the recommended dose is safe.

Conclusion

Single corticosteroid injection was safe with the return of joint structures to its normal cellular structure after two weeks. Double injection with six weeks apart resulted in irreversible damage to the components of the joint. Three injections with six weeks apart resulted in massive destruction to most of the temporomandibular joint structures.