Evidence map›Paper›PMID 30154944›Full record

ArticlePain research & management2018

Effectiveness of Sequential Viscosupplementation in Temporomandibular Joint Internal Derangements and Symptomatology: A Case Series.

Roberta Maria Drumond Furtado Bossi Fonseca, Eduardo Januzzi, Luciano Ambrosio Ferreira, Eduardo Grossmann, Antonio Carlos Pires Carvalho, Pedro Gonçalves de Oliveira, Érica Leandro Marciano Vieira, Antônio Lúcio Teixeira, Camila Megale Almeida-Leite

Abstract read
In one paragraph

Article in Pain research & management, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Roberta Maria Drumond Furtado Bossi FonsecaPrograma de Pós-Graduação em Patologia, Faculdade de Medicina, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil.
Eduardo JanuzziFaculdade Ciodonto, Sete Lagoas, MG, Brazil.
Luciano Ambrosio FerreiraDepartamento de Radiologia, Faculdade de Medicina, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.ORCID 0000-0002-7965-6787
Eduardo GrossmannDepartamento de Ciências Morfológicas, Instituto de Ciências Básicas da Saúde, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
Antonio Carlos Pires CarvalhoDepartamento de Radiologia, Faculdade de Medicina, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.ORCID 0000-0003-2447-7607
Pedro Gonçalves de OliveiraFaculdade de Farmácia, Universidade Anhembi Morumbi, São Paulo, SP, Brazil.
Érica Leandro Marciano VieiraDepartamento de Clínica Médica, Faculdade de Medicina, UFMG, Belo Horizonte, MG, Brazil.ORCID 0000-0002-4147-5614
Antônio Lúcio TeixeiraDepartamento de Clínica Médica, Faculdade de Medicina, UFMG, Belo Horizonte, MG, Brazil.ORCID 0000-0002-9621-5422
Camila Megale Almeida-LeitePrograma de Pós-Graduação em Patologia, Faculdade de Medicina, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil.ORCID 0000-0003-2694-8521

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Viscosupplementation is a minimally invasive technique that replaces synovial fluid by intra-articular injection of hyaluronic acid (HA). Although effective in some joints, there is not conclusive evidence regarding temporomandibular disorders. This case series described the efficacy of a viscosupplementation protocol in intra-articular temporomandibular disorders. Ten patients with a diagnosis of disc displacement and/or osteoarthritis by Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) were submitted to four monthly injections of low or medium molecular weight HA. Pain, mandibular function, image analysis by tomography and magnetic resonance, and quality of life were assessed at baseline and follow-ups (1 and 6 months). Pain, jaw range-of-motion, mandibular function, and quality of life improved at follow-up evaluations. Osteoarthritis changes decreased, and 20% of patients improved mandibular head excursion after treatment. Resolution of effusion and improvement in disc morphology were observed for most patients. This viscosupplementation protocol reduced pain and symptoms associated with internal derangement of temporomandibular joint, improved quality of life, and showed benefits from both low and medium molecular weight HA in alternate cycles.

Indexed as

AdultAgedFemaleFollow-Up StudiesHumansHyaluronic AcidInjections, Intra-ArticularMagnetic Resonance AngiographyMagnetic Resonance ImagingMaleMiddle AgedOsteoarthritisPain ManagementSeverity of Illness IndexTemporomandibular Joint DisordersViscosupplementationHyaluronic AcidViscosupplements

Identifiers

PMID30154944
PMCPMC6091395

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.