Comparison of NSAIDs and Corticosteroids for Temporomandibular Disorder
Study Overview
This study investigates the effectiveness of NSAIDs versus corticosteroid injections for treating Temporomandibular Disorder (TMD) caused by disc displacement without reduction. TMD can affect the joint and surrounding muscles, and its prevalence varies widely. The trial was conducted at Faisalabad Medical University in Pakistan over one year.
Methods Used
Participants diagnosed with TMD due to disc displacement were divided into two groups:
- Group 1: Received a single injection of Triamcinolone acetonide every three weeks.
- Group 2: Took Naproxen (550 mg) twice daily for three weeks.
Pain levels and mouth opening were measured before and after the treatment period.
Key Findings
A total of 80 patients participated in the study, with a majority being female. After three weeks:
- Pain Reduction: Group 1 reported a mean pain score of 4.18, while Group 2 had a lower score of 2.65.
- Mouth Opening Improvement: Group 1 improved to an average of 34.93 mm, compared to 32.28 mm in Group 2.
Both results showed that corticosteroid injections were significantly more effective than NSAIDs.
Conclusion
Corticosteroid injections are more effective than NSAIDs for pain relief and improving mouth opening in TMD patients.
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