Orally Administered NSAIDs—General Characteristics and Usage in the Treatment of Temporomandibular Joint Osteoarthritis—A Narrative Review

<i>Background</i>: Temporomandibular joint osteoarthritis (TMJ OA) is a degenerative joint disease. The aim of this review was to present the general characteristics of orally administered nonsteroidal anti-inflammatory drugs (NSAIDs) and to present the efficacy of NSAIDs in the treatmen...

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Main Authors: Marcin Derwich, Maria Mitus-Kenig, Elzbieta Pawlowska
Format: Article
Language:English
Published: MDPI AG 2021-03-01
Series:Pharmaceuticals
Subjects:
Online Access:https://www.mdpi.com/1424-8247/14/3/219
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author Marcin Derwich
Maria Mitus-Kenig
Elzbieta Pawlowska
author_facet Marcin Derwich
Maria Mitus-Kenig
Elzbieta Pawlowska
author_sort Marcin Derwich
collection DOAJ
description <i>Background</i>: Temporomandibular joint osteoarthritis (TMJ OA) is a degenerative joint disease. The aim of this review was to present the general characteristics of orally administered nonsteroidal anti-inflammatory drugs (NSAIDs) and to present the efficacy of NSAIDs in the treatment of TMJ OA. <i>Methods</i>: PubMed database was analyzed with the keywords: “(temporomandibular joint) AND ((disorders) OR (osteoarthritis) AND (treatment)) AND (nonsteroidal anti-inflammatory drug)”. After screening of 180 results, 6 studies have been included in this narrative review. <i>Results and Conclusions</i>: Nonsteroidal anti-inflammatory drugs are one of the most commonly used drugs for alleviation of pain localized in the orofacial area. The majority of articles predominantly examined and described diclofenac sodium in the treatment of pain in the course of TMJ OA. Because of the limited number of randomized studies evaluating the efficacy of NSAIDs in the treatment of TMJ OA, as well as high heterogeneity of published researches, it seems impossible to draw up unequivocal recommendations for the usage of NSAIDs in the treatment of TMJ OA. However, it is highly recommended to use the lowest effective dose of NSAIDs for the shortest possible time. Moreover, in patients with increased risk of gastrointestinal complications, supplementary gastroprotective agents should be prescribed.
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spelling doaj.art-503d42c8a2ed44f585549b619ded81312023-12-03T12:44:43ZengMDPI AGPharmaceuticals1424-82472021-03-0114321910.3390/ph14030219Orally Administered NSAIDs—General Characteristics and Usage in the Treatment of Temporomandibular Joint Osteoarthritis—A Narrative ReviewMarcin Derwich0Maria Mitus-Kenig1Elzbieta Pawlowska2ORTODENT, Specialist Orthodontic Private Practice in Grudziadz, 86-300 Grudziadz, PolandDepartment of Experimental Dentistry and Prophylaxis, Medical College, Jagiellonian University in Krakow, 31-008 Krakow, PolandDepartment of Orthodontics, Medical University of Lodz, 90-419 Lodz, Poland<i>Background</i>: Temporomandibular joint osteoarthritis (TMJ OA) is a degenerative joint disease. The aim of this review was to present the general characteristics of orally administered nonsteroidal anti-inflammatory drugs (NSAIDs) and to present the efficacy of NSAIDs in the treatment of TMJ OA. <i>Methods</i>: PubMed database was analyzed with the keywords: “(temporomandibular joint) AND ((disorders) OR (osteoarthritis) AND (treatment)) AND (nonsteroidal anti-inflammatory drug)”. After screening of 180 results, 6 studies have been included in this narrative review. <i>Results and Conclusions</i>: Nonsteroidal anti-inflammatory drugs are one of the most commonly used drugs for alleviation of pain localized in the orofacial area. The majority of articles predominantly examined and described diclofenac sodium in the treatment of pain in the course of TMJ OA. Because of the limited number of randomized studies evaluating the efficacy of NSAIDs in the treatment of TMJ OA, as well as high heterogeneity of published researches, it seems impossible to draw up unequivocal recommendations for the usage of NSAIDs in the treatment of TMJ OA. However, it is highly recommended to use the lowest effective dose of NSAIDs for the shortest possible time. Moreover, in patients with increased risk of gastrointestinal complications, supplementary gastroprotective agents should be prescribed.https://www.mdpi.com/1424-8247/14/3/219temporomandibular joint osteoarthritisNSAIDtreatment of temporomandibular joint disorders
spellingShingle Marcin Derwich
Maria Mitus-Kenig
Elzbieta Pawlowska
Orally Administered NSAIDs—General Characteristics and Usage in the Treatment of Temporomandibular Joint Osteoarthritis—A Narrative Review
Pharmaceuticals
temporomandibular joint osteoarthritis
NSAID
treatment of temporomandibular joint disorders
title Orally Administered NSAIDs—General Characteristics and Usage in the Treatment of Temporomandibular Joint Osteoarthritis—A Narrative Review
title_full Orally Administered NSAIDs—General Characteristics and Usage in the Treatment of Temporomandibular Joint Osteoarthritis—A Narrative Review
title_fullStr Orally Administered NSAIDs—General Characteristics and Usage in the Treatment of Temporomandibular Joint Osteoarthritis—A Narrative Review
title_full_unstemmed Orally Administered NSAIDs—General Characteristics and Usage in the Treatment of Temporomandibular Joint Osteoarthritis—A Narrative Review
title_short Orally Administered NSAIDs—General Characteristics and Usage in the Treatment of Temporomandibular Joint Osteoarthritis—A Narrative Review
title_sort orally administered nsaids general characteristics and usage in the treatment of temporomandibular joint osteoarthritis a narrative review
topic temporomandibular joint osteoarthritis
NSAID
treatment of temporomandibular joint disorders
url https://www.mdpi.com/1424-8247/14/3/219
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AT mariamituskenig orallyadministerednsaidsgeneralcharacteristicsandusageinthetreatmentoftemporomandibularjointosteoarthritisanarrativereview
AT elzbietapawlowska orallyadministerednsaidsgeneralcharacteristicsandusageinthetreatmentoftemporomandibularjointosteoarthritisanarrativereview