Evaluation of optimal dose of intra-articular injection of Triamcinolone in treatment of tempromandibular joint arthritis in Rat

Introduction: 20-30% of adult population has experiences of temporomandibular joint (TMJ) disorders. Primary step for reduction of pain and joint dysfunction is nonsurgical treatments like Intra-articular injection of glucocorticosteroid. The aim of this investigation was to determine optimal dose o...

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Main Author: A Peymani
Format: Article
Language:fas
Published: Isfahan University of Medical Sciences 2009-01-01
Series:مجله دانشکده دندانپزشکی اصفهان
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Online Access:http://jids.mui.ac.ir/index.php/jids/article/view/140
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author A Peymani
author_facet A Peymani
author_sort A Peymani
collection DOAJ
description Introduction: 20-30% of adult population has experiences of temporomandibular joint (TMJ) disorders. Primary step for reduction of pain and joint dysfunction is nonsurgical treatments like Intra-articular injection of glucocorticosteroid. The aim of this investigation was to determine optimal dose of triamcinolone injection in treatment of arthritis in order to control its side effects. Methods and Materials: In this experimental animal study, after the sedation of 25 rats, experimental chronic inflammation induced by injection of Complete Freund's Adjuvant (CFA) in left TMJ of all 5 groups. After 7 days, injection of Triamcinolone acetonide performed differently in five groups: Group A. 0.1 mg/kg; Group B. 0.2 mg/kg; Group C. 0.5 mg/kg; Group D. 1 mg/kg; and group E. only equivalent volume of normal saline. After 10 days, rats were sacrificed and according to modified Gynther system, three factors of inflammatory cells infiltration, vascularity and number of synovial cell layers were evaluated and got scored. Results: All the groups with injection of Triamcinolone acetonide showed lower scores but only differences in vascularity and number of synovial cells in group B were statistically significant and in addition group B showed more predictable results than other groups in every three factors. Conclusion: We suggest that the best dose of intra-articular injection of Triamcinolone acetonide in rat TMJ is 0.2 mg/kg which caused the most reasonable therapeutic results. So evaluating the optimal dose for human joint leads to achieve the best results with the least side effects is recommended.Key words: TMJ arthritis, intra-articular injection, Triamcinolone acetonide, rat
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spelling doaj.art-9392aaccb5114ed680cf2164c2dee2192023-08-02T00:07:53ZfasIsfahan University of Medical Sciencesمجله دانشکده دندانپزشکی اصفهان1735-255X2008-69892009-01-0144192198Evaluation of optimal dose of intra-articular injection of Triamcinolone in treatment of tempromandibular joint arthritis in RatA PeymaniIntroduction: 20-30% of adult population has experiences of temporomandibular joint (TMJ) disorders. Primary step for reduction of pain and joint dysfunction is nonsurgical treatments like Intra-articular injection of glucocorticosteroid. The aim of this investigation was to determine optimal dose of triamcinolone injection in treatment of arthritis in order to control its side effects. Methods and Materials: In this experimental animal study, after the sedation of 25 rats, experimental chronic inflammation induced by injection of Complete Freund's Adjuvant (CFA) in left TMJ of all 5 groups. After 7 days, injection of Triamcinolone acetonide performed differently in five groups: Group A. 0.1 mg/kg; Group B. 0.2 mg/kg; Group C. 0.5 mg/kg; Group D. 1 mg/kg; and group E. only equivalent volume of normal saline. After 10 days, rats were sacrificed and according to modified Gynther system, three factors of inflammatory cells infiltration, vascularity and number of synovial cell layers were evaluated and got scored. Results: All the groups with injection of Triamcinolone acetonide showed lower scores but only differences in vascularity and number of synovial cells in group B were statistically significant and in addition group B showed more predictable results than other groups in every three factors. Conclusion: We suggest that the best dose of intra-articular injection of Triamcinolone acetonide in rat TMJ is 0.2 mg/kg which caused the most reasonable therapeutic results. So evaluating the optimal dose for human joint leads to achieve the best results with the least side effects is recommended.Key words: TMJ arthritis, intra-articular injection, Triamcinolone acetonide, rathttp://jids.mui.ac.ir/index.php/jids/article/view/140Key words: TMJ arthritisintra-articular injectionTriamcinolone acetoniderat
spellingShingle A Peymani
Evaluation of optimal dose of intra-articular injection of Triamcinolone in treatment of tempromandibular joint arthritis in Rat
مجله دانشکده دندانپزشکی اصفهان
Key words: TMJ arthritis
intra-articular injection
Triamcinolone acetonide
rat
title Evaluation of optimal dose of intra-articular injection of Triamcinolone in treatment of tempromandibular joint arthritis in Rat
title_full Evaluation of optimal dose of intra-articular injection of Triamcinolone in treatment of tempromandibular joint arthritis in Rat
title_fullStr Evaluation of optimal dose of intra-articular injection of Triamcinolone in treatment of tempromandibular joint arthritis in Rat
title_full_unstemmed Evaluation of optimal dose of intra-articular injection of Triamcinolone in treatment of tempromandibular joint arthritis in Rat
title_short Evaluation of optimal dose of intra-articular injection of Triamcinolone in treatment of tempromandibular joint arthritis in Rat
title_sort evaluation of optimal dose of intra articular injection of triamcinolone in treatment of tempromandibular joint arthritis in rat
topic Key words: TMJ arthritis
intra-articular injection
Triamcinolone acetonide
rat
url http://jids.mui.ac.ir/index.php/jids/article/view/140
work_keys_str_mv AT apeymani evaluationofoptimaldoseofintraarticularinjectionoftriamcinoloneintreatmentoftempromandibularjointarthritisinrat