Efficacy of ozone therapy in management of patients with internal derangement of temporomandibular joint

ABSTRACT

Internal derangements are the most frequent articular causes of temporomandibular joint dysfunction, which involve progressive slipping or displacement of the articular disc. Temporomandibular joint arthrocentesis is considered successful treatment inn TMJ internal derangements. The aim of the study was to evaluate the efficacy of ozone application in arthrocentesis of temporomandibular joints with internal derangement. Thirty patients were evaluated in this study and were presented with limited movement and pain in the TMJ. They were divided randomly into two groups group I, subjected to arthrocentesis using saline solution and group II, subjected to arthrocentesis using ozonized water. Pain levels were significantly decreased in both groups however the significant decrease in group II was reported at post-operative, after first month and one year. Maximal mouth opening for all patient in both groups were improved and the significant increase was reported in group II after first month, six months and one year postoperatively. Clinical efficacy of arthrocentesis with ozone in the temporomandibular joint internal derangements, and efficacy of ozonized water as a clinically applicable form of ozone in ozone therapy for the temporomandibular joint