Effect of Infiltration in Temporomandibular Joint with Triamcinolone Acetonide for Pain Relief in Internal Derangement: Infiltration in Temporomandibular Joint with Triamcinolone Acetonide for Pain Relief

Ifra Tufail; Uzair Bin Akhtar; Ali Farooq; Salman Tariq; Sarah Zubair

doi:10.54393/pjhs.v7i8.3894

Authors

Ifra Tufail Department of Oral and Maxillofacial Surgery, Sharif Medical and Dental College, Lahore, Pakistan
Uzair Bin Akhtar Department of Oral and Maxillofacial Surgery, Sharif Medical and Dental College, Lahore, Pakistan
Ali Farooq Department of Oral and Maxillofacial Surgery, Sharif Medical and Dental College, Lahore, Pakistan
Salman Tariq Department of Clinical Operations, Tigermed Pakistan, Lahore, Pakistan
Sarah Zubair Faculty of Dental Surgery, Royal College of Surgeons of England, London, United Kingdom

DOI:

https://doi.org/10.54393/pjhs.v7i8.3894

Keywords:

Orofacial Pain, Triamcinolone Acetonide, Internal Derangement, Temporomandibular Joint, Pain Management, Intra-Articular Injection

Abstract

Orofacial pains are frequently caused by disorders of the temporomandibular joint (TMJ), which are often associated with masticatory difficulties, joint noises, and limited mouth opening. Despite the availability of several treatment options, a standardized management approach has yet to be developed. Intra-articular infiltration with Triamcinolone acetonide has been explored as a minimally invasive intervention for local symptomatic relief; clinical evidence regarding its effectiveness remains variable. Objective: To evaluate the effect of intra-articular triamcinolone acetonide injection on pain reduction in patients with TMJ internal derangement. Methods: A single-arm interventional pre–post study was performed on 71 patients with symptomatic TMJ internal derangement. Each patient received a local injection of 40mg/ml Kenacort (triamcinolone acetonide) under standard aseptic outpatient settings. The Wong-Baker FACES^® Pain Rating Scale was employed to assess pain both before and one month following the intervention. Joint. Results: Among the 71 patients who reported pre-intervention pain, the mean pain score decreased from 6.085 to 2.423, and this change was statistically significant on paired t-testing (t=17.905, p<0.001). Improved joint sounds and jaw mobility were observed along with a statistically significant decrease in pain scores (p≤0.050). Conclusion: Intra-articular triamcinolone acetonide injection demonstrated a significant reduction in TMJ-related pain for short-term relief in this outpatient cohort.

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