INTRA-ARTICULAR INJECTION OF CORTICOSTEROIDS MIXED WITH LOCAL ANAESTHETIC FOR INTERNAL DERANGEMENT OF TEMPOROMANDIBULAR JOINT (DISC DISPLACEMENT WITHOUT REDUCTION)

Objectives: To determine the mean change in pain and mouth opening after intra-articular corticosteroid injection mixed with local anesthetic patients of temporomandibular joint internalderangement (disc displacement without reduction).Materials Methods: A Quasi-experimental study was conducted at Oral MaxillofacialSurgery Department, Armed Forces Institute Dentistry (AFID), Rawalpindi; from February2016 to December 2019. Patients either gender, aged between 16-70 years, presenting withdisc reduction were included study. Intra-articular corticosteroids administered into aff ected joint. Pin using a Visualanalog scale (VAS) maximum (MMO)using vernier caliper measuredin every patient before one week injection. Data entered thestatistical package for social sciences (SPSS) version 22 analysis.Results: total 107 age 30.5 ±6.92 years(range 17 42 years). The pre-injection VAS score 6.29±1.06 which decreasedsignifi cantly 3.46±1.07at following (p=<0.001) decreaseof 2.83±1.03. This improvement signifi cant across all age, educational occupational groups. MMO 28.76±4.20 whichincreased 38.89±3.88at meanincrease 10.0±3.33.