The effect of hyaluronic acid on experimental temporomandibular joint osteoarthrosis in the sheep

Purpose The purpose of this study was to test the effect of repeated injections of hyaluronic acid (HA) on the sheep model of osteoarthrotic temporomandibular joint (TMJ) disease. Materials and Methods Bilateral Osteoarthrosis (OA) was induced in the TMJs of six sheep. HA was injected into one joint...

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Veröffentlicht in:Journal of oral and maxillofacial surgery 1997-10, Vol.55 (10), p.1114-1119
Hauptverfasser: Neo, Hisashi, Ishimaru, Jun-Ichi, Kurita, Kenichi, Goss, Alastair N
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container_end_page 1119
container_issue 10
container_start_page 1114
container_title Journal of oral and maxillofacial surgery
container_volume 55
creator Neo, Hisashi
Ishimaru, Jun-Ichi
Kurita, Kenichi
Goss, Alastair N
description Purpose The purpose of this study was to test the effect of repeated injections of hyaluronic acid (HA) on the sheep model of osteoarthrotic temporomandibular joint (TMJ) disease. Materials and Methods Bilateral Osteoarthrosis (OA) was induced in the TMJs of six sheep. HA was injected into one joint on 7, 10, 14, 17, and 21 days postoperatively. Normal saline was injected into the contralateral joint. Three sheep were killed at 1 month and 3 at 3 months. The joints were removed and examined macroscopically and histologically. A special scoring system was applied following the modified Mankin's score to evaluate the histologic changes. Results The control group showed severe osteoarthrotic changes in the condyle, deviation in form from normal morphology, and marked marrow fibrosis. The HA-treated group showed less deviation from normal condylar morphology. The histologic scores at 1 month were HA 12.6, control 24.2 ( P
doi_str_mv 10.1016/S0278-2391(97)90293-7
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Materials and Methods Bilateral Osteoarthrosis (OA) was induced in the TMJs of six sheep. HA was injected into one joint on 7, 10, 14, 17, and 21 days postoperatively. Normal saline was injected into the contralateral joint. Three sheep were killed at 1 month and 3 at 3 months. The joints were removed and examined macroscopically and histologically. A special scoring system was applied following the modified Mankin's score to evaluate the histologic changes. Results The control group showed severe osteoarthrotic changes in the condyle, deviation in form from normal morphology, and marked marrow fibrosis. The HA-treated group showed less deviation from normal condylar morphology. The histologic scores at 1 month were HA 12.6, control 24.2 ( P &lt;.001), and at 3 months were HA 6.9, control 18.9 ( P &lt; .001). There was a significant difference in osteoarthrotic changes between HA-treated and control TMJs, with the HA-treated TMJs having less severe changes. Conclusion Repeated intraarticular injections of HA into a sheep TMJ with experimentally induced OA minimizes the extent of osteoarthrotic change when compared with the control joint. Thus, HA may have a role in preventing the progression of TMJ OA.</description><identifier>ISSN: 0278-2391</identifier><identifier>EISSN: 1531-5053</identifier><identifier>DOI: 10.1016/S0278-2391(97)90293-7</identifier><identifier>PMID: 9331236</identifier><identifier>CODEN: JOMSDA</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Animals ; Anti-Inflammatory Agents - therapeutic use ; Biological and medical sciences ; Cartilage, Articular - pathology ; Dentistry ; Disease Models, Animal ; Disease Progression ; Ent. Stomatology ; Hyaluronic Acid - administration &amp; dosage ; Hyaluronic Acid - therapeutic use ; Injections, Intra-Articular ; Male ; Mandibular Condyle - pathology ; Medical sciences ; Osteoarthritis - drug therapy ; Osteoarthritis - pathology ; Pharmacology. 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Materials and Methods Bilateral Osteoarthrosis (OA) was induced in the TMJs of six sheep. HA was injected into one joint on 7, 10, 14, 17, and 21 days postoperatively. Normal saline was injected into the contralateral joint. Three sheep were killed at 1 month and 3 at 3 months. The joints were removed and examined macroscopically and histologically. A special scoring system was applied following the modified Mankin's score to evaluate the histologic changes. Results The control group showed severe osteoarthrotic changes in the condyle, deviation in form from normal morphology, and marked marrow fibrosis. The HA-treated group showed less deviation from normal condylar morphology. The histologic scores at 1 month were HA 12.6, control 24.2 ( P &lt;.001), and at 3 months were HA 6.9, control 18.9 ( P &lt; .001). There was a significant difference in osteoarthrotic changes between HA-treated and control TMJs, with the HA-treated TMJs having less severe changes. Conclusion Repeated intraarticular injections of HA into a sheep TMJ with experimentally induced OA minimizes the extent of osteoarthrotic change when compared with the control joint. Thus, HA may have a role in preventing the progression of TMJ OA.</description><subject>Animals</subject><subject>Anti-Inflammatory Agents - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Cartilage, Articular - pathology</subject><subject>Dentistry</subject><subject>Disease Models, Animal</subject><subject>Disease Progression</subject><subject>Ent. Stomatology</subject><subject>Hyaluronic Acid - administration &amp; dosage</subject><subject>Hyaluronic Acid - therapeutic use</subject><subject>Injections, Intra-Articular</subject><subject>Male</subject><subject>Mandibular Condyle - pathology</subject><subject>Medical sciences</subject><subject>Osteoarthritis - drug therapy</subject><subject>Osteoarthritis - pathology</subject><subject>Pharmacology. 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Stomatology</topic><topic>Hyaluronic Acid - administration &amp; dosage</topic><topic>Hyaluronic Acid - therapeutic use</topic><topic>Injections, Intra-Articular</topic><topic>Male</topic><topic>Mandibular Condyle - pathology</topic><topic>Medical sciences</topic><topic>Osteoarthritis - drug therapy</topic><topic>Osteoarthritis - pathology</topic><topic>Pharmacology. Drug treatments</topic><topic>Primary Myelofibrosis - pathology</topic><topic>Sheep</topic><topic>Temporal Bone - pathology</topic><topic>Temporomandibular Joint Disc - pathology</topic><topic>Temporomandibular Joint Disorders - drug therapy</topic><topic>Temporomandibular Joint Disorders - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Neo, Hisashi</creatorcontrib><creatorcontrib>Ishimaru, Jun-Ichi</creatorcontrib><creatorcontrib>Kurita, Kenichi</creatorcontrib><creatorcontrib>Goss, Alastair N</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Journal of oral and maxillofacial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Neo, Hisashi</au><au>Ishimaru, Jun-Ichi</au><au>Kurita, Kenichi</au><au>Goss, Alastair N</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effect of hyaluronic acid on experimental temporomandibular joint osteoarthrosis in the sheep</atitle><jtitle>Journal of oral and maxillofacial surgery</jtitle><addtitle>J Oral Maxillofac Surg</addtitle><date>1997-10-01</date><risdate>1997</risdate><volume>55</volume><issue>10</issue><spage>1114</spage><epage>1119</epage><pages>1114-1119</pages><issn>0278-2391</issn><eissn>1531-5053</eissn><coden>JOMSDA</coden><abstract>Purpose The purpose of this study was to test the effect of repeated injections of hyaluronic acid (HA) on the sheep model of osteoarthrotic temporomandibular joint (TMJ) disease. Materials and Methods Bilateral Osteoarthrosis (OA) was induced in the TMJs of six sheep. HA was injected into one joint on 7, 10, 14, 17, and 21 days postoperatively. Normal saline was injected into the contralateral joint. Three sheep were killed at 1 month and 3 at 3 months. The joints were removed and examined macroscopically and histologically. A special scoring system was applied following the modified Mankin's score to evaluate the histologic changes. Results The control group showed severe osteoarthrotic changes in the condyle, deviation in form from normal morphology, and marked marrow fibrosis. The HA-treated group showed less deviation from normal condylar morphology. The histologic scores at 1 month were HA 12.6, control 24.2 ( P &lt;.001), and at 3 months were HA 6.9, control 18.9 ( P &lt; .001). There was a significant difference in osteoarthrotic changes between HA-treated and control TMJs, with the HA-treated TMJs having less severe changes. Conclusion Repeated intraarticular injections of HA into a sheep TMJ with experimentally induced OA minimizes the extent of osteoarthrotic change when compared with the control joint. Thus, HA may have a role in preventing the progression of TMJ OA.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>9331236</pmid><doi>10.1016/S0278-2391(97)90293-7</doi><tpages>6</tpages></addata></record>
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subjects Animals
Anti-Inflammatory Agents - therapeutic use
Biological and medical sciences
Cartilage, Articular - pathology
Dentistry
Disease Models, Animal
Disease Progression
Ent. Stomatology
Hyaluronic Acid - administration & dosage
Hyaluronic Acid - therapeutic use
Injections, Intra-Articular
Male
Mandibular Condyle - pathology
Medical sciences
Osteoarthritis - drug therapy
Osteoarthritis - pathology
Pharmacology. Drug treatments
Primary Myelofibrosis - pathology
Sheep
Temporal Bone - pathology
Temporomandibular Joint Disc - pathology
Temporomandibular Joint Disorders - drug therapy
Temporomandibular Joint Disorders - pathology
title The effect of hyaluronic acid on experimental temporomandibular joint osteoarthrosis in the sheep
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