Synovial Fluid Variations in Temporomandibular Joint Disorders: Peek in Past and Current Understandings: A Narrative Review
Published: November 1, 2025 | DOI: https://doi.org/10.7860/JCDR/2025/78072.21980
Sachindra Dubey, Nitin Bhola, Akash Doshi
1. Junior Resident, Department of Oral and Maxillofacial Surgery, Sharad Pawar Dental College and Hospital, Wardha, Maharashtra, India.
2. Head, Department of Oral and Maxillofacial Surgery, Sharad Pawar Dental College and Hospital, Wardha, Maharashtra, India.
3. Lecturer, Department of Oral and Maxillofacial Surgery, Sharad Pawar Dental College and Hospital, Wardha, Maharashtra, India.
Correspondence Address :
Dr. Sachindra Dubey,
Junior Resident, Department of Oral and Maxillofacial Surgery, Sharad Pawar Dental College and Hospital, Wardha-442001, Maharashtra, India.
E-mail: dubey12shachindra@gmail.com
Abstract
Synovial Fluid (SF), a critical component of Temporomandibular Joint (TMJ) function, reflects physiological and pathological changes, offering valuable insights into conditions such as inflammation and osteoarthritis. This article explores recent studies and findings on changes in SF composition in TMJ disorders, highlighting its diagnostic and therapeutic significance. By reviewing literature on inflammatory mediators, cytokines, and molecular markers like Interleukin (IL)-1b, Tumour Necrosis Factor (TNF)-a, High Mobility Group Box 1 (HMGB1), and Netrin-1, the study underscores their roles in disease progression and potential as therapeutic targets. The dual effects of Hyaluronic Acid (HA), contingent on its molecular weight, and the efficacy of pharmacological interventions such as glucosamine-chondroitin and HA are discussed. The findings provide a comprehensive understanding of TMJ pathophysiology and emphasise the need for personalised treatment strategies to improve outcomes in TMJ disorders.
Keywords
Condylar joint, Joint disorders, Joint dysfunction, Mandibular joint