Intralesional corticosteroid injection as an effective treatment method for oral lesions: a meta-analysis

Authors

  • Narges Gholizadeh Tehran University of Medical Sciences, School of Dentistry, Oral & Maxillofacial Medicine Department
  • Maryam-Sadat Sadrzadeh-Afshar Aja University of Medical Sciences, School of Dentistry, Oral & Maxillofacial Medicine Department https://orcid.org/0000-0001-8277-3805
  • Nafiseh Sheykhbahaei Tehran University of Medical Sciences, School of Dentistry, Oral & Maxillofacial Medicine Department

DOI:

https://doi.org/10.1590/s2175-97902019000418077

Keywords:

Intralesional corticosteroid injection, Triamcinolone, Betamethasone, Oral lesions, Oral disorders, Steroid injection

Abstract

Intralesional corticosteroid injection (ICSI) is known as one of the main methods used for treating a wide range of lesions. It also results in a high concentration of drugs at lesion sites, with minimal systemic absorption. Thus, this study aimed to provide a review of the intralesional corticosteroid injection (ICSI) indications in the treatment of oral lesions. To this end; relevant key words were searched in the databases of PubMed, Google Scholar, Scopus, ScienceDirect, and UpToDate in the present study. Accordingly, the results of a total number of 62 case reports or case series articles were used in this study and the positive therapeutic effects of intralesional corticosteroid injection (ICSI) in 23 common oral lesions were reported. The most common type of intralesional steroid in the treatment of oral lesions was triamcinolone. No significant difference was also observed in terms of pain in patients following the use of steroid alone or in combination with anesthetic agents; moreover, the reported side effects of this method were exceptionally rare and transient. It was concluded that the intralesional corticosteroid injection (ICSI) could be one of the effective therapeutic methods with no significant problems in many oral lesions such as inflammatory, immunologic, and vascular ones due to its higher therapeutic effects than other topical forms of steroids and fewer side effects than systemic corticosteroid.

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Published

2020-12-09

How to Cite

Gholizadeh, N. ., Sadrzadeh-Afshar, M.-S. ., & Sheykhbahaei, N. . (2020). Intralesional corticosteroid injection as an effective treatment method for oral lesions: a meta-analysis. Brazilian Journal of Pharmaceutical Sciences, 56, e18077. https://doi.org/10.1590/s2175-97902019000418077

Issue

Section

Review