A Comparative Analysis of Intra-articular Injection of Platelet-Rich Plasma and Arthrocentesis in Temporomandibular Joint Disorders

Rajput, Akash; Bansal, Vishal; Dubey, Prajesh; Kapoor, Ankit

doi:10.1007/s12663-020-01351-w

Cited by 13 publications

(23 citation statements)

References 22 publications

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“…suggested that improvement in TMJ pain was better in Arthrocentesis group whereas the improvement in lateral movement and joint sound was better in PRP group. [ 23 ]…”

Section: Discussionmentioning

confidence: 99%

Minimally invasive intraarticular platelet rich plasma injection for refractory temporomandibular joint dysfunction syndrome in comparison to arthrocentesis

Chandra

Goyal

Srivastava

2021

Journal of Family Medicine and Primary Care

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Context: Internal derangements of temporomandibular joint (TMJ) with associated symptoms which do not respond to conservative therapies are refractory cases of temporomandibular joint dysfunction syndrome (TMD). Minimally invasive techniques like arthrocentesis and platelet rich plasma (PRP) injections are usually employed to improve TMJ symptoms and function in these cases. Aims: To compare PRP with arthrocentesis for evaluating the effectiveness of PRP in relieving symptoms of refractory TMJ pain dysfunction syndrome. Setting and Design: A clinical study was carried out on 52 patients of refractory Temporomandibular joint dysfunction syndrome. The patients were divided in two groups that is Group A - test group and Group B -control Group. Methods and Material: Group A consisted of 26 patients who underwent intraarticular PRP injection in TMJ and Arthrocentesis of TMJ was done in 26 patients of Group B. TMJ pain, Maximium Interincisal opening and TMJ clicking were assessed among the group as well as between the groups over a period of 6 months. Statistical Analysis Used: Repeated Measure ANOVA was used to compare the parameters within the groups and T test was used for group comparison at 0.05 level of significance. Result: There was statistically significant difference in pain intensity improvement 1 ± 0.75 versus 3.17 ± 2.13, maximum interincisal opening 39.86 ± 2.86 versus 37.59 ± 4.03 and clicking 6 versus 16 between the PRP group and arthrocentesis group at P < 0.05. Conclusions: Intraarticular PRP injection for the management of refractory TMD is more effective than arthrocentesis in reducing symptoms and functional improvement.

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“…suggested that improvement in TMJ pain was better in Arthrocentesis group whereas the improvement in lateral movement and joint sound was better in PRP group. [ 23 ]…”

Section: Discussionmentioning

confidence: 99%

Minimally invasive intraarticular platelet rich plasma injection for refractory temporomandibular joint dysfunction syndrome in comparison to arthrocentesis

Chandra

Goyal

Srivastava

2021

Journal of Family Medicine and Primary Care

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“…This was a quasi-experimental study carried out from January 2017 to June 2019. Sample was estimated using G*power calculator that a total of 42 patients would be required for the detection of a difference between groups using a two-tailed α of 0.05 and a power of 0.80, while the means for two groups as reported in Rajput et al 3 , was as follow: mean and SD for group I = 39.2 ± 6.2, mean and SD for group II = 42.5 ± 8.1.…”

Section: Methodsmentioning

confidence: 99%

“…Temporomandibular joint dysfunction (TMD) is an acute or chronic non-odontogenic pain of the orofacial region 1 . It is one of the most commonly presenting chronic orofacial pains, more frequently occurring in females 2,3 . It is a multifactorial condition characterized by debilitating muscular and joint pain, clicking sounds, limited mouth opening and functional limitations of the jaw 1,3,4 .…”

Section: Introductionmentioning

confidence: 99%

“…Conservative treatment modalities are the first line treatment and surgical intervention is indicated only in patients not responding to them 1 . Surgical interventions range from minimally invasive procedures like arthrocentesis, arthroscopy and intra-articular injections of platelet rich plasma to complex open joint surgical procedures 3,4,5 .…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Arthrocentesis Plus Platelet Rich Plasma With Arthrocentesis Alone in the Treatment of Temporomandibular Joint Dysfunction

Sarwar

Shah

Khan

et al. 2021

PAFMJ

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Objective: To evaluate the role of combination therapy of platelet rich plasma (PRP) with arthrocentesis and to compare it with arthrocentesis alone in the temporomandibular dysfuction (TMD) patients.Study Design: Quasi experimental study.Place and Duration of Study: Oral and Maxillofacial Surgery department, Armed Forces Institute of Dentistry, Combined Military Hospital Rawalpindi, from Jan 2017 to Jun 2019.Methodology: Forty-two patients diagnosed with refractory unilateral temporomandibular dysfuction, were included in the study. Patients were divided in two groups with 21 temporomandibular joints in each. Arthrocentesis alone was the control group (group I) and arthrocentesis with intra-articular injection of platelet rich plasma (group II) was the study group. Treatment outcomes were assessed and compared for all patients based on clinical parameters of pre and post treatment; for pain, maximal mouth opening and temporomandibular joint clicking sounds. Results: Out of 42 patients, 33 (79%) were females and 9 (21%) were males with mean age of 34.3 ± 8.4 years. There was statistically significant difference in both groups for all variables. The p-value of maximum mouth opening of both groups before and after treatment was 0.746 and 0.01, joint clicking sounds were present in 69% of our patients before the treament and it reduced to 14% after the treatment. There was marked gradual decrease in pain of both groups, group I (6.48 ± 1.470 to 1.81 ± 0.602) and group II (7.29 ± 1.007 to 1.19 ± 0.402). Conclusion: Combination therapy of platelet rich plasma with arthrocentesis is more effective treatment method than.......

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“…As demonstrated in this review, there are ample studies describing the long-term analgesic effects of all PCs (PRP, PRGF, PRF and CGF) (Table 4) (8,19,(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43), despite the absence of standardization in preparation protocols (especially for PRP) (Table 5). Although the dose (i.e., volume) per articulation and frequency of injections are not clear, it appears that multiple injections are superior to single injections, and that concomitant arthroscopic disc repositioning improve long-term analgesia and regenerative potential (8,18,40).…”

Section: Mechanisms Of Action and Clinical Outcomes For Tmj Oamentioning

confidence: 99%

Temporomandibular joint biosupplementation using platelet concentrates: a narrative review

Herrera-Vizcaíno¹,

Albilia²

2021

Front Oral Maxillofac Med

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The study aims to identify the latest treatment protocols implementing platelet concentrates (PCs) to treat temporomandibular joint internal derangement (TMJ-ID) alone or in combination with arthroscopy/arthrocentesis.Background: Biosupplementation to treat TMJ-ID refers to the injection of an autologous product which possesses biological activity in the synovial joint, insofar as modulation of the inflammatory process, and can set the stage for tissue repair and/or tissue regeneration. PCs are increasingly used and tested, as an easily accessible biosupplement, for TMJ-ID.Methods: A systematic approach was used to perform the literature search. The study involves a presentation of recent data and a general discussion in the form of a narrative review regarding the biological characteristics and preparation protocols of PCs, the treatment protocols for TMJ-ID and clinical outcomes. Conclusions:The PCs described in the literature to treat TMJ-ID are platelet rich plasma (PRP), plasma rich in growth factors (PRGF), platelet-rich fibrin (PRF) and concentrated growth factors (CGF). All studies reported PCs as a beneficial therapeutic for TMJ-ID, in terms of arthralgia, joint noises and mandibular range of motion. Despite the biological differences among the various PCs, there exists similarities that could explain the reported benefits. The authors recommend clinicians the implementation of the acronym AR2T3 to standardize the reporting of PC preparations in future studies. Our findings suggest that non-surgical treatment through biosupplementation using PCs provides an alternative therapy or adjunct for painful TMJ-ID. The reduction in pain and dysfunction may avoid the need for TMJ surgery.

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A Comparative Analysis of Intra-articular Injection of Platelet-Rich Plasma and Arthrocentesis in Temporomandibular Joint Disorders

Cited by 13 publications

References 22 publications

Minimally invasive intraarticular platelet rich plasma injection for refractory temporomandibular joint dysfunction syndrome in comparison to arthrocentesis

Minimally invasive intraarticular platelet rich plasma injection for refractory temporomandibular joint dysfunction syndrome in comparison to arthrocentesis

Comparison of Arthrocentesis Plus Platelet Rich Plasma With Arthrocentesis Alone in the Treatment of Temporomandibular Joint Dysfunction

Temporomandibular joint biosupplementation using platelet concentrates: a narrative review

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