Arthrocentesis followed by intra-articular autologous blood injection for the treatment of recurrent temporomandibular joint dislocation

Bayoumi, Amr; Al-Sebaei, Maisa O; Mohamed, Khaled; Alyamani, Ahmed; Makrami, Ali

doi:10.1016/j.ijom.2014.05.004

Cited by 26 publications

(25 citation statements)

References 12 publications

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“…Most of the patients generally reported pain and swelling which were controlled by postoperative medications and relieved within the first week. These results were in agreement with Bayoumi et al (38).…”

Section: Discussionsupporting

confidence: 94%

Comparative Study Between 2 Types of Prolotherapy in Treatment of Chronic Recurrent Temporomandibular Joint Dislocation

Khamis

Osman

Mohamed

2019

Alexandria Dental Journal

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INTRODUCTION:Temporomandibular Joint (TMJ) dislocation when condyles travel anterior to articular eminence. It may be reducible or irreducible. Chronic recurrent TMJ dislocation was treated by surgical and nonsurgical methods. Minimally invasive methods include injection of sclerosing agents intra-articular and extra-capsular or botulinum toxin to the surrounding muscles. Prolotherapy is a method of strengthening lax ligaments by injecting various types of sclerosing or proliferant solutions such as ethanolamine oleate 5%, autologus blood and others. It is also known as "ligament sclerotherapy" or "regenerative injection therapy" OBJECTIVES: the study aimed to compare 2 types of prolotherapy (autologous blood & ethanolamine Oleate sclerosing agent) injection in treatment of chronic recurrent temporomandibular joint dislocation. . Thirty patients with chronic recurrent temporomandibular joint dislocation were chosen with certain inclusion and exclusion criteria. Fifteen participants were injected with ethanolamine oleate compared with fifteen patients were injected with autologous blood and were followed-up for six months. The participated patients were assessed at the pre-and post-treatment stages by evaluating pain and mandibular range of motion clinically and radiographically using Magnatic Resonance Imaging (MRI) to evaluate condyle-articular eminence relation in opening and closing mouth. RESULTS: There was no significant difference between both prolotherapies in treating chronic recurrent temporomandibular joint dislocation. CONCLUSIONS: Ethanolamine oleate and autologus blood injection are simple, safe and cost-effective treatment for management of chronic recurrent temporomandibular joint dislocation.

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Section: Discussionsupporting

confidence: 94%

Comparative Study Between 2 Types of Prolotherapy in Treatment of Chronic Recurrent Temporomandibular Joint Dislocation

Khamis

Osman

Mohamed

2019

Alexandria Dental Journal

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“…A new approach is different from surgery and is assisted with platelet rich plasma (PRP). Recent data indicate that PRP injection into the ligaments supports connective tissue [2,3]. TMJ surgery is complicated and also has many risks.…”

Section: Introductionmentioning

confidence: 99%

Bilateral platelet rich plasma injections with assisted techniques for temporomandibular joint disorders

Simşek

2016

Eur Res J

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Objectives. Temporomandibular joint (TMJ) disorders are frequently encountered in the population. Pain is the most common complaint. TMJ luxation needs surgical treatment which has many risks. The objective of this study was to treat TMJ disorders with a minimal invasive method, platelet rich plasma (PRP) injection, instead of surgery. Methods. The study included 7 female patients aged 15 to 42 years. Three ml (2 ml into the joint capsule and 1 ml into the pericapsular region) injections were applied in both sides. Two sessions of injections were planned. Three months after the last injection, a questionnaire was carried out. Results. Six of the subjects underwent two injections, and one of them underwent only one injection. Verbal analogue scale score was 7.66±1.3 before the injections, 5.33±2 after the first injection, and 3.33±1.2 after the second injection. Pain decreased significantly after the first and more significantly after the second injection (p=0.017 and p<0.001, respectively). The mean total satisfaction rate was two at the first step (p>0.05) and four at the second step (p=0.017). Conclusions. Findings of our study indicate that PRP may be a useful technique for treatment of TMJ subluxations. The significant reduction in pain after either one or two injections suggests that it might be reasonable to investigate the efficacy and safety of this technique in larger study populations.Eur Res J 2016;2(1):42-45

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“…There are different treatments modalities have been documented for treatment of TMJ hypermobility. One of these methods is the injection of autologous blood into TMJ (18) . The authors of the current study believe that the use of autologous blood has many disadvantages.…”

Section: Discussionmentioning

confidence: 99%

The Use Of Injectable Platelet Rich Fibrin In The Treatment Of Tempromandibular Joint Hypermobility

et al. 2019

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Purpose:A prospective consecutive case series study was performed during the period between December 2014 andJuly2017, aimed to evaluate the effectiveness of the use of injectable platelet rich fibrin (PRF) in the treatment of tempromandibular joint hypermobility. Patients and methods: Twelve patients suffering from TMJ hypermobility were treated by PRF intra articular injection twice with one month interval. Patients underwent clinical investigation with complete assessment of pain, frequency of dislocation, range of motion and TMJ sounds, this was preformed pretreatment then on first, third, sixth, and ninth months post treatment. Pre and post radiological CBCT was performed to assess the degree of capsular and ligamental laxity (DCLL), and the Condylar position (CP) at maximum range of motion. Results:The results of the study showed that PRF had a highly significant positive effect on the clinical signs and symptoms of TMJ hypermobility over the first 6 months post operatively, but at 9 months, the results were not sustained on the same clinical improvement level. Conclusion: The injection of PRF is an effective, minimally invasive method that could be used for treatment of TMJ hypermobility by improving capsular and ligamental integrity. Additionally, it significantly improves all signs and symptoms up to 6 months since the TMJ injection, so it is recommended to repeat the procedure yearly.

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Arthrocentesis followed by intra-articular autologous blood injection for the treatment of recurrent temporomandibular joint dislocation

Cited by 26 publications

References 12 publications

Comparative Study Between 2 Types of Prolotherapy in Treatment of Chronic Recurrent Temporomandibular Joint Dislocation

Comparative Study Between 2 Types of Prolotherapy in Treatment of Chronic Recurrent Temporomandibular Joint Dislocation

Bilateral platelet rich plasma injections with assisted techniques for temporomandibular joint disorders

The Use Of Injectable Platelet Rich Fibrin In The Treatment Of Tempromandibular Joint Hypermobility

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