Arthrocentesis with or without Platelet Rich Plasma (PRP) in Management of Tempromandibular Joint Internal Derangement: Comparative Study

Combined Platelet-Rich Plasma and Hyaluronic Acid can Reduce Pain in Patients Undergoing Arthrocentesis for Temporomandibular Joint Osteoarthritis

“…It is worth mentioning that the literature reveals controversy regarding the superiority between HA and PRP injection for treating TMJ-OA. 2,[6][7][8][9]13,14 In a recent study by Yuce et al, the efficacy of arthrocentesis with intra-articular injection of HA and plateletrich fibrin for treating internal derangement was assessed and compared. 1 A total of 69 patients were followed until 12 months post-treatment.…”

“…2,8,9 A total of 30 patients were enrolled in the present study, which was similar to the sample size of Kilic et al study and smaller than studies conducted by Giraddi et al, Yousef et al, Marzook et al, Rajput et al, and Hanci et al 7,13,16,25,29,30 In the present study, outcome variables were evaluated prior to treatment and at 1 and 6 months post-treatment. These time intervals were also selected for clinical evaluation in studies by Giraddi et al, Kilic et al, Hassan et al, Hegab et al, and Singh et al [5][6][7]9,14,29,31 Each treatment group demonstrated significant changes in pain intensity values and MMO measurements from baseline till 1 and 6 months postoperatively. However, no significant changes emerged between the 2 postoperative intervals.…”

“…1,2,[4][5][6][7]11,12 Arthrocentesis and lavage of the TMJ, intrajoint injection of medications, arthroscopy, and finally open joint surgery all serve as potential treatment options. 1,2,[4][5][6][7]9,[11][12][13][14][15] Intra-articular injection of hyaluronic acid (HA) and corticosteroids has proven efficacious in relieving TMJ pain. 5,6,16 Since the effectiveness of arthrocentesis alone is temporary, it does not rehabilitate the microarchitecture of the TMJ.…”

“…They suggest that future studies investigate the efficacy of PRP+HA injections for treating TMJ-OA. 9 Considering the controversial results regarding whether intra-articular injection of PRP or HA exhibits better clinical outcomes, 2,[6][7][8][9]13,14 and due to the fact that recent clinical trials advocate only single session intrajoint injections, 2,8,9 the authors decided to design and conduct this study to determine which treatment protocol is more advantageous and should be favored over the others.…”

From Diagnosis to Recovery:the Latest Innovations in Internal Derangement Management

“…The mandible must be observed when the mouth is opened to diagnose disc derangement with a reduction [12]. When the jaw opens more than 10 millimeters, the disc pops backward over the condyle, causing a click or pop to be heard or felt [13].…”