Clinical outcomes of operative arthroscopy and temporomandibular medical infiltration with platelet-rich fibrin in upper and lower articular space

González, Luis Vicente; López, Juan Pablo; Díaz‐Báez, David; Orjuela, María Paula; Chávez, M.

doi:10.1016/j.jcms.2021.07.001

Cited by 7 publications

(7 citation statements)

References 25 publications

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“…They also involve the inferior space using a minimally invasive technique. However, in this regard, there are no studies that study this substance with large patient samples or clinical studies that evaluate it with control groups (González et al [ 18 ]).…”

Section: Discussionmentioning

confidence: 99%

Comparison of the Clinical Effectiveness of Intra-Articular Injection with Different Substances After TMJ Arthroscopy: A Systematic Review and Meta-Analysis

López,

Orjuela,

González

et al. 2023

J. Maxillofac. Oral Surg.

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Objective This systematic review aims to describe the clinical outcomes after TMJ arthroscopy followed by intra articular infiltration with different substances. Materials and Methods A literature search was carried out, the variables were Arthroscopy with different substances, pain and maximal mouth opening. The inclusion criteria were articles that reported infiltration of different substances after arthroscopy. Case series, observational studies, and randomized clinical trials were included. Exclusion criteria were studies that included arthrocentesis, animal studies, connective tissue disease, patients with previous surgeries. Results Of the 5 studies finally included, the population studied were 346 subjects, of which 315 were female. The mean age was 34.7 (16–77). Regarding diagnoses, Wilkes III and Wilkes IV were taken into account. The most commonly used substance was sodium hyaluronate/hyaluronic acid in 4 of the 5 studies. Conclusion Multiple substances have been infiltrated within the temporomandibular joint, with sodium hyaluronate/hyaluronic acid being the most studied. However, the benefit of substances like ATM artroscopia adyuvantes has not been clearly established. It is recommended in future studies that the substances and results be evaluated in the same way to obtain more homogeneous studies.

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Section: Discussionmentioning

confidence: 99%

Comparison of the Clinical Effectiveness of Intra-Articular Injection with Different Substances After TMJ Arthroscopy: A Systematic Review and Meta-Analysis

López,

Orjuela,

González

et al. 2023

J. Maxillofac. Oral Surg.

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“…Items that were in dispute were moved to the full-text analysis stage in order to reach an agreement. At the stage of full-text eligibility, four studies were rejected in accordance with the above PICO criteria [48][49][50][51]. The detailed reasons for these decisions are presented in Table 4.…”

Section: Study Selectionmentioning

confidence: 99%

“…The overall availability of research on the administration of I-PRF into TMJs cavities is so low that it seems justified to briefly mention reports rejected in this review [26,[48][49][50][51][52]58,60,61]. Two clinical trials are currently reported as ongoing, but their results have not yet been published [60,61].…”

Section: Rejected Reportsmentioning

confidence: 99%

“…Two clinical trials are currently reported as ongoing, but their results have not yet been published [60,61]. Another three trials with additional interventions were rejected during the selection process [48,49,51]. In the first of these trials, patients underwent additional conservative treatment (splint therapy and physiotherapy) [49].…”

Section: Rejected Reportsmentioning

confidence: 99%

“…A reduction in maximal mouth opening was achieved, despite relying on intra-articular I-PRF, the same intervention that other investigators use to increase mandibular mobility [48]. The third of the discussed reports is a retrospective evaluation of a case series in which, as a result of combining arthroscopy with intra-articular administration of liquid PRF, a decrease in the severity of articular pain by about six points on the VAS scale and an increase of more than 40% in mandibular mobility was observed during an eight-month follow-up [51]. The lack of a control group makes it impossible to assess the impact of the administration of the blood product on the complex treatment results [51].…”

Section: Rejected Reportsmentioning

confidence: 99%

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Injectable Platelet-Rich Fibrin (I-PRF) Administered to Temporomandibular Joint Cavities: A Scoping Review

Sielski¹,

Chęcińska

Chęciński³

et al. 2023

JCM

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The aim of this review was to systematically map the research on the intra-articular administration of injectable platelet-rich fibrin (I-PRF) to the temporomandibular joints (TMJs). Medical databases covered by the ACM, BASE, Google, NLM, and ResearchGate were searched on 23 February 2023. The assessment of the level of evidence was based on the Oxford Center for Evidence-Based Medicine 2011 scale. The risk of bias was assessed for randomized controlled trials with the RoB2 tool. Extracted data were tabulated, and the changes in effect values were calculated. A total of eight studies qualified, of which five trials on 213 patients were randomized and controlled (RCTs). In each of the RTC study groups, arthrocentesis was performed, and 1–2 mL per joint of I-PRF (700 rpm/3 min/60 g centrifugation) was administered. Articular pain in three months decreased to 0–25% of the initial pre-interventional values in the study and 38–50% in the control groups. Mandible mobility increased to 121–153% and 115–120% in the I-PRF groups and controls, respectively. The main limitations of the evidence were the small number of RCTs and the lack of any RCT study groups receiving I-PRF without prior arthrocentesis. In conclusion, supplementing the temporomandibular joint rinsing with I-PRF administration further relieves pain and improves mandible mobility. The lack of RCTs on the intra-articular administration of I-PRF as a stand-alone procedure encourages further research. This research received no external funding. The review protocol has not been previously published.

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Predictable arthroscopic inferior joint space injection using inverted portal technique: a novel technical note

Ramos,

Del Santo,

Barros Cavalcante

et al. 2024

British Journal of Oral and Maxillofacial Surgery

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Clinical outcomes of operative arthroscopy and temporomandibular medical infiltration with platelet-rich fibrin in upper and lower articular space

Cited by 7 publications

References 25 publications

Comparison of the Clinical Effectiveness of Intra-Articular Injection with Different Substances After TMJ Arthroscopy: A Systematic Review and Meta-Analysis

Comparison of the Clinical Effectiveness of Intra-Articular Injection with Different Substances After TMJ Arthroscopy: A Systematic Review and Meta-Analysis

Injectable Platelet-Rich Fibrin (I-PRF) Administered to Temporomandibular Joint Cavities: A Scoping Review

Predictable arthroscopic inferior joint space injection using inverted portal technique: a novel technical note

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