The efficacy of intra-articular injectable platelet-rich fibrin application in the management of Wilkes stage III temporomandibular joint internal derangement

Torul, Damla; Cezairli, Burak; Kahveci, Kadircan

doi:10.1016/j.ijom.2021.03.004

Cited by 17 publications

(19 citation statements)

References 27 publications

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“…Our study was similar to Torul et al. 30 and Karadayi et al. 26 who used single injection of i-PRF in addition to arthrocentesis and observed promising results regarding postoperative pain, clicking and mouth opening.…”

Section: Discussionsupporting

confidence: 90%

“… 11 , 29 and proved neither reversal nor permanent cessation of the deterioration cycle of the derangement. 30 …”

Section: Discussionmentioning

confidence: 99%

“… 21 reported that intra-articular PRP injection was more effective than arthrocentesis. Torul et al., 30 showed that injection of i-PRF appeared to have significant long-term promising effects in the management of TMJ internal derangement which can be related to its ability to selectively enrich leukocytes, platelets, growth factors and cytokines within its liquid matrices. 1 , 18 , 19 , 33 Our results disagreed with Albilia et al.…”

Section: Discussionmentioning

confidence: 99%

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Treatment of temporomandibular joint disc displacement using arthrocentesis combined with injectable platelet rich fibrin versus arthrocentesis alone

Ghoneim

Mansour

Elmaghraby

et al. 2022

Journal of Dental Sciences

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Background/purpose Temporomandibular joint disc displacement is the most frequently reported temporomandibular disorder that may severely impair quality of life and can be challenging to treat. This study aimed to evaluate and compare the efficiency of intra-articular injection of injectable platelet rich fibrin (i-PRF) following arthrocentesis or arthrocentesis alone in treatment of patients with TMJ disc displacement with reduction. Materials and methods Forty patients for a total of forty joints with reducible anterior disc displacement, as confirmed by Magnetic Resonance Imaging (MRI) were selected and divided into 2 equal groups. In group I (control group), arthrocentesis alone was performed with Ringer solution. In group II (study group), a combination of arthrocentesis and intra-articular injection with 1.5 ml i-PRF was performed. The outcome variables included pain intensity evaluated with a visual analogue scale, inter-incisal opening, lateral movement evaluated in millimeters, and clicking. Assessments were done pre-operatively, and 1 week, 3 months, and 6 months postoperatively. Results There was statistically significant reduction in pain intensity and clicking sound and increase in mouth opening and lateral movement in i-PRF group when compared to arthrocentesis group. In addition, the differences between preoperative and postoperative status in all the measured parameters were statistically significant within the study and the control group throughout the postoperative period. Conclusion The combination of i-PRF with arthrocentesis is a safe and effective method in the treatment of TMJ disc displacement with reduction.

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Section: Discussionsupporting

confidence: 90%

“… 11 , 29 and proved neither reversal nor permanent cessation of the deterioration cycle of the derangement. 30 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Treatment of temporomandibular joint disc displacement using arthrocentesis combined with injectable platelet rich fibrin versus arthrocentesis alone

Ghoneim

Mansour

Elmaghraby

et al. 2022

Journal of Dental Sciences

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“…Karadayi et al demonstrated that in a sufficiently powered sample, the use of i-PRF alongside arthrocentesis compared to arthrocentesis alone provided significant improvements to patients with internal joint derangement utilising clinical and self-reported criteria, although there was no statistical correction for multiple comparisons. 84 This is consistent with similar prospective and retrospective research, 90,91 and in all of these instances, the i-PRF was produced to the same specification, using a DUO Process centrifuge with Food and Drug Administration (FDA)-approved S-PRF tubes, with an RCF max of 60 g, with a centrifugation speed of 700 rpm for 3 min. Thus, whilst the available trial data is slim, there is a clear rationale for future studies including i-PRF as an intervention for patients suffering with temporomandibular joint disorder or dysfunction as a means of reducing morbidity associated with the condition.…”

Section: Temporomandibular Joint Disordersupporting

confidence: 77%

What recent evidence exists to support the use of platelet‐rich fibrin in clinical dentistry? A systematic literature review

Savva

2022

Oral Surgery

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Background Platelet‐rich fibrin (PRF) is a second‐generation platelet concentrate and biomaterial with multiple applications in clinical dentistry. Recent developments in the production of PRF have resulted in several divergent protocols that could be seen to affect the reproducibility and generalisability of the available literature. Additionally, imprecise reporting on PRF production is a further confounding factor with respect to previous trial data. Aims The primary aim of this review was to assess the recent clinical trial data relating to the use of PRF, irrespective of centrifugal protocol, in clinical dentistry. Methods A systematic literature review was carried out in PubMed and the Cochrane Library databases to select English language, human clinical trials involving the use of PRF published between July 2018 and July 2021. Results The 50 included studies demonstrated an overall clinical benefit for the use of PRF in the fields of oral medicine, oral surgery and periodontology, with unclear benefits in the field of endodontology, and no clear benefit in the field of orthodontics. Only 16% of the included studies met published standards for reporting PRF production protocols, and meeting such standards should be an essential requirement for future publications. Conclusions There was little direct evidence to support one particular PRF protocol over another and this remains an area of controversy. Future research should focus on precise reporting of PRF protocols, and in areas where PRF is of known benefit, the use of different production methods should be compared to assess what, if any, clinical significance is attached to particular centrifugation protocols and tubes.

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“…Intra-articular injection therapy is a modality that is used especially in patients who cannot get favourable results with other conservative methods [ 32 ]. Steroids [ 33 ], hyaluronic acid [ 10 , 33 ], and NSAIDs [ 13 ] were injected into the joint either separately or in combination [ 10 , 33 ], and did not reverse or end the deterioration cycle of the internal derangement [ 34 ].…”

Section: Discussionmentioning

confidence: 99%

Hyaluronic Acid and Platelet-Rich Plasma Mixture Versus Hyaluronic Acid and Corticosteroid in the Treatment of Temporomandibular Joint Internal Derangement: A Comparative Randomized Study

Attia

Awad

2023

J. Maxillofac. Oral Surg.

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Objectives This study aimed to compare the effects of different intra-articular injections using a mixture of hyaluronic acid (HA) and platelet-rich plasma (PRP) versus hyaluronic acid and corticosteroid in the management of TMJ internal derangement with reduction. Materials and Methods Sixty patients were randomly divided into two equal groups. Group I was injected with hyaluronic acid and PRP, while group II was injected with hyaluronic acid and corticosteroid. Pain intensity according to the visual analogue scale, maximum inter-incisal opening (MIO), lateral movement, and joint sound were measured pre-operatively and at 1 week, 1 month, and 6 months post-operatively. Results MIO and lateral movements were improved in both groups, with a reduction in the number of patients suffering from clicking sounds along the follow-up periods with no significant difference between the studied groups. However, regarding pain, the group injected with HA and PRP achieved the best results after 6 months, while patients treated with HA and corticosteroids obtained the best results at the end of the 1st week. Conclusion Hyaluronic acid and platelet-rich plasma mixture performed better than hyaluronic acid and corticosteroid in the treatment of TMJ internal derangement with reduction at the long-term follow-up regarding pain intensity.

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The efficacy of intra-articular injectable platelet-rich fibrin application in the management of Wilkes stage III temporomandibular joint internal derangement

Cited by 17 publications

References 27 publications

Treatment of temporomandibular joint disc displacement using arthrocentesis combined with injectable platelet rich fibrin versus arthrocentesis alone

Treatment of temporomandibular joint disc displacement using arthrocentesis combined with injectable platelet rich fibrin versus arthrocentesis alone

What recent evidence exists to support the use of platelet‐rich fibrin in clinical dentistry? A systematic literature review

Hyaluronic Acid and Platelet-Rich Plasma Mixture Versus Hyaluronic Acid and Corticosteroid in the Treatment of Temporomandibular Joint Internal Derangement: A Comparative Randomized Study

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