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The Efficacy of Platelets Rich Plasma Injection in the Superior Joint Space of the Tempromandibular Joint Guided by Ultra Sound in Patients with Non-reducing Disk Displacement

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Abstract

Objective

The objective of this study was to determine average improvement during the rest and active mouth opening after ultrasound guided platelets rich plasma injection in the tempromandibular superior joint space for the patients complaining from non-reducing disk displacement.

Patients and Methods

Thirty-four patients with non-reducing disk displacement underwent guided ultrasound injection of platelet rich plasma to the upper joint space. The extent of maximal mouth opening, chewing efficiency, sound intensity of the TMJ, and tenderness of the TMJ and the masticatory muscles at rest, motion and mastication were thoroughly assessed at the beginning of the study and scheduled for next follow-up at 1st, 3rd, and 6th months.

Results

Injection with platelets rich plasma was significantly more effective in improvements of the extent of maximal mouth opening, statistics result demonstrated a significant reduction in the VAS values of pain at rest, motion and mastication compared to the baseline VAS values.

Conclusion

PRP injection to the upper temporomandibular joint space provided improvement in signs and symptoms of patient with non-reducing disk displacement of the temporomandibular joint.

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Author information

Authors and Affiliations

  1. Faculty of Dentistry, Dijlah University College, Baghdad, Iraq

    Ra’ed M. Ayoub Al-Delayme

  2. Oral and Maxillofacial Surgery Department, AL-Yarmuk Teaching Hospital, Baghdad, Iraq

    Ra’ed M. Ayoub Al-Delayme & Salah AbdulMahdy Ismaeel

  3. Alasraa university college, Baghdad, Iraq

    Shefaa H. Alnuamy

  4. Baghdad, Iraq

    R. Sammir, M. Hadeel, Jafaar Nabeel, R. Shwan & Shahad Jamal Alfalahi

  5. Ghazi Hariri Hospital for Specialized surgery, Baghdad, Iraq

    Firas Taha Hamid

  6. AL-Kaarh Teaching Hospital, Baghdad, Iraq

    Tariq Jassim Azzamily

  7. Periodontics Department University of Washington, Washington, USA

    Alaa Yasin

  8. Eastman Institute for Oral Health, University of Rochester, New York, USA

    Ra’ed M. Ayoub Al-Delayme

Authors
  1. Ra’ed M. Ayoub Al-Delayme
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  2. Shefaa H. Alnuamy
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  3. Firas Taha Hamid
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  4. Tariq Jassim Azzamily
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  5. Salah AbdulMahdy Ismaeel
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  6. R. Sammir
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  8. Jafaar Nabeel
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  9. R. Shwan
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  10. Shahad Jamal Alfalahi
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  11. Alaa Yasin
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Corresponding author

Correspondence to Ra’ed M. Ayoub Al-Delayme.

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All the authors declare that they have no conflict of interest.

Ethical Standard

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Al-Delayme, R.M.A., Alnuamy, S.H., Hamid, F.T. et al. The Efficacy of Platelets Rich Plasma Injection in the Superior Joint Space of the Tempromandibular Joint Guided by Ultra Sound in Patients with Non-reducing Disk Displacement. J. Maxillofac. Oral Surg. 16, 43–47 (2017). https://doi.org/10.1007/s12663-016-0911-9

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  • DOI: https://doi.org/10.1007/s12663-016-0911-9

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