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Arthrocentesis Followed by Autologous Blood Injection in the Treatment of Chronic Symptomatic Subluxation of Temporomandibular Joint

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Journal of Maxillofacial and Oral Surgery Aims and scope Submit manuscript

Abstract

Introduction

Temporomandibular joint subluxation is defined as self-reducing partial dislocation of the TMJ during which the condyle passes anterior to the articular eminence.

Material and Method

The study consisted of 30 patients, 19 females and 11 males with 14 unilateral and 16 bilateral cases of chronic symptomatic subluxation. Treatment consisted of arthrocentesis followed by 2 ml of autologous blood injection into upper joint space and 1 ml into pericapsular tissues using an autoclaved soldered double needle with single puncture technique. Parameters evaluated were pain, maximum mouth opening, excursive jaw movements, deviation on mouth opening and quality of life, hard and soft tissue changes on X-ray TMJ view and MRI.

Results

At 12 month follow-up, average reduction in maximum interincisal opening, deviation on mouth opening, range of excursive movements on right and left sides and VAS scores were 20.54%, 32.84%, 29.59%, 27.37% and 74.53%, respectively. Out of 93.3% who responded to therapy, 66.7%, 20% and 6.7% responded after 1st, 2nd and 3rd AC + ABI, respectively. Remaining 6.7% patients had persistent painful subluxation and underwent open joint surgery. 93.3% patients responded to therapy, 80% were relieved of painful subluxation, 13.3% had painless subluxation and kept on follow-up. X-ray TMJ and MRI did not show any hard and soft tissue changes.

Conclusion

A soldered double needle, single puncture, AC + ABI are a simple, safe, cost-effective, repeatable and minimally invasive nonsurgical therapy for treatment of CSS without any permanent radiographically evident soft or hard tissue changes.

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Abbreviations

AC:

Arthrocentesis

ABI:

Autologous blood injection

UJS:

Upper joint space

PT:

Pericapsular tissues

CSS:

Chronic symptomatic subluxation

VAS:

Visual analogue scale

MIO:

Maximum interincisal opening

AT:

Auriculotemporal

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Acknowledgement

Dr. Sujal Parikh (MD), Tutor, Department of PSM, B J Medical College, Asarwa, Ahmedabad.

Funding

This study was not supported by any funding.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Maa Raam Pyari Hospital, Ranchi, Jharkhand, India

    Vikash Sharma

  2. Department of Oral and Maxillofacial Surgery, Government Dental College and Hospital, Asarwa, Ahmedabad, Gujarat, India

    Sonal Anchlia, Bipin S. Sadhwani, Utsav Bhatt & Dewanshi Rajpoot

Authors
  1. Vikash Sharma
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  2. Sonal Anchlia
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  3. Bipin S. Sadhwani
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  4. Utsav Bhatt
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  5. Dewanshi Rajpoot
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Contributions

Dr. Vikash Sharma did all preoperative preparations and history taking including post-operative care, proper follow-up and maintained the record as well as wrote this paper, Dr. Sonal Anchlia performed surgery and reviewed the paper entirely, Dr. Bipin S. Sadhwani contributed to the analysis and writing of this paper. Dr. Utsav Bhatt, reviewed paper critically and suggested editions accordingly. Dr. Dewanshi Rajpoot positively contributed to write the paper.

Corresponding author

Correspondence to Dewanshi Rajpoot.

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None of the authors has any conflict of interest.

Consent for publication

Each patient was explained about the treatment plan and written informed consent was obtained.

Ethical Approval

The study protocol was approved by the Institutional Ethical Committee.

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Sharma, V., Anchlia, S., Sadhwani, B.S. et al. Arthrocentesis Followed by Autologous Blood Injection in the Treatment of Chronic Symptomatic Subluxation of Temporomandibular Joint. J. Maxillofac. Oral Surg. 21, 1218–1226 (2022). https://doi.org/10.1007/s12663-021-01540-1

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  • DOI: https://doi.org/10.1007/s12663-021-01540-1

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