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A Comparative Analysis of Intra-articular Injection of Platelet-Rich Plasma and Arthrocentesis in Temporomandibular Joint Disorders

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Journal of Maxillofacial and Oral Surgery Aims and scope Submit manuscript

Abstract

Objectives

Temporomandibular joint disorders (TMDs) are progressive disorders which lead to development of arthralgia and functional disabilities of temporomandibular joint. The treatment of the TMDs is controversial; noninvasive and minimally invasive therapies have shown a success rate of 70 to 85% for its management. The objective of present study is to evaluate and compare the efficacy of intra-articular platelet-rich plasma (PRP) and arthrocentesis in management of TMDs.

Materials and Methods

Twenty-four patients with complaint of reduced mouth opening, joint noise, pain, jaw deviation, not responding to medicinal treatment and coming under group II/III of RDC/TMD were included. Patients were randomly and equally divided in two groups. In group A, arthrocentesis was performed, whereas group B patients underwent intra-articular injections of PRP. Patients were clinically evaluated preoperatively to 12 months postoperatively.

Result

Both the groups showed significant improvement in painless mouth opening (P < 0.01), lateral movements towards unaffected side (P < 0.05) and reduction in pain complaint (P < 0.01). Arthrocentesis group also showed significant improvement in maximum mouth opening (P < 0.01).

Conclusion

On comparison, both groups were found to have effective treatment modality. However, arthrocentesis has higher success rate for pain elimination, and PRP is more effective in correction of joint noise and jaw deviation.

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Abbreviations

TMJ:

Temporomandibular joint

TMDs:

Temporomandibular joint disorders

RDC:

Research diagnostic criteria

PRP:

Platelet-rich plasma

HA:

Hyaluronic acid

OPG:

Orthopantomography

VAS:

Visual analogue scale

PMO:

Painless mouth opening

MMO:

Maximal mouth opening

LMTUS:

Lateral movemeents towards opposite side

HH:

Holmlund–Hellsing

Fig:

Figure

PPP:

Platelet-poor plasma

Et al.:

And others

%:

Percentage

RL:

Ringer’s lactated

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Funding

This research did not receive any specific grant from funding agencies in the public, commercial or not-for-profit sectors.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Subharti Dental College & Hospital, Swami Vivekanand Subharti University, Meerut, India

    Akash Rajput, Vishal Bansal, Prajesh Dubey & Ankit Kapoor

Authors
  1. Akash Rajput
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  2. Vishal Bansal
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  3. Prajesh Dubey
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  4. Ankit Kapoor
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Contributions

All authors whose names appear on the submission (1) made substantial contributions to the conception or design of the work or the acquisition, analysis, or interpretation of data used in the work, (2) drafted the work or revised it critically for important intellectual content, (3) approved the version to be published, and (4) agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by AR. The first draft of the manuscript was written by AR, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript. VB and AR helped in conceptualization. VB, PD and AR contributed to methodology. AR was involved in formal analysis and investigation. AR contributed to writing—original draft preparation. VB, PD and Dr Ankit Kapoor contributed to writing—review and editing. VB contributed to resources. VB and PD were involved in supervision. VB and PD helped in validation. AR, VB, PD and AK helped in visualization. AR contributed to data curation. AR and AK performed formal analysis. AR and VB were involved investigation. VB and PD helped in project administration.

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Correspondence to Akash Rajput.

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Rajput, A., Bansal, V., Dubey, P. et al. A Comparative Analysis of Intra-articular Injection of Platelet-Rich Plasma and Arthrocentesis in Temporomandibular Joint Disorders. J. Maxillofac. Oral Surg. 21, 168–175 (2022). https://doi.org/10.1007/s12663-020-01351-w

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