A Comparative Study between the Effects of Intra-Articular Injections of Platelet Rich Plasma versus Corticosteroid with Local Anaesthetic in Refractory Cases of Temporo-Mandibular joint Disorder- A Comparative Study
Article Sidebar
Main Article Content
Abstract
Abstract:
Introduction:
Temporomandibular disorders (TMD) are a group of disorders that affect the temporomandibular joint, associated musculoskeletal tissues or both, such as myofascial pain, internal dearrangements, and certain degenerative and rheumatological diseases. In recent practice corticosteroid and Platelet Rich Plasma (PRP) has been proposed as an intervensional mode of treatment in TMD patients. We aimed to compare the efficacy of PRP and corticosteroid injection in reducing symptoms of TMD after failure of conservative treatment.
Materials and methods:
A total of 60 cases (30 in each study and control groups) of TMD patients were included in this study. In patients of study group, intra Articular injection of PRP and in control group, lignocaine with Triamcinolone was given at Temporomandibular joint (TMJ). Both the groups were assessed for pain, inter-incisal mouth opening and joint sound at 6wk interval upto 3 month after injection.
Results:
Pain and joint sound was markedly reduced in PRP group than corticosteroid group .Inter-incisal mouth opening also shows better result in PRP group.
Conclusion:
Intra-articular PRP injection has significantly better outcome in terms of pain, inter incisal mouth opening and joint sound in refractory cases of TMD than intra-articular corticosteroid injection.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
References
Dim H, Israel H (2012). Diagnosis and treatment of temporomandibular disorders. Dent. Clin. North Am. 56: 149-161
M. Bousnaki, P. Koidis: Platelet-rich plasma for the therapeutic management of temporomandibularjoint disorders: a systematic review. Int. J. Oral Maxillofac. Surg Int J Oral Maxillofac Surg 2018 Feb;47(2):188-198
Khan J, Anwer HM, Eliav E, Heir G. Oromandibular dystonia: differential diagnosis and management. J Am Dent Assoc. 2015; 146: 690–693. [PubMed] [Google Scholar]
Kopp S, Wenneberg B, Haraldson T, Carlsson GE (1985). The short-term effect of intraarticular injections of sodium hyaluronate and corticosteroid on temporomandibular joint pain and dysfunction. J Oral Maxillofac Surg 43: 429-435
Milam S.B. (2005) Pathogenesis of degenerative temporomandibular joint arthritides. Odontology 93: 7-15
Kopp S, Wenneberg B (1981). Effects of occlusal treatment and intraarticular injections on temporomandibular joint pain and dysfunction. Acta Odontol. Scand. 39: 87-96. 114
. Fredriksson L, Alstergren P, Kopp S (2005). Serotonergic mechanisms influence the responset o glucocorticoid treatment in TMJ arthritis. Mediators Inflamm. 4: 194-201
Savina Gupta, Amit Kumar Sharma, Jeetendra Purohit, Rahi Goyal, YogendraMalviya, Sugandha Jain Comparison between intra-articular platelet-rich plasmainjection versus hydrocortisone with local anesthetic injections in temporomandibular disorders: A double-blind study , November 14, 2018, IP:191.248.179.242]
M. Pihut,1 M. Szuta,2 E. Ferendiuk,1 and D. ZeNczak-Wiwckiewicz “Evaluation of Pain Regression in Patients withTemporomandibular DysfunctionTreated by Intra-Articular Platelet-Rich Plasma Injections: A Preliminary Report”Volume 2014, Article ID 132369
Stoustrup P, Kristensen KD, Verna C, et al. Intra−articular steroid injection for temporomandibular joint arthritis in juvenile idiopathic arthritis: a systematic review on efficacy and safety. Semin Arthritis Rheum. 2013;43 (1):63−70.