Evaluation of Arthrocentesis with and without Platelet Rich Plasma in the Internal Derangement of Temporomandibular Joint

International Journal of Medical Science

© 2023 by SSRG - IJMS Journal

Volume 10 Issue 3

Year of Publication : 2023

Authors : A.K.M Habibullah, Md. Wares Uddin, MD. Asaduzzaman, Wahidujjaman, Md. Mahmudul Hasan, Mozammal Hossain

10.14445/23939117/IJMS-V10I3P101

How to Cite?

A.K.M Habibullah, Md. Wares Uddin, MD. Asaduzzaman, Wahidujjaman, Md. Mahmudul Hasan, Mozammal Hossain, "Evaluation of Arthrocentesis with and without Platelet Rich Plasma in the Internal Derangement of Temporomandibular Joint," SSRG International Journal of Medical Science, vol. 10,  no. 3, pp. 1-6, 2023. Crossref, https://doi.org/10.14445/23939117/IJMS-V10I3P101

Abstract:

The 20 patients in this quasi-experimental investigation had internal temporomandibular joint dysfunction. Prior to the procedure, information on the temporomandibular joint sound, the maximum inter-incisor opening of the mouth (MIO), and pain intensity (VAS) were acquired. Patients were checked seven days and three months after the operation to gather outcome information. To find out the procedure's effectiveness, pre- and post-procedural data were compared (PRP). The findings demonstrated that there was no significant difference in VAS scores between the two groups after the seventh day and after the surgery had been completed (p>0.05). After the seventh day of the procedure, the mean MIO in groups A and B were 40.25 ± 4.27 mm and 35.65 ± 5.74 mm, respectively. After three months of treatment, group A's mean MIO was 36.55 ± 4.40 mm, while group B's was 31.95 ± 5.88 mm in group B. Mean MIO was considerably greater in Group A than in Group B after the seventh day and after three months of the operation (p 0.05). TMJ sound was substantially higher in Group B than in Group A after the seventh day of the operation (55.0% versus 0.0). Following the procedure for three months, group B had significantly higher TMJ sound levels than Group A (75.0% vs. 15.0%). It may be said that arthrocentesis combined with platelet-rich plasma increased VAS scores at various follow-ups more than arthrocentesis alone did. 7 days and 3 months following the procedure, arthrocentesis with platelet rich plasma significantly improved the maximum interincisal opening and temporomandibular joint (TMJ) sound compared to arthrocentesis alone or without platelet rich plasma.

Keywords:

Arthrocentesis, TMD, Temporomandibular joint, VAS score.

References:

[1] Barry C. Cooper, and Israel Kleinberg, “Establishment of a Temporomandibular Physiological State with Neuromuscular Orthosis Treatment Affects Reduction of TMD Symptoms in 313 Patients,” The Journal of Craniomandibular and Sleep Practice, vol. 26, no. 2, pp. 104-117, 2008.
[CrossRef] [Google Scholar] [Publisher Link]
[2] Claudia Maria De Felício, Melissa De Oliveira Melchior, and Marco Antonio Moreira Rodrigues Da Silva, “Effects of Orofacial Myofunctional Therapy on Temporomandibular Disorders,” The Journal of Craniomandibular and Sleep Practice, vol. 28, no. 4, pp. 249-259, 2010.
[CrossRef] [Google Scholar] [Publisher Link]
[3] Vinicius de Magalhães Barros et al., “The Impact of Orofacial Pain on the Quality of Life of Patients with Temporomandibular Disorder,” Journal of Orofacial Pain, vol. 23, no. 1, pp. 28-37, 2009.
[Google Scholar] [Publisher Link]
[4] Mike T. John et al., “Oral Health--Related Quality of Life in Patients with Temporomandibular Disorders,” Journal of Orofacial Pain, vol. 21, no. 1, 2007.
[Google Scholar] [Publisher Link]
[5] William S. Kirk, “Morphologic Differences between Superior and Inferior Disc Surfaces in Chronic Internal Derangement of the Temporomandibular Joint,” Journal of Oral and Maxillofacial Surgery, vol. 48, no. 5, pp. 455-460, 1990.
[CrossRef] [Google Scholar] [Publisher Link]
[6] Stephen E. Feinberg, and Mark S. Smilack, “Technique of Functional Disc Repositioning in Internal Derangements of the Temporomandibular Joint,” Journal of Oral and Maxillofacial Surgery, vol. 45, no. 9, pp. 825-827, 1987.
[CrossRef] [Google Scholar] [Publisher Link]
[7] T. Magnusson, I. Egermark, and G.E. Carlsson, “A Longitudinal Epidemiologic Study of Signs and Symptoms of Temporomandibular Disorders from 15 to 35 Years of Age,” Journal of Orofacial Pain, vol. 14, no. 4, 2000.
[Google Scholar] [Publisher Link]
[8] Inger Egermark, Gunnar E. Carlsson, and Tomas Magnusson, “A 20-year Longitudinal Study of Subjective Symptoms of Temporomandibular Disorders from Childhood to Adulthood,” Acta Odontologica Scandinavica, vol. 59, no. 1, pp. 40-48, 2001.
[CrossRef] [Google Scholar] [Publisher Link]
[9] Galit Almoznino et al., “Oral Health-Related Quality of Life in Patients with Temporomandibular Disorders,” Journal of Oral & Facial Pain & Headache, vol. 29, no. 3, pp. 231-241, 2015.
[Google Scholar] [Publisher Link]
[10] M. Bayat et al., “Oral Health‐related Quality of Life in Patients with Temporomandibular Disorders: A Case‐control Study Considering Psychological Aspects,” International Journal of Dental Hygiene, vol. 16, no. 1, pp. 165-170, 2018.
[CrossRef] [Google Scholar] [Publisher Link]
[11] Steve Kanters et al., “Use of Network Meta-analysis in Clinical Guidelines,” Bulletin of the World Health Organization, vol. 94, no. 10, pp. 782-784, 2016.
[CrossRef] [Google Scholar] [Publisher Link]
[12] Syed Muhammad Umar Nasser et al., “Strength of Recommendations in WHO Guidelines using GRADE was Associated with Uptake in National Policy,” Journal of Clinical Epidemiology, vol. 68, no. 6, pp. 703-707, 2015.
[CrossRef] [Google Scholar] [Publisher Link]
[13] Robert L. Talley et al., “Standards for the History, Examination, Diagnosis, and Treatment of Temporomandibular Disorders (TMD): A Position Paper, The Journal of Craniomandibular and Sleep Practice, vol. 8, no. 1, pp. 60-77, 1990.
[CrossRef] [Google Scholar] [Publisher Link]
[14] George Dimitroulis et al., “Temporomandibular Disorders. 2. Nonsurgical Treatment,” Australian Dental Journal, vol. 40, no. 6, pp. 372-376, 1995.
[CrossRef] [Google Scholar] [Publisher Link]
[15] W.E. Shankland 2nd., “Temporomandibular Disorders: Standard Treatment Options,” General Dentistry, vol. 52, no. 4, pp. 349-355, 2004.
[Google Scholar] [Publisher Link]
[16] George Dimitroulis, M. Franklin Dolwick, and Henry A. Gremillion, “Temporomandibular Disorders. 1. Clinical Evaluation,” Australian Dental Journal, vol. 40, no. 5, pp. 301-305, 1995.
[CrossRef] [Google Scholar] [Publisher Link]
[17] Eduardo Anitua et al., “Autologous Platelets as a Source of Proteins for Healing and Tissue Regeneration,” Thrombosis and Haemostasis, vol. 91, no. 1, pp. 4-15, 2004.
[CrossRef] [Google Scholar] [Publisher Link]
[18] Robert E. Marx, “Platelet-rich Plasma: Evidence to Support Its Use,” Journal of Oral and Maxillofacial Surgery, vol. 62, no. 4, pp. 489-496, 2004.
[CrossRef] [Google Scholar] [Publisher Link]
[19] Jose F. Lana et al., “Platelet Rich Plasma and Its Growth Factors: The State of the Art,” Platelet-rich Plasma, pp. 1-59, 2014.
[CrossRef] [Google Scholar] [Publisher Link]
[20] D. Stanco et al., “Applications and Limits of Platelet-rich Plasma in Sports Related Injuries,” Journal of Biological Regulators and Homeostatic Agents, vol. 26, no. 2, pp. 53S-61S, 2012.
[Google Scholar] [Publisher Link]
[21] Akhilesh Kumar Singh et al., “Evaluation of Arthrocentesis with and Without Platelet-rich Plasma in the Management of Internal Derangement of Temporomandibular Joint: A Randomized Controlled Trial,” Journal of Maxillofacial and Oral Surgery, vol. 20, pp. 252-257, 2021.
[CrossRef] [Google Scholar] [Publisher Link]
[22] Mustafa Hancı et al., “Intra-articular Platelet-rich Plasma Injection for the Treatment of Temporomandibular Disorders and a Comparison with Arthrocentesis,” Journal of Cranio-Maxillofacial Surgery, vol. 43, no. 1, pp. 162-166, 2015.
[CrossRef] [Google Scholar] [Publisher Link]
[23] H.A.M. Marzook et al., “Intra-articular Injection of a Mixture of Hyaluronic Acid and Corticosteroid Versus Arthrocentesis in TMJ Internal Derangement,” Journal of Stomatology, Oral and Maxillofacial Surgery, vol. 121, no. 1, pp. 30-34, 2020.
[CrossRef] [Google Scholar] [Publisher Link]
[24] Nahed Ibrahim Ghoneim et al., “Treatment of Temporomandibular Joint Disc Displacement using Arthrocentesis Combined with Injectable Platelet Rich Fibrin Versus Arthrocentesis Alone,” Journal of Dental Sciences, vol. 17, no. 1, pp. 468-475, 2022.
[CrossRef] [Google Scholar] [Publisher Link]
[25] Nehal Hassan, Heba Sleem, and Yasser Nabil, “Arthrocentesis with or Without Platelet Rich Plasma (PRP) in Management of Tempromandibular Joint Internal Derangement: Comparative Study,” Oral Health Dental Science, vol. 3, no. 3, pp. 1-8, 2019.
[Google Scholar] [Publisher Link]
[26] Yasser Nabil, Heba Seleem, and Nehal Hassan, “Comparative Study of the Use of Arthrocentesis and Arthrocentesis in Addition with Platelet Rich Plasma in Management of Temporomandibular Joint Internal Derangement,” Egyptian Journal of Oral and Maxillofacial Surgery, vol. 10, no. 1, pp. 9-19, 2019.
[CrossRef] [Google Scholar] [Publisher Link]