Ra'ed M Ayoub Al-Delayme1,2,3, Shefaa H Alnuamy4, Firas Taha Hamid5, Tariq Jassim Azzamily6, Salah AbdulMahdy Ismaeel2, R Sammir7, M Hadeel7, Jafaar Nabeel7, R Shwan7, Shahad Jamal Alfalahi7, Alaa Yasin8. 1. Faculty of Dentistry, Dijlah University College, Baghdad, Iraq. 2. Oral and Maxillofacial Surgery Department, AL-Yarmuk Teaching Hospital, Baghdad, Iraq. 3. Eastman Institute for Oral Health, University of Rochester, New York, USA. 4. Alasraa university college, Baghdad, Iraq. 5. Ghazi Hariri Hospital for Specialized surgery, Baghdad, Iraq. 6. AL-Kaarh Teaching Hospital, Baghdad, Iraq. 7. Baghdad, Iraq. 8. Periodontics Department University of Washington, Washington, USA.
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.
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.
Entities:
Keywords:
Clinical outcome; Non-reducing disk displacement; Platelets rich plasma; Risk factor; Superior joint space; Temporomandibular joint
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