AUTOLOGOUS BLOOD INJECTION AS A NEW TREATMENT MODALITY FOR CHRONIC RECURRENT TEMPOROMANDIBULAR JOINT DISLOCATION
Authors:
Emad Daif
Affiliation:
Head of OMFS Department, Faculty of Oral & Dental Medicine, Cairo University, Cairo, Egypt
Doi: 10.54936/haoms242p69
ABSTRACT:
Purpose: There are many different surgical and non-surgical techniques have been used to treat patients with chronic recurrent temporomandibular joint (TMJ) dislocation. The non-surgical techniques consist of injecting different substances into the TMJ area. This study was carried out to assess autologous blood injection to the TMJ for treatment of chronic recurrent TMJ dislocation.
Patients and methods: Thirty patients having chronic recurrent TMJ dislocation were randomly divided into two equal groups (15 patients in each) Group A was treated only by autologous blood injection into the superior joint space (SJS), while group B received autologous blood injections to the SJS and the pericapsular tissues (PT).
Results: At the end of the follow-up period, one year, the results of the current study have shown that, injection of autologous blood to the SJS and PT gives a higher success rate (80%) than its injection only into SJS (60%). Moreover, the patients of group B had an average decrease in their maximal mouth opening (5.3 ± 2.1) higher than that of group A (3.6 ± 1.5). Also, the digital radiographic imaging of the joints in group B only has shown presence of the condylar head posterior to the articular eminence, in open position, instead of being anterior to it before the injection. In both groups, no destructive changes to the bony components of the joint have been observed.
Conclusions: We could conclude from this study that, injection of autologous blood to the TMJ in patients with chronic recurrent dislocation is considered a simple, safe and cost-effective technique. . So, we encourage injection of autologous blood to the SJS and PT for treatment of patients with chronic recurrent TMJ dislocation as it has shown better clinical and radiographic results than its injection only to the SJS.
KEY WORDS:
Authors:
Emad Daif
Affiliation:
Head of OMFS Department, Faculty of Oral & Dental Medicine, Cairo University, Cairo, Egypt
Doi: 10.54936/haoms242p69
ABSTRACT:
Purpose: There are many different surgical and non-surgical techniques have been used to treat patients with chronic recurrent temporomandibular joint (TMJ) dislocation. The non-surgical techniques consist of injecting different substances into the TMJ area. This study was carried out to assess autologous blood injection to the TMJ for treatment of chronic recurrent TMJ dislocation.
Patients and methods: Thirty patients having chronic recurrent TMJ dislocation were randomly divided into two equal groups (15 patients in each) Group A was treated only by autologous blood injection into the superior joint space (SJS), while group B received autologous blood injections to the SJS and the pericapsular tissues (PT).
Results: At the end of the follow-up period, one year, the results of the current study have shown that, injection of autologous blood to the SJS and PT gives a higher success rate (80%) than its injection only into SJS (60%). Moreover, the patients of group B had an average decrease in their maximal mouth opening (5.3 ± 2.1) higher than that of group A (3.6 ± 1.5). Also, the digital radiographic imaging of the joints in group B only has shown presence of the condylar head posterior to the articular eminence, in open position, instead of being anterior to it before the injection. In both groups, no destructive changes to the bony components of the joint have been observed.
Conclusions: We could conclude from this study that, injection of autologous blood to the TMJ in patients with chronic recurrent dislocation is considered a simple, safe and cost-effective technique. . So, we encourage injection of autologous blood to the SJS and PT for treatment of patients with chronic recurrent TMJ dislocation as it has shown better clinical and radiographic results than its injection only to the SJS.
KEY WORDS: