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Comparison of intraarticular injection of platelet-rich plasma following arthrocentesis, with sodium hyaluronate and conventional arthrocentesis for management of internal derangement of temporomandibular joint

AIM: The aim of the study is to compare the efficacy of platelet-rich plasma (PRP) for the management of internal derangement of temporomandibular joint (TMJ). SETTINGS AND DESIGN: Thirty-three patients were selected from the pool of patients visiting the department of oral and maxillofacial surgery...

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Autores principales: Ramakrishnan, Divya Sanjeevi, Kandamani, Janani, Senthil Nathan, K. P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9426706/
https://www.ncbi.nlm.nih.gov/pubmed/36051804
http://dx.doi.org/10.4103/njms.NJMS_94_20
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author Ramakrishnan, Divya Sanjeevi
Kandamani, Janani
Senthil Nathan, K. P.
author_facet Ramakrishnan, Divya Sanjeevi
Kandamani, Janani
Senthil Nathan, K. P.
author_sort Ramakrishnan, Divya Sanjeevi
collection PubMed
description AIM: The aim of the study is to compare the efficacy of platelet-rich plasma (PRP) for the management of internal derangement of temporomandibular joint (TMJ). SETTINGS AND DESIGN: Thirty-three patients were selected from the pool of patients visiting the department of oral and maxillofacial surgery. Simple randomization was done. SUBJECTS AND METHODS: Patients with anterior disc displacement without reduction (DDWOR) were indicated for arthrocentesis. Group A patients are treated with PRP, Group B patients with sodium hyaluronate following arthrocentesis, and Group C patients were treated with arthrocentesis alone. Postoperative pain and maximal incisal opening are the primary outcomes evaluated. STATISTICAL ANALYSIS USED: The collected data were analyzed with IBM. SPSS statistics software 23.0 version and the one-way ANOVA with Tukey's post hoc test were used. RESULTS: The mean age is 33 years, with female predominance. The statistical significant differences (P < 0.05) in pain and MIO between the 3 groups at the end of 3(rd)week, 4(th)week, and 3(rd) month postoperatively are seen in PRP group comparative to other groups. CONCLUSIONS: Our study has concluded that the intraarticular injection of PRP is an effective management for anterior DDWOR of TMJ than intraarticular injection of sodium hyaluronate and arthrocentesis in, reducing the pain and improving the interincisal distance in patients with DDWOR, thus providing a rapid recovery and improved quality of life.
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spelling pubmed-94267062022-08-31 Comparison of intraarticular injection of platelet-rich plasma following arthrocentesis, with sodium hyaluronate and conventional arthrocentesis for management of internal derangement of temporomandibular joint Ramakrishnan, Divya Sanjeevi Kandamani, Janani Senthil Nathan, K. P. Natl J Maxillofac Surg Original Article AIM: The aim of the study is to compare the efficacy of platelet-rich plasma (PRP) for the management of internal derangement of temporomandibular joint (TMJ). SETTINGS AND DESIGN: Thirty-three patients were selected from the pool of patients visiting the department of oral and maxillofacial surgery. Simple randomization was done. SUBJECTS AND METHODS: Patients with anterior disc displacement without reduction (DDWOR) were indicated for arthrocentesis. Group A patients are treated with PRP, Group B patients with sodium hyaluronate following arthrocentesis, and Group C patients were treated with arthrocentesis alone. Postoperative pain and maximal incisal opening are the primary outcomes evaluated. STATISTICAL ANALYSIS USED: The collected data were analyzed with IBM. SPSS statistics software 23.0 version and the one-way ANOVA with Tukey's post hoc test were used. RESULTS: The mean age is 33 years, with female predominance. The statistical significant differences (P < 0.05) in pain and MIO between the 3 groups at the end of 3(rd)week, 4(th)week, and 3(rd) month postoperatively are seen in PRP group comparative to other groups. CONCLUSIONS: Our study has concluded that the intraarticular injection of PRP is an effective management for anterior DDWOR of TMJ than intraarticular injection of sodium hyaluronate and arthrocentesis in, reducing the pain and improving the interincisal distance in patients with DDWOR, thus providing a rapid recovery and improved quality of life. Wolters Kluwer - Medknow 2022 2022-06-15 /pmc/articles/PMC9426706/ /pubmed/36051804 http://dx.doi.org/10.4103/njms.NJMS_94_20 Text en Copyright: © 2022 National Journal of Maxillofacial Surgery https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Ramakrishnan, Divya Sanjeevi
Kandamani, Janani
Senthil Nathan, K. P.
Comparison of intraarticular injection of platelet-rich plasma following arthrocentesis, with sodium hyaluronate and conventional arthrocentesis for management of internal derangement of temporomandibular joint
title Comparison of intraarticular injection of platelet-rich plasma following arthrocentesis, with sodium hyaluronate and conventional arthrocentesis for management of internal derangement of temporomandibular joint
title_full Comparison of intraarticular injection of platelet-rich plasma following arthrocentesis, with sodium hyaluronate and conventional arthrocentesis for management of internal derangement of temporomandibular joint
title_fullStr Comparison of intraarticular injection of platelet-rich plasma following arthrocentesis, with sodium hyaluronate and conventional arthrocentesis for management of internal derangement of temporomandibular joint
title_full_unstemmed Comparison of intraarticular injection of platelet-rich plasma following arthrocentesis, with sodium hyaluronate and conventional arthrocentesis for management of internal derangement of temporomandibular joint
title_short Comparison of intraarticular injection of platelet-rich plasma following arthrocentesis, with sodium hyaluronate and conventional arthrocentesis for management of internal derangement of temporomandibular joint
title_sort comparison of intraarticular injection of platelet-rich plasma following arthrocentesis, with sodium hyaluronate and conventional arthrocentesis for management of internal derangement of temporomandibular joint
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9426706/
https://www.ncbi.nlm.nih.gov/pubmed/36051804
http://dx.doi.org/10.4103/njms.NJMS_94_20
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