COMPARISON OF ARTHROCENTESIS PLUS PLATELET RICH PLASMA WITH ARTHROCENTESIS ALONE IN THE TREATMENT OF TEMPOROMANDIBULAR JOINT DYSFUNCTION
ABSTRACTObjective: To evaluate therole of combination therapy of platelet rich plasma (PRP) with arthrocentesisandtocompareitwith arthrocentesisalonein the temporomandibular dysfuction(TMD)patients.Study Design:Quasiexperimental study.Place and Duration of Study:Oral and Maxillofacial S...
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Army Medical College Rawalpindi
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doaj-c5285282a21d40eaa01f8fc044b46cf82021-10-11T04:26:03ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422021-08-0171413771381https://doi.org/10.51253/pafmj.v71i4.53615361COMPARISON OF ARTHROCENTESIS PLUS PLATELET RICH PLASMA WITH ARTHROCENTESIS ALONE IN THE TREATMENT OF TEMPOROMANDIBULAR JOINT DYSFUNCTIONAdnan Babar0Humaira Sarwar1Irfan Shah2Ali Akhtar Khan3Muhammad Afzal4Amir Mushtaq Baig5Armed Forces Institute of Dentistry/National University of Medical Sciences (NUMS) Rawalpindi PakistanArmed Forces Institute of Dentistry/National University of Medical Sciences (NUMS) Rawalpindi PakistanArmed Forces Institute of Dentistry/National University of Medical Sciences (NUMS) Rawalpindi PakistanArmed Forces Institute of Dentistry/National University of Medical Sciences (NUMS) Rawalpindi Pakistan21 MDC, Quetta PakistanArmed Forces Institute of Dentistry/National University of Medical Sciences (NUMS) Rawalpindi PakistanABSTRACTObjective: To evaluate therole of combination therapy of platelet rich plasma (PRP) with arthrocentesisandtocompareitwith arthrocentesisalonein the temporomandibular dysfuction(TMD)patients.Study Design:Quasiexperimental study.Place and Duration of Study:Oral and Maxillofacial Surgery department, ArmedForcesInstitute ofDentistry, Combined Military HospitalRawalpindi,from Jan2017 to Jun2019. Methodology:Forty-twopatientsdiagnosed withrefractoryunilateral temporomandibular dysfuction,were included in the study. Patients were divided in twogroupswith 21 temporomandibular joints in each. Arthrocentesis alone was thecontrol group (group I) and arthrocentesis with intra-articular injectionofplatelet rich plasma (group II) was thestudygroup. Treat-mentoutcomes were assessed and compared for all patients based on clinical parametersofpre and post treatment; for pain, maximal mouthopening and temporomandibular joint clickingsounds.Results:Out of 42 patients,33(79%)were females and 9(21%)were males with mean age of 34.3 ± 8.4 years.There was statis-tically significant differencein both groupsfor all variables. The p-value of maximum mouth openingof both groups before and after treatment was 0.746and 0.01, jointclickingsounds werepresent in 69% of our patients before the treament and it reduced to 14% after the treatment.There wasmarkedgradualdecreasein pain of bothgroups, group I (6.48 ± 1.470 to 1.81 ± 0.602) and group II (7.29 ± 1.007 to 1.19 ± 0.402).Conclusion:Combination therapy of platelet rich plasma with arthrocentesis is more effective treatment method than arthrocentesis aloneforchronic temporomandibular dysfuctions.https://pafmj.org/index.php/PAFMJ/article/view/5361arthrocentesiscombination therapyplatelet rich plasma |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Adnan Babar Humaira Sarwar Irfan Shah Ali Akhtar Khan Muhammad Afzal Amir Mushtaq Baig |
spellingShingle |
Adnan Babar Humaira Sarwar Irfan Shah Ali Akhtar Khan Muhammad Afzal Amir Mushtaq Baig COMPARISON OF ARTHROCENTESIS PLUS PLATELET RICH PLASMA WITH ARTHROCENTESIS ALONE IN THE TREATMENT OF TEMPOROMANDIBULAR JOINT DYSFUNCTION Pakistan Armed Forces Medical Journal arthrocentesis combination therapy platelet rich plasma |
author_facet |
Adnan Babar Humaira Sarwar Irfan Shah Ali Akhtar Khan Muhammad Afzal Amir Mushtaq Baig |
author_sort |
Adnan Babar |
title |
COMPARISON OF ARTHROCENTESIS PLUS PLATELET RICH PLASMA WITH ARTHROCENTESIS ALONE IN THE TREATMENT OF TEMPOROMANDIBULAR JOINT DYSFUNCTION |
title_short |
COMPARISON OF ARTHROCENTESIS PLUS PLATELET RICH PLASMA WITH ARTHROCENTESIS ALONE IN THE TREATMENT OF TEMPOROMANDIBULAR JOINT DYSFUNCTION |
title_full |
COMPARISON OF ARTHROCENTESIS PLUS PLATELET RICH PLASMA WITH ARTHROCENTESIS ALONE IN THE TREATMENT OF TEMPOROMANDIBULAR JOINT DYSFUNCTION |
title_fullStr |
COMPARISON OF ARTHROCENTESIS PLUS PLATELET RICH PLASMA WITH ARTHROCENTESIS ALONE IN THE TREATMENT OF TEMPOROMANDIBULAR JOINT DYSFUNCTION |
title_full_unstemmed |
COMPARISON OF ARTHROCENTESIS PLUS PLATELET RICH PLASMA WITH ARTHROCENTESIS ALONE IN THE TREATMENT OF TEMPOROMANDIBULAR JOINT DYSFUNCTION |
title_sort |
comparison of arthrocentesis plus platelet rich plasma with arthrocentesis alone in the treatment of temporomandibular joint dysfunction |
publisher |
Army Medical College Rawalpindi |
series |
Pakistan Armed Forces Medical Journal |
issn |
0030-9648 2411-8842 |
publishDate |
2021-08-01 |
description |
ABSTRACTObjective: To evaluate therole of combination therapy of platelet rich plasma (PRP) with arthrocentesisandtocompareitwith arthrocentesisalonein the temporomandibular dysfuction(TMD)patients.Study Design:Quasiexperimental study.Place and Duration of Study:Oral and Maxillofacial Surgery department, ArmedForcesInstitute ofDentistry, Combined Military HospitalRawalpindi,from Jan2017 to Jun2019. Methodology:Forty-twopatientsdiagnosed withrefractoryunilateral temporomandibular dysfuction,were included in the study. Patients were divided in twogroupswith 21 temporomandibular joints in each. Arthrocentesis alone was thecontrol group (group I) and arthrocentesis with intra-articular injectionofplatelet rich plasma (group II) was thestudygroup. Treat-mentoutcomes were assessed and compared for all patients based on clinical parametersofpre and post treatment; for pain, maximal mouthopening and temporomandibular joint clickingsounds.Results:Out of 42 patients,33(79%)were females and 9(21%)were males with mean age of 34.3 ± 8.4 years.There was statis-tically significant differencein both groupsfor all variables. The p-value of maximum mouth openingof both groups before and after treatment was 0.746and 0.01, jointclickingsounds werepresent in 69% of our patients before the treament and it reduced to 14% after the treatment.There wasmarkedgradualdecreasein pain of bothgroups, group I (6.48 ± 1.470 to 1.81 ± 0.602) and group II (7.29 ± 1.007 to 1.19 ± 0.402).Conclusion:Combination therapy of platelet rich plasma with arthrocentesis is more effective treatment method than arthrocentesis aloneforchronic temporomandibular dysfuctions. |
topic |
arthrocentesis combination therapy platelet rich plasma |
url |
https://pafmj.org/index.php/PAFMJ/article/view/5361 |
work_keys_str_mv |
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