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Al-Delayme RMA, Alnuamy SH, Hamid FT, et al. The Efficacy of Platelets Rich Plasma Injection in the Superior Joint Space of the Tempromandibular Joint Guided by Ultra Sound in Patients with Non-reducing Disk Displacement. J Maxillofac Oral Surg. 2016;16(1):43-47doi: 10.1007/s12663-016-0911-9.
Al-Delayme, R. M. A., Alnuamy, S. H., Hamid, F. T., Azzamily, T. J., Ismaeel, S. A., Sammir, R., Hadeel, M., Nabeel, J., Shwan, R., Alfalahi, S. J., & Yasin, A. (2017). The Efficacy of Platelets Rich Plasma Injection in the Superior Joint Space of the Tempromandibular Joint Guided by Ultra Sound in Patients with Non-reducing Disk Displacement. Journal of maxillofacial and oral surgery, 16(1), 43-47. https://doi.org/10.1007/s12663-016-0911-9
Al-Delayme, Ra'ed M Ayoub, et al. "The Efficacy of Platelets Rich Plasma Injection in the Superior Joint Space of the Tempromandibular Joint Guided by Ultra Sound in Patients with Non-reducing Disk Displacement." Journal of maxillofacial and oral surgery vol. 16,1 (2017): 43-47. doi: https://doi.org/10.1007/s12663-016-0911-9
Al-Delayme RMA, Alnuamy SH, Hamid FT, Azzamily TJ, Ismaeel SA, Sammir R, Hadeel M, Nabeel J, Shwan R, Alfalahi SJ, Yasin A. The Efficacy of Platelets Rich Plasma Injection in the Superior Joint Space of the Tempromandibular Joint Guided by Ultra Sound in Patients with Non-reducing Disk Displacement. J Maxillofac Oral Surg. 2017 Mar;16(1):43-47. doi: 10.1007/s12663-016-0911-9. Epub 2016 Jun 10. PMID: 28286383; PMCID: PMC5328864.
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J Maxillofac Oral Surg. 2017 Mar;16(1):43-47. doi: 10.1007/s12663-016-0911-9. Epub 2016 Jun 10.

The Efficacy of Platelets Rich Plasma Injection in the Superior Joint Space of the Tempromandibular Joint Guided by Ultra Sound in Patients with Non-reducing Disk Displacement.

Journal of maxillofacial and oral surgery

Ra'ed M Ayoub Al-Delayme, Shefaa H Alnuamy, Firas Taha Hamid, Tariq Jassim Azzamily, Salah AbdulMahdy Ismaeel, R Sammir, M Hadeel, Jafaar Nabeel, R Shwan, Shahad Jamal Alfalahi, Alaa Yasin

Affiliations

  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.

PMID: 28286383 PMCID: PMC5328864 DOI: 10.1007/s12663-016-0911-9

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.

Keywords: Clinical outcome; Non-reducing disk displacement; Platelets rich plasma; Risk factor; Superior joint space; Temporomandibular joint

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