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Patel J, Nilesh K, Parkar MI, et al. Clinical and radiological outcome of arthrocentesis followed by autologous blood injection for treatment of chronic recurrent temporomandibular joint dislocation. J Clin Exp Dent. 2017;9(8):e962-e969doi: 10.4317/jced.53812.
Patel, J., Nilesh, K., Parkar, M. I., & Vaghasiya, A. (2017). Clinical and radiological outcome of arthrocentesis followed by autologous blood injection for treatment of chronic recurrent temporomandibular joint dislocation. Journal of clinical and experimental dentistry, 9(8), e962-e969. https://doi.org/10.4317/jced.53812
Patel, Jinesh, et al. "Clinical and radiological outcome of arthrocentesis followed by autologous blood injection for treatment of chronic recurrent temporomandibular joint dislocation." Journal of clinical and experimental dentistry vol. 9,8 (2017): e962-e969. doi: https://doi.org/10.4317/jced.53812
Patel J, Nilesh K, Parkar MI, Vaghasiya A. Clinical and radiological outcome of arthrocentesis followed by autologous blood injection for treatment of chronic recurrent temporomandibular joint dislocation. J Clin Exp Dent. 2017 Aug 01;9(8):e962-e969. doi: 10.4317/jced.53812. eCollection 2017 Aug. PMID: 28936285; PMCID: PMC5601112.
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J Clin Exp Dent. 2017 Aug 01;9(8):e962-e969. doi: 10.4317/jced.53812. eCollection 2017 Aug.

Clinical and radiological outcome of arthrocentesis followed by autologous blood injection for treatment of chronic recurrent temporomandibular joint dislocation.

Journal of clinical and experimental dentistry

Jinesh Patel, Kumar Nilesh, M I Parkar, Alpesh Vaghasiya

Affiliations

  1. MDS (OMFS), Post graduate student, Department of Oral and Maxillofacial Surgery, School of dental scienes,KIMSDU, Karad.
  2. MDS (OMFS), Reader, Department of Oral and Maxillofacial Surgery, School of dental scienes,KIMSDU, Karad.
  3. MDS (OMFS), Professor & HOD, Department of Oral and Maxillofacial Surgery, School of dental scienes,KIMSDU, Karad.

PMID: 28936285 PMCID: PMC5601112 DOI: 10.4317/jced.53812

Abstract

BACKGROUND: This study was conducted to evaluate the functional outcome and MRI findings of arthrocentsis followed by autologous blood injection (ABI) into the joint space for management of chronic recurrent TMJ dislocation.

MATERIAL AND METHODS: Total ten patients with bilateral chronic recurrent condylar dislocation were included in the study. Arthrocentesis of both TMJ was performed on each patient, followed by the injection of 2 ml of autologous blood into the superior joint compartment and 1 ml onto the outer surface of the joint capsule. Preoperative and postoperative assessment included; thorough history, clinical examination of TMJ, maximal mouth opening, frequency of dislocation, TMJ radiographs (open and closed mouth position), MRI, recurrence and presence of facial nerve paralysis.

RESULTS: At the end of 3 months follow-up 8 patients (80%) had successful outcome with no further episodes of dislocation, whereas two patients reported with recurrence. Post-operative MRI showed significant improvement after ABI, compared to pre-operative MRI. There were no degenerative changes to the bony and soft tissue components of TMJ.

CONCLUSIONS: ABI is a simple, safe, minimally invasive and cost-effective technique for treatment of chronic recurrent TMJ dislocation. MRI evaluation showed an improvement in the anatomical and spatial relationship of the osseous and soft tissue components of the TMJ.

Conflict of interest statement

Conflict of interest statement:The authors declare that they have no conflict of interest.

References

  1. Oral Maxillofac Surg Clin North Am. 2015 Feb;27(1):125-36 - PubMed
  2. Int J Oral Maxillofac Surg. 2001 Aug;30(4):344-8 - PubMed
  3. J Oral Maxillofac Surg. 2009 Jan;67(1):114-9 - PubMed
  4. Med Oral Patol Oral Cir Bucal. 2009 Nov 01;14 (11):e593-6 - PubMed
  5. J Rehabil Res Dev. 2000 Mar-Apr;37(2):179-88 - PubMed
  6. Int J Oral Maxillofac Surg. 2003 Oct;32(5):474-9 - PubMed
  7. J Craniofac Surg. 2005 May;16(3):449-52 - PubMed
  8. J Craniofac Surg. 2011 Nov;22(6):2202-4 - PubMed
  9. J Craniomaxillofac Surg. 2014 Oct;42(7):1486-90 - PubMed
  10. J Can Dent Assoc. 1998 Jul-Aug;64(7):484-91 - PubMed
  11. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001 Oct;92 (4):390-3 - PubMed
  12. Int J Oral Maxillofac Surg. 2014 Oct;43(10 ):1224-8 - PubMed
  13. Dtsch Zahnarztl Z. 1981 Mar;36(3):187-90 - PubMed
  14. Int J Oral Maxillofac Surg. 1997 Dec;26(6):458-60 - PubMed
  15. Head Face Med. 2011 Jun 15;7:10 - PubMed
  16. J Oral Surg (Chic). 1950 Jul;8(3):225-36 - PubMed
  17. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010 Jan;109 (1):31-6 - PubMed
  18. Imaging Sci Dent. 2012 Mar;42(1):13-8 - PubMed
  19. Int J Oral Maxillofac Surg. 2013 Mar;42(3):369-75 - PubMed
  20. Oral Maxillofac Surg Clin North Am. 2006 Aug;18(3):311-28, vi - PubMed

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