Clinical and radiological comparison of effects of platelet-rich plasma, hyaluronic acid, and corticosteroid injections on temporomandibular joint osteoarthritis
| Autor: | Sinem Gökçe Kütük, Mustafa Kütük, Muhammet Arslan, Gökçen Gökçe, Osman Kürşat Arikan, Yasemin Özkan |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
intraarticular drug administration Visual Analog Scale Osteoarthritis triamcinolone acetonide Triamcinolone Acetonide Palpation Temporomandibular joint viscosupplement Injections Intra-Articular law.invention 0302 clinical medicine Randomized controlled trial law middle aged Corticosteroid Medicine Hyaluronic Acid 030223 otorhinolaryngology pathophysiology temporomandibular joint disorder Viscosupplements medicine.diagnostic_test Platelet-Rich Plasma General Medicine Pain scale Middle Aged Temporomandibular Joint Disorders female medicine.anatomical_structure Anesthesia Female Adult Visual analogue scale medicine.drug_class Hyaluronic acid 03 medical and health sciences Platelet-rich plasma Humans controlled study human Glucocorticoids business.industry 030206 dentistry medicine.disease Otorhinolaryngology thrombocyte rich plasma randomized controlled trial glucocorticoid Surgery business |
| Popis: | There are few studies in the literature that comparatively evaluate the use of intra-articular orticosteroids (CS), hyaluronic acid (HA), and platelet-rich plasma (PRP). In this study, the authors aimed to compare the clinical results of intraarticular CS, HA, and PRP injections in patients who presented to the authors’ clinic with temporomandibular joint (TMJ) pain and clinically diagnosed with TMJ-osteoarthritis. Patients were evaluated in 2 groups as those patients who felt pain on lateral (n ¼ 31), and posterior (n ¼ 43) palpation. Patients who were evaluated in the study were randomly assigned to 3 different treatment groups as Group 1 (PRP), Group 2 (HA), and Group 3 (CS). Pain felt on the TMJ on lateral and posterior palpation was assessed before treatment and every month for 3 months using a 5-point pain scale. Presence of crepitation, loss of function, and loss of strength were assessed before treatment and every month for 3 months. Significant changes were observed in the PRP and HA groups when the patients were evaluated according to the VAS scores evaluated at different follow-up times for TMJ pain on lateral palpation. Significant changes were observed in the PRP, HA, and CS groups when VAS scores were evaluated according to the patients’ follow-up times for TMJ pain on lateral palpation. In conclusion, the findings of this study have shown that intra-articular PRP injections decreased TMJ palpation pain more effectively compared with the HA and CS groups. © 2019 by Mutaz B. Habal, MD. |
| Databáze: | OpenAIRE |
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