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Intraarticular injections of platelet rich plasma and plasma rich in growth factors with arthrocenthesis or arthroscopy in the treatment of temporomandibular joint disorders: A systematic review - 17/12/21

Doi : 10.1016/j.jormas.2021.12.006 
Ismael Quijada Gutiérrez a, Helena Sábado-Bundó b, , Cosme Gay-Escoda c
a Fellow in Master's Degree Program in Oral Surgery [EFHRE International University/FUCSO], Barcelona, Spain 
b Fellow in Master's Degree of Oral Surgery and Implantology. Faculty of Medicine and Health Sciences, Dental School, University of Barcelona, Barcelona, Spain 
c Chairman and Professor of Oral and Maxillofacial Surgery, Faculty of Medicine and Health Sciences. Dental School University of Barcelona. Director of the Master's Degree Program in Oral Surgery and Implantology [EFHRE International University/FUCSO]. Coordinator/Researcher of the IDIBELL Institute. Head of the Oral Surgery, Implantology and Maxillofacial Surgery Department of the Teknon Medical Centre, Barcelona, Spain 

Corresponding author at: Faculty of Medicine and Health Sciences. Dental School, Campus de Bellvitge, University of Barcelona., C/Feixa Llarga, s/n; Pavelló Govern, 2nd floor, Office 2.9, 08907 L'Hospitalet de Llobregat; Barcelona, Spain.Faculty of Medicine and Health Sciences.Dental SchoolCampus de BellvitgeUniversity of Barcelona.C/Feixa Llarga, s/n; Pavelló Govern, 2nd floor, Office 2.9L'Hospitalet de Llobregat; Barcelona08907Spain
En prensa. Pruebas corregidas por el autor. Disponible en línea desde el Friday 17 December 2021
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Abstract

Intra-articular platelet rich plasma injections [PRP] or platelet rich growth factors [PRGF] injections have been used as therapeutic treatment options for patients with temporomandibular joint disorder [TMD] in recent years. The purpose of this paper is to evaluate the level of the available scientific evidence in the current literature on the benefits of applying PRP or PRGF injections to patients with TMD simultaneously or after arthrocentesis or arthroscopy to reduce post-operative pain and improve temporomandibular joint function. This systematic review was conducted according to PRISMA criteria and an electronic database search was carried out in the PubMed, Scopus and Cochrane databases during May 2021. The patients in the study group were injected with intra-articular PRP or PRGF simultaneously or after arthrocentesis or arthroscopy while the patients in the control group had arthrocentesis or arthroscopy without an intra-articular injection or received an injection of hyaluronic acid or Ringer's lactate solution. Eight randomised controlled clinical trials were selected. The PRP and PRGF intra-articular injections demonstrated significant differences in terms of pain reduction in three studies and improved mandibular function in two. The treatment with PRP or PRGF intra-articular injections demonstrated slightly better clinical results but of little significance in comparison with the control group. Evidence of their effectiveness is crucial to establish them as non-invasive treatments and as an affordable option for treating some types of TMDs. In accordance with Evidence-based dentistry principles, this review has been assigned a C recommendation.

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Keywords : Plasma rich platelets, Plasma rich in growth factors, Intra-articular injections, Temporomandibular disorder, Arthrocentesis, Arthroscopy


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