151. Liquid platelet-rich fibrin injections as a treatment adjunct for painful temporomandibular joints: preliminary results.
- Author
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Albilia J DMD, MSc, Herrera-Vizcaíno C DDS, Weisleder H BSc, Choukroun J MD, and Ghanaati S MD, DMD, PhD
- Subjects
- Humans, Range of Motion, Articular, Temporomandibular Joint, Joint Dislocations, Platelet-Rich Fibrin, Temporomandibular Joint Disorders
- Abstract
Objective: To evaluate the clinical benefits of liquid platelet-rich fibrin (PRF) in patients with temporomandibular joint (TMJ) pain and dysfunction., Methods: Forty-eight TMJs in 37 patients with painful internal derangement (ID) (Wilkes' I-V) were included. Patients were injected with 1.5-2cc of PRF within the superior joint space at 2-week intervals. Pain and subjective dysfunction were recorded using a visual analog scale. Statistical analyses were done using the ANOVA test., Results: Thirty-three of 48 TMJs (69%) showed significant reduction in pain at 8 weeks, and at 3, 6, and 12 months (Responders). Fifteen of 48 TMJs (31%) did not improve (Non-responders). The best Responders to liquid PRF injections were ID stages Wilkes' IV (78.5%) and V (100%), compared to Wilkes' I (0%), II (47%), and III (33%). A non-significant, but notable decrease in dysfunction was found., Conclusion: Preliminary findings support that liquid PRF exhibits long-term analgesic effects in most patients with painful TMJ ID.
- Published
- 2020
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