1. Clinical and Radiological Comparison of Effects of Platelet-Rich Plasma, Hyaluronic Acid, and Corticosteroid Injections on Temporomandibular Joint Osteoarthritis
- Author
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Gokçe Kutuk S, Gökçe G, Arslan M, Özkan Y, Kütük M, and Kursat Arikan O
- Subjects
Adult ,Female ,Glucocorticoids/*therapeutic use ,Humans ,Hyaluronic Acid/*therapeutic use ,Injections, Intra-Articular ,Male ,Middle Aged ,Osteoarthritis/physiopathology/*therapy ,Platelet-Rich Plasma ,Temporomandibular Joint Disorders/physiopathology/*therapy ,Triamcinolone Acetonide/therapeutic use ,Viscosupplements/therapeutic use ,Visual Analog Scale - Abstract
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 intra-articular 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 = 31), and posterior (n = 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.
- Published
- 2019