A Comparative Study between the Effects of Intra-Articular Injections of Platelet Rich Plasma versus Corticosteroid with Local Anaesthetic in Refractory Cases of Temporo-Mandibular joint Disorder- A Comparative Study

Abstract: Introduction: Temporomandibular disorders (TMD) are a group of disorders that affect the temporomandibular joint, associated musculoskeletal tissues or both, such as myofascial pain, internal dearrangements, and certain degenerative and rheumatological diseases. In recent practice cor...

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Main Authors: Madhumita Batabyal, Indranil Sen, Rabi Hembrom, Pradip Kumar Ray, Arijit Nag, Kapil Bala, Jayanta Barman, Anamika Anamika
Format: Article
Language:English
Published: The Association of Otolaryngologists of India, West Bengal 2024-05-01
Series:Bengal Journal of Otolaryngology and Head Neck Surgery
Subjects:
Online Access:https://bjohns.in/journal23/index.php/bjohns/article/view/81
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author Madhumita Batabyal
Indranil Sen
Rabi Hembrom
Pradip Kumar Ray
Arijit Nag
Kapil Bala
Jayanta Barman
Anamika Anamika
author_facet Madhumita Batabyal
Indranil Sen
Rabi Hembrom
Pradip Kumar Ray
Arijit Nag
Kapil Bala
Jayanta Barman
Anamika Anamika
author_sort Madhumita Batabyal
collection DOAJ
description Abstract: Introduction: Temporomandibular disorders (TMD) are a group of disorders that affect the temporomandibular joint, associated musculoskeletal tissues or both, such as myofascial pain, internal dearrangements, and certain degenerative and rheumatological diseases. In recent practice corticosteroid and Platelet Rich Plasma (PRP) has been proposed as an intervensional mode of treatment in TMD patients. We aimed to compare the efficacy of PRP and corticosteroid injection in reducing symptoms of TMD after failure of conservative treatment. Materials and methods: A total of 60 cases (30 in each study and control groups) of TMD patients were included in this study. In patients of study group, intra Articular injection of PRP and in control group, lignocaine with Triamcinolone was given at Temporomandibular joint (TMJ). Both the groups were assessed for pain, inter-incisal mouth opening and joint sound at 6wk interval upto 3 month after injection. Results: Pain and joint sound was markedly reduced in PRP group than corticosteroid group .Inter-incisal mouth opening also shows better result in PRP group. Conclusion: Intra-articular PRP injection has significantly better outcome in terms of pain, inter incisal mouth opening and joint sound in refractory cases of TMD than intra-articular corticosteroid injection.
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spelling doaj-art-85b621b7035c48d9af84049f40bc08c72025-02-11T09:43:34ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-23932395-24072024-05-0131310.47210/bjohns.2023.v31i3.81A Comparative Study between the Effects of Intra-Articular Injections of Platelet Rich Plasma versus Corticosteroid with Local Anaesthetic in Refractory Cases of Temporo-Mandibular joint Disorder- A Comparative StudyMadhumita Batabyal0Indranil Sen1Rabi Hembrom2Pradip Kumar Ray3Arijit Nag4Kapil Bala5Jayanta Barman6Anamika Anamika7Midnapore Medical College and HospitalCollege of Medicine and Sagore Dutta Hospital, West BengalMidnapore Medical College and HospitalDiamond Harbour Government Medical College & Hospital, West BengalMidnapore Medical College and HospitalMidnapore Medical College and HospitalMidnapore Medical College and HospitalMidnapore Medical College and Hospital Abstract: Introduction: Temporomandibular disorders (TMD) are a group of disorders that affect the temporomandibular joint, associated musculoskeletal tissues or both, such as myofascial pain, internal dearrangements, and certain degenerative and rheumatological diseases. In recent practice corticosteroid and Platelet Rich Plasma (PRP) has been proposed as an intervensional mode of treatment in TMD patients. We aimed to compare the efficacy of PRP and corticosteroid injection in reducing symptoms of TMD after failure of conservative treatment. Materials and methods: A total of 60 cases (30 in each study and control groups) of TMD patients were included in this study. In patients of study group, intra Articular injection of PRP and in control group, lignocaine with Triamcinolone was given at Temporomandibular joint (TMJ). Both the groups were assessed for pain, inter-incisal mouth opening and joint sound at 6wk interval upto 3 month after injection. Results: Pain and joint sound was markedly reduced in PRP group than corticosteroid group .Inter-incisal mouth opening also shows better result in PRP group. Conclusion: Intra-articular PRP injection has significantly better outcome in terms of pain, inter incisal mouth opening and joint sound in refractory cases of TMD than intra-articular corticosteroid injection. https://bjohns.in/journal23/index.php/bjohns/article/view/81Temporomandibular disordersIntra-articularCorticosteroidInjectionPlatelet rich plasma
spellingShingle Madhumita Batabyal
Indranil Sen
Rabi Hembrom
Pradip Kumar Ray
Arijit Nag
Kapil Bala
Jayanta Barman
Anamika Anamika
A Comparative Study between the Effects of Intra-Articular Injections of Platelet Rich Plasma versus Corticosteroid with Local Anaesthetic in Refractory Cases of Temporo-Mandibular joint Disorder- A Comparative Study
Bengal Journal of Otolaryngology and Head Neck Surgery
Temporomandibular disorders
Intra-articular
Corticosteroid
Injection
Platelet rich plasma
title A Comparative Study between the Effects of Intra-Articular Injections of Platelet Rich Plasma versus Corticosteroid with Local Anaesthetic in Refractory Cases of Temporo-Mandibular joint Disorder- A Comparative Study
title_full A Comparative Study between the Effects of Intra-Articular Injections of Platelet Rich Plasma versus Corticosteroid with Local Anaesthetic in Refractory Cases of Temporo-Mandibular joint Disorder- A Comparative Study
title_fullStr A Comparative Study between the Effects of Intra-Articular Injections of Platelet Rich Plasma versus Corticosteroid with Local Anaesthetic in Refractory Cases of Temporo-Mandibular joint Disorder- A Comparative Study
title_full_unstemmed A Comparative Study between the Effects of Intra-Articular Injections of Platelet Rich Plasma versus Corticosteroid with Local Anaesthetic in Refractory Cases of Temporo-Mandibular joint Disorder- A Comparative Study
title_short A Comparative Study between the Effects of Intra-Articular Injections of Platelet Rich Plasma versus Corticosteroid with Local Anaesthetic in Refractory Cases of Temporo-Mandibular joint Disorder- A Comparative Study
title_sort comparative study between the effects of intra articular injections of platelet rich plasma versus corticosteroid with local anaesthetic in refractory cases of temporo mandibular joint disorder a comparative study
topic Temporomandibular disorders
Intra-articular
Corticosteroid
Injection
Platelet rich plasma
url https://bjohns.in/journal23/index.php/bjohns/article/view/81
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