ASSESSMENT OF THE THERAPEUTIC EFFECTS OF AUTOLOGOUS BLOOD VERSUS DEXTROSE PROLOTHERAPY FOR THE TREATMENT OF TEMPORO- MANDIBULAR JOINT HYPERMOBILITY. A RANDOMIZED PROSPECTIVE CLINICAL STUDY
Arafat, S., Elbaz, M. (2019). ASSESSMENT OF THE THERAPEUTIC EFFECTS OF AUTOLOGOUS BLOOD VERSUS DEXTROSE PROLOTHERAPY FOR THE TREATMENT OF TEMPORO- MANDIBULAR JOINT HYPERMOBILITY. A RANDOMIZED PROSPECTIVE CLINICAL STUDY. EKB Journal Management System, 65(Issue 3 - July (Oral Surgery)), 2125-2131. doi: 10.21608/edj.2019.72230
Shereen W. Arafat; Mohamed A. Elbaz. "ASSESSMENT OF THE THERAPEUTIC EFFECTS OF AUTOLOGOUS BLOOD VERSUS DEXTROSE PROLOTHERAPY FOR THE TREATMENT OF TEMPORO- MANDIBULAR JOINT HYPERMOBILITY. A RANDOMIZED PROSPECTIVE CLINICAL STUDY". EKB Journal Management System, 65, Issue 3 - July (Oral Surgery), 2019, 2125-2131. doi: 10.21608/edj.2019.72230
Arafat, S., Elbaz, M. (2019). 'ASSESSMENT OF THE THERAPEUTIC EFFECTS OF AUTOLOGOUS BLOOD VERSUS DEXTROSE PROLOTHERAPY FOR THE TREATMENT OF TEMPORO- MANDIBULAR JOINT HYPERMOBILITY. A RANDOMIZED PROSPECTIVE CLINICAL STUDY', EKB Journal Management System, 65(Issue 3 - July (Oral Surgery)), pp. 2125-2131. doi: 10.21608/edj.2019.72230
Arafat, S., Elbaz, M. ASSESSMENT OF THE THERAPEUTIC EFFECTS OF AUTOLOGOUS BLOOD VERSUS DEXTROSE PROLOTHERAPY FOR THE TREATMENT OF TEMPORO- MANDIBULAR JOINT HYPERMOBILITY. A RANDOMIZED PROSPECTIVE CLINICAL STUDY. EKB Journal Management System, 2019; 65(Issue 3 - July (Oral Surgery)): 2125-2131. doi: 10.21608/edj.2019.72230

ASSESSMENT OF THE THERAPEUTIC EFFECTS OF AUTOLOGOUS BLOOD VERSUS DEXTROSE PROLOTHERAPY FOR THE TREATMENT OF TEMPORO- MANDIBULAR JOINT HYPERMOBILITY. A RANDOMIZED PROSPECTIVE CLINICAL STUDY

Egyptian Dental Journal
Article 8, Volume 65, Issue 3 - July (Oral Surgery), July 2019, Page 2125-2131  XML PDF (562.82 K)
Document Type: Original Article
DOI: 10.21608/edj.2019.72230
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Authors
Shereen W. Arafat1; Mohamed A. Elbaz2
1Associate Professor of Oral & Maxillofacial Surgery, MSA University.
2Lecturer of Oral & Maxillofacial Surgery, MSA University.
Abstract
Objectives: The aim of the current study was to assess the injection of autologous blood versus the dextrose prolotherapy for the treatment of TMJ hypermobility.
Material & methods: This study was conducted on 30 patients who had TMJ subluxation. Patients were divided into 2 equal groups. Group A: 15 patients received autologous blood injection, and Group B: 15 patients received dextrose prolotherapy. Clinical evaluation was performed through Visual Analogue Scale (VAS) to assess patients’ pain preoperatively, at 2 weeks, 1, 3, and 6 months postoperatively. Painless maximum interincisal opening (MIO) was measured preoperatively, 2 weeks, and 3, 6 months postoperatively. Statistical analysis of data was performed.
Results: Group B showed a significant (p≤0.001) higher MIO values compared to Group A for all follow-up intervals. There was Significant (p≤0.001) reduction in VAS scores at 2 weeks postoperatively in group A. While, the reduction in VAS at 2 weeks was non-significant (p≥0.001) in group B, but at 1 months postoperatively VAS started to show significant (p≤0.001) reduction. Conclusion: autologous blood injection was superior to dextrose prolotherapy regarding the number of injections needed, pain improvement, and maximal interincisal opening reduction.
Keywords
TMJ subluxation; TMJ hypermobility; chronic dislocation; Dextrose prolotherapy; autologous blood injection
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