Temporomandibular disorders: Are intra-articular injections with platelet-rich plasma effective?

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This review of the effectiveness of intra-articular platelet-rich plasma (PRP) injections in temporomandibular disorders included only 6 low quality RCTs providing very weak evidence for a potential benefit from PRP injection.

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Temporomandibular joint arthrocentesis with hyaluronic acid- evidence limited.

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This review of intra-articular injections of hyaluronic acid (HA) for temporomandibular disorder only identified 8 small studies of limited quality providing no consensus that HA injections were better than other agents.

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Only weak evidence available to support the use of intra- articular corticosteroids in treatment of temporomandibular joint arthritis in patients with juvenile idiopathic arthritis

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Temporomandibular joint (TMJ) involvement is seen in patients with juvenile idiopathic arthritis (JIA). Interventions for TMJ arthritis in these patients are aimed at maintaining joint function and reducing symptoms and avoiding permanent damage to the joint components. Treatment of the TMJ has included intra- articular corticosteroid injection (IACI). However there are concerns that while there [read the full story…]

Inferior or double temporomandibular joint spaces injection technique better than superior space injection

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The temporomandibular joint  has 2 unconnected cavities, superior and inferior, partitioned by the articular disc. The superior space injection (SSI) of  was the commonly used technique for temporomandibular disorders (TMD) . Recently, some researchers found that inferior space injection (ISI) or double spaces injection (DSI), ie, both upper and lower spaces being injected at 1time, [read the full story…]