Treatment of chronic recurrent dislocation of temporomandibular joint by autologus blood injection

Abstract

Aim: The aim of this study was to evaluate the efficacy of autologus blood injection in the management of recurrent temporomandibular joint (TMJ) dislocation.

Methods: A total of 11 patients, 4 males, 7 females, mean age of 58.6 years and suffering from recurrent dislocation of TMJ, were included in the study. In all the patients the procedure included anesthesia- local or sedation, arthrocentesis which was followed by autologous blood injection in the upper joint cavity. The peri-articular tissues were also infiltrated with autologous blood. Post procedure advice included restricted mouth activity and liquid diet for a month.

Results: The results indicate that success rate of treatment of recurrent dislocation of TMJ is 72.8% which can be considered as impressive. The recurrence was noticed in 27.2% cases after one year follow up.

Conclusion: Autologus blood injection is an effective, simple, non-invasive, and safe procedure for treatment of recurrent dislocation of TMJ and can be performed on outpatient basis.

Keywords

Subluxation / recurrent dislocation / arthrocentesis / temporomandibular joint / autologous blood

References

[1] Sharma R.Modifications to Norman's procedure for hypermobility of the TMJ..Med J Armed Forces India2012;68:231-5 PMCID:PMC3862946

[2] Costas López A,Fernandez Sanromán J,Castro Ruiz PC.Glenotemporal osteotomy as a definitive treatment for recurrent dislocation of the jaw..J Craniomaxillofac Surg1996;24:178-83

[3] Bakardjiev A.Treatment of chronic mandibular dislocations by bone plates: two case reports..J Craniomaxillofac Surg2004;32:90-2; discussion 93

[4] Kummoona R.Surgical managements of subluxation and dislocation of the temporomandibular joint: clinical and experimental studies..J Craniofac Surg2010;21:1692-7

[5] Rowe NL.Row and Williums Maxillofacial Injuries.1994;LondonChurchill Livingstone352-5

[6] Brachmann F.Autologous blood injection for recurrent hypermobility of the temporomandibular joint..Dtsch Zahnarztl Z1964;15:97-102(in German)

[7] Schulz S.Evaluation of periarticular autotransfusion for therapy of recurrent dislocations of the temporomandibular joint..Dtsch Stomatol1973;23:94-8(in German)

[8] Ungor C,Taskesen F,Dayisoylu EH,Senel FC.Short-term results of prolotherapy in the management of temporomandibular joint dislocation..J Craniofac Surg2013;24:411-5

[9] Zhou H,Ding Y.Modified dextrose prolotherapy for recurrent temporomandibular joint dislocation..Br J Oral Maxillofac Surg2014;52:63-6

[10] Daif ET.Autologous blood injection as a new treatment modality for chronic recurrent temporomandibular joint dislocation..Oral Surg Oral Med Oral Pathol Oral Radiol Endod2010;109:31-6

[11] Machon V,Paska J.Autologous blood injection forthe treatment of chronic recurrent temporomandibular joint dislocation..J Oral Maxillofac Surg2009;67:114-9

[12] Kato T,Nasu D,Horie N.Autologous blood injection into thearticular cavity for the treatment of recurrent temporomandibular joint dislocation: a case report..J Oral Sci2007;49:237-9

[13] Candirli C,Cavus UY,Cakir B.Autologous blood injection to the temporomandibular joint: magnetic resonance imaging findings..Imaging Sci Dent2012;42:13-8 PMCID:PMC3314832