Autologous Blood Injection versus Eminectomy in management of Chronic Recurrent Temporomandibular Joint Dislocation | ||
| Egyptian Dental Journal | ||
| Volume 70, Issue 4 - Serial Number 2, October 2024, Pages 3165-3172 PDF (1.29 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/edj.2024.301043.3100 | ||
| Authors | ||
| Heba Mohamed Fayed* ; Waheed Abdelhamid Ahmed | ||
| Lecturer of oral and Maxillofacial surgery, Faculty of Dentistry, October 6 University, Egypt | ||
| Abstract | ||
| Abstract Aim of the study: This study aims to assess efficacy of autologous blood injection (ABI) versus eminectomy for treating recurrent temporomandibular joint (TMJ) dislocation. Patients and Methods: 20 patients with chronic recurrent dislocation were randomly divided into two groups (10 patients each). Group 1 received autologous blood injection (ABI) to pericapsular tissue (PT) and superior joint space (SJS). While Group 2 performed eminectomy. Clinical data included maximal incisal opening (MIO), joint sounds, pain, episodes of subluxation per week at 1 week, 1, 3, 6, and 12 months. Digital Radiographic imaging was collected at 6 and 12 months. Results: Clinical data analysis showed significant improvements in all parameters comprising episodes of subluxation per week, joint sounds, pain, and maximal incisal opening, initially in both groups. Long term follow-up showed beginning of osteoarthritic changes in group 2 detected by digital radiographic imaging. Conclusion: Both techniques had favorable results concerning TMJ subluxation. However, the injection group had superior results, was more conservative as a technique, and had no side effects. | ||
| Keywords | ||
| Chronic Dislocation; Autologous Blood; Eminectomy | ||
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