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Influence of hyaluronic acid and platelet-rich plasma on the functional disorders of TMJ in the treatment of osteoarthritis. Systematic literature review
Date Issued |
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2020-11-19 |
Odontology and otorhinolaryngology
The Conference is organized by the Student’s Scientific Society of Lithuanian University of Health Sciences The content of the abstract book is redacted. The Student’s Scientific Society of Lithuanian University of Health Sciences did not have control over the abstracts. The authors remain responsible for the content of their respective abstracts. All abstracts presented in the conference were reviewed.
Bibliogr.: p. 127
Introduction One of the treatment methods for osteoarthritis of the temporomandibular joint (TMJ) is arthrocentesis. Various liquids and solutions can be used for joint irrigation. Hyaluronic acid (HA) and platelet-rich plasma (PRP) are commonly mentioned in literature for irrigation. Several studies have been conducted and this review is designed to compare the effectiveness of these two irrigating agents – hyaluronic acid and platelet-rich blood plasma in the treatment of TMJ osteoarthritis. Aim The aim of this review is to compare the influence of HA and PRP on functional dysfunction treatment of TMJ osteoarthritis. Methods The search was carried out based on PRISMA selection criteria. Electronic databases used include: PubMed, Science Direct, The Cochrane Library. Search Keywords: TMJ osteoarthritis, platelet rich plasma, hyaluronic acid. 95 articles were found. After applying the selection criteria (clinical trial; humans; the article released 5 or less years ago), 8 articles were found. In this review 3 articles were used. Patients who had no data after 12 months or cases in which other different treatment methods were applied additionally were excluded. SPSS (Windows 17.0) and Shapiro-Wilk tests were used to summarize statistical analysis of the results and G * Power (3.1.9.2) was used to determine the sample size. Student's t or Mann - Whitney U test was used to compare the results between study groups. Results 1. The research resulted with 3 articles meeting the inclusion criteria in which the sample size was from 18 to 25 in the PRP group and from 13 to 25 in the HA group. The control group was composed of 12 patients. PRP injections (1ml) were injected into the TMJ capsule 3 to 5 times [1,2,3]. In the HA group, 1ml of HA Suplasyn (20mg / 2ml) or Hyalgan (20mg / 2ml) was injected into the articular capsule cavity 1 to 3 times [1,2]. 2. After 12 months, pain was measured on the 10-point visual ... [...].