Comparative study of the use of arthrocentesis alone and arthrocentesis in addition with platelet rich plasma in management of temporomandibular joint internal derangement

Abstract

Temporomandibular joint disorders (TMDs) are one of the most misdiagnosed and mistreated conditions.. It ranges from slight pain and discomfort to complete loss of function. Internal derangement of the temporomandibular joint is a progressive disorder that starts as clicking associated with normal opening (anterior disc displacement with reduction), to a stage where clicking gradually ceases but restricted mouth opening ensues(closed lock). 1 The primary goal in the treatment of TMJ disorders is to alleviate pain and to restore mandibular function (mastication &speech). Treatment of patients with internal derangement of the TMJ typically begins with nonsurgical treatment modalities. Occlusal appliance therapy, diet modification, pharmacotherapy, thermal agents, exercise therapy, physical therapy, ultrasonography & phonophoresis, electrical stimulation &iontophoresis, acupuncture, psychotherapy which have found to be efficacious. Surgical intervention is typically employed only after failure of non surgical treatment.