Efficacy of Dextrose Prolotherapy Combined with Intermaxillary Fixation in the Treatment of Temporomandibular Joint Hypermobility

Document Type : Original Article

Authors

1 oral and maxillofacial surgery , faculty of dentistry, AL azhar university, cairo, Egypt

2 Professor, Department of Oral and Maxillofacial Surgery Faculty of Dental Medicine,Boys,Cairo Al-Azhar University

3 oral and maxillofacial surgery department , faculty of dental medicine, boys Cairo, alazhar university.

Abstract

Objective: This study was carried out to evaluate the efficacy of dextrose 25% injection prolotherapy with intermaxillary fixation in the treatment of temporomandibular joint hypermobility in a prospective randomized controlled clinical trial.
Patients and methods: Twenty patients with TMJ hypermobility were randomly equally divided into two groups: Group A: Patients were treated with injection of dextrose 25% alone into the posterior periarticular tissues. Group B: patients were treated with dextrose 25% and IMF for 2 weeks. They were assessed for the maximum voluntary interincisal mouth opening MMO of the patients measured in millimeters and intensity of pain using a 10-point visual analogue scale VAS. The preoperative mean values were compared with postoperative mean values at 2 weeks, 1 month, 3, and 6 months.
Results: Both groups revealed significant improvement in TMJ pain and significant reduction in MMO throughout follow up periods. By the end of the study, group B showed a statistically significantly reduction in mean MMO values than group A.
Conclusion: Prolotherapy with dextrose 25% seems promising for the treatment of symptomatic TMJ hypermobility. It is a simple and safe technique devoid of significant side effects. A better result could be obtained if dextrose injection was combined with IMF for two weeks.

Keywords

Al-Azhar Journal of Dental Science
Volume 27, Issue 1 - Serial Number 1
January - Oral Medicine & Surgical Sciences Issue (Oral Medicine, Oral & Maxillofacial Surgery, Oral Pathology, Oral Biology)
January 2024
Pages 81-86

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