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Original Article Plastic and Aesthetic Research

Treatment of chronic recurrent dislocation

of temporomandibular joint by autologus

blood injection

Syed Sayeed Ahmed, Md. Kalim Ansari

Department of Oral and Maxillofacial Surgery, Dr. Ziauddin Ahmed Dental College, Aligarh Muslim University, Aligarh 202002, India.
Correspondence Author: Prof. Syed Sayeed Ahmed, Department of Oral and Maxillofacial Surgery, Dr. Ziauddin Ahmed Dental College,
Aligarh Muslim University, Aligarh 202002, India. E-mail: drssahmed@msn.com

Prof. Syed Sayeed Ahmed, MDS, MFDS RCPS (Glasgow), is recipient of TC White Visiting Scholarship of Royal
College of Physicians and Surgeons of Glasgow, Glasgow, Scotland, UK; Commonwealth Fellowship by Association
of Commonwealth Universities, UK; and visited Sammelweis University, Budapest, Hungary under Indo-Hungarian
Educational Exchange programme. His main areas of research are maxillofacial trauma, neurological diseases of
maxillofacial region and microbiology of odontogenic and diseases of temporomandibulr joint.

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.

Key words:
Subluxation; recurrent dislocation; arthrocentesis; temporomandibular joint; autologous blood

INTRODUCTION (TMJ) may require professional help for reduction or occasionally
it may be self reducing. This condition is characterized by
Sometimes during normal opening of the mouth the condylar inability to close the mouth once mouth is wide open. When this
head of the mandible moves forward anterior to the articular is self reducible or self reducing - it is referred to as subluxation.
eminence but still remains within the capsule of the joint. This is In contrast, luxation or dislocation is a condition requires
professional help to return the joint to its normal position.
termed as dislocation which may be classified as acute, chronic
and recurrent. Recurrent dislocation of temporomandibular joint This is an open access article distributed under the terms of the Creative Commons
Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix,
Access this article online tweak and build upon the work non-commercially, as long as the author is credited
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How to cite this article: Ahmed SS, Ansari MK. Treatment of chronic
DOI: recurrent dislocation of temporomandibular joint by autologous blood
10.20517/2347-9264.2014.105 injection. Plast Aesthet Res 2016;3:121-5.
Received: 30-10-2014; Accepted: 08-04-2016
© 2016 Plastic and Aesthetic Research | Published by OAE Publishing Inc. 121