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Table 2: Showing recovery after treatment and complications
No. Maximum Episodes of dislocation during period of observation Maximum Complications
mouth opening mouth
preoperative 1st and 2nd 3rd week 1st month 3rd month 6th month 1 year opening in mm
in mm week
1 38 - - - - - - 38 Mild pain
2 39 Yes - - - - - 38 -
3 42 - - 1 1 - - 40 -
4 39 - - - - - - 38 Mild pain
5 40 Yes Yes Yes Yes Yes Lost follow up - -
6 39 - 36 -
7 37 Yes Yes Yes Yes Yes Yes Not applicable Recurrence

8 38 - - - - - - 34 -
9 39 - - - - - - 36 Mild pain
10 42 - - - - - - 40
11 46 Yes Yes Yes Treated by - Recurrence
surgical
means
Mean mouth opening (preoperative) 39.9 Mean mouth opening 37.2 mm (postoperative)

A B C D
Figure 3: Temporomandibular joint view showing pre and post autologous injection radiographs. A: Pre-injection left side; B: post autologous blood
injection; C: pre-injection right side; D: post autologous blood injection

by gagging of molar teeth, anterior open bite or long face injections of sodium psyllate, sodium murrhoate and sodium
appearance. The etiology of recurrent dislocation is not known, decyl sulphate have been used with limited success. Brachmann
[5]
[6]
however, the pathogenesisis involves soft tissues or bone. was first to use intrarticular injection of autologous blood for
Involvement of tissues is related with weakness of ligaments or treatment of RTMJD. Schulz re-described the technique for
[7]
laxity of capsule. At bone level, abnormal size of eminence or the treatment with good results. However, still very little is
[1]
shallow glenoid fossa, may another contributing factor. Certain known about the use of autologous blood in this condition, we
systemic diseases like Parkinson’s disease, epilepsy, Ehler Danlos decided to document our experiences of intrarticular injections
syndrome and antipsychotic drugs which may cause extra of autologous blood in RTMJD. This technique is simple, non-
pyramidal reactions, have also been attributed as predisposing invasive, and safe and can be performed under local anesthesia
factors. or intravenous sedation on outpatient basis.

Recurrent dislocation induces traumatic effects on all the METHODS
structures of joint including disc, ligament and capsule. Various
surgical and non-surgical and surgical treatments have been A total of 11 patients (4 males, 7 females) with age range between
employed to treat chronic recurrent dislocations of TMJ but 43-73 years (mean age 58.6 years) who attended the OPD of
none has received universal approval, thus attempts are still Department of Oral and Maxillofacial Surgery, Dr. Ziauddin
[2-4]
on finding an amicable treatment of this problem. Ahmed Dental College and Hospital, Aligarh Muslim University,
Aligarh, India with chief complaint of inability to close the mouth
Among conservative, nonsurgical treatment intra articular which very often remained open during routine activity of the
Plast Aesthet Res || Volume 3 || April 25, 2016 123