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Ultrasound guided dextrose prolotherapy is beneficial for temporomandibular joint dysfunction

Ultrasound guided dextrose prolotherapy is beneficial for temporomandibular joint dysfunction Ultrasound guided dextrose prolotherapy is beneficial for temporomandibular joint dysfunction
Ultrasound guided dextrose prolotherapy is beneficial for temporomandibular joint dysfunction Ultrasound guided dextrose prolotherapy is beneficial for temporomandibular joint dysfunction

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Clinicians may use ultrasound-guided prolotherapy with 25% dextrose to manage patients having temporomandibular joint dysfunction. 

A study depicted that ultrasound-guided prolotherapy (regenerative injection therapy) with 25% dextrose is beneficial for treating symptomatic temporomandibular joint dysfunction, as evidenced by safety, pain alleviation, therapy advantages, simplicity, patients' acceptance of the injection technique, and lack of vital adverse effects.

A trial was carried out to determine the merits of ultrasound-guided prolotherapy with 25% dextrose in individuals diagnosed with temporomandibular joint disorder. The study cohort included 15 patients suffering from temporomandibular joint dysfunction. The included participants were given two sessions of injections with 3 ml of proliferant solution (2 ml of 25 % dextrose and 2 % lignocaine with 1:2,00,000 adrenaline) 1 month apart. The follow-up was carried out for one, three, and six months.

The subjects were assessed for the following parameters: (i) Frequency of dislocation or subluxation, (ii) pain, (iii) clicking sound, (iv) deviation of the mouth, and (v) maximum mouth opening both pre and post-surgery. Utilizing the Wilcoxon matched-pairs test and dependent t-test, the scores were recorded and assessed.

Injections of dextrose solution led to substantial improvement in temporomandibular joint pain, as shown in the following table and figure:



Improvements in mouth opening, deviation of mouth, clicking sound, and the number of locking episodes were also noted after the two sessions of dextrose injections. Thus, ultrasound-guided dextrose prolotherapy yields promising results for temporomandibular joint dysfunction.


Source:

Asian Journal of Dental Sciences

Article:

Ultrasound Guided Dextrose Prolotherapy: A Promising Hope for Temporomandibular Joint Dysfunction

Authors:

Arun Murali et al.

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