医学
骨关节炎
透明质酸
关节穿刺
颞下颌关节
脂肪组织
射线照相术
干细胞
滑液
病理
内科学
外科
解剖
遗传学
生物
替代医学
作者
Maggie Khairy,Inas Abulmagd,Dina Sabry
出处
期刊:Egyptian Journal of Oral & Maxillofacial Surgery
[Egypts Presidential Specialized Council for Education and Scientific Research]
日期:2019-10-01
卷期号:10 (4): 102-117
被引量:4
标识
DOI:10.21608/omx.2020.25885.1054
摘要
Objective: This study aims to assess the effectiveness of arthrocentesis followed by intraarticular injection of adipose derived stem cells versus hyaluronic acid in treatment of temporomandibular joint osteoarthritis and reversing the ongoing degenerative cascade. Evaluation was based on clinical radiographic and biochemical findings.Materials and Methods: The study included thirty patients suffering from TMJ/OA. Clinical criteria and Computerized Tomography (CT scan) confirmed the diagnosis. Patients were divided into two equal groups; both groups underwent arthrocentesis pursued by hyaluronic acid injection for Group I, and chondrogenic differentiated adipose derived stem cells for Group II. Synovial fluid samples were collected preoperative and at the end of the study (18 months) to assess the TGFβ1 concentration. Clinical data (maximal mouth opening, lateral, protrusive movements, pain and joint sounds) were collected at 3, 6, 12 and 18 months. CT scans were repeated at 18 months.Results: Group I showed initial improvement within clinical parameters but failed to sustain these results till the end of the study, no marked radiographic changes were noted. However, the TGF β1concentration showed significant decrease. Group II showed significant improvement within all parameters, Radiographic findings manifested remodeling of degenerative findings and TGFβ1 concentration was significantly decreased.Conclusion: Adipose derived stem cell is an effective therapeutic treatment for TMJ/OA. It subsided all related clinical dysfunction and abates the ongoing degenerative cycle.
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