Prolotherapy, new non-surgical treatment for tempromandibular joint painful clicking and dislocation

Abstract

Purpose prolotherpy is local injection of the affected joint with 5% Dextrose water (suger based solution) to the peri and intra tempromandibular joint( Disc,Ligaments,tendons) to treate the TMJ painfull clicking and chronic dislocation as conservative treatment
Method:We have selected forty nine patient ,twenty nine of them suffering from painful clicking,and twenty suffering from chronic dislocation , So we started our treatment by giving them 3-5 local injection to the TMJ area, 7-10 days interval between each session with 8 months follow up.
Results:The Dextrose injection stimulate formation new collagen fiber , These fibers appear much the same as normal tissue, except that they are thicker and stronger than normal tissue up to 40% this lead to lax tissue (capsule and the ligament) that will become stronger and repair the damage that will occur in these structures also it stimulate present cells and tissues to re-growth and rehabilitation of an important structure such as ligament, cartilage & tendon of the weakened area, it's found that deposition of new collagen as it matures. The Dextrose injection 1- shrinkage the collagen fiber 2-tightens the ligament and tendons 3- strong it.
Conclusion: The Dextrose injection formation of new collagen and strengthen and repair of the presented structures in the joint(tendon,ligament, disc and capsule) lead to disappear of the clicking and limit movement of the TMJ more for ward and prevent dislocation.