Abstract

Temporomandibular joint disorders are associated with pain, dysfunction, and reduced quality of life. Emerging treatments, such as arthroscopy combined with platelet-rich plasma (PRP) injections, offer promise in managing these conditions. This review provides a comprehensive description of the combined approach involving PRP injection and TMJ arthroscopy. The review outlines a detailed surgical procedure for level II arthroscopy, as well as the specialized method for preparing PRP, step by step. Contrary to traditional approaches advocating for the exhaustive use of conservative treatments, minimally invasive procedures should be considered as an effective initial treatment option or implemented early, especially when patients do not demonstrate clear benefits from initial conservative treatments. Performing TMJ arthroscopy requires extensive training. Surgeons must master critical steps through practice to ensure optimal patient outcomes, emphasizing the importance of high surgical skills for patient benefit. Arthroscopy combined with PRP injections represents a promising therapeutic approach for TMJ disorders compared to other injectable materials.

Keywords

• quality of life
• TMJ
• TMD
• arthroscopy
• Platelet-Rich Plasma
• internal derangements

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