Histopathologic Evaluation of Autologous Blood Injection to the Temporomandibular Joint

PurposeChronic recurrent temporomandibular joint dislocation is treated by surgical and nonsurgical techniques described in the literature. However, these techniques have some complications noted in the literature. Recently, the autologous blood injection in temporomandibular joint technique has been applied to treat chronic temporomandibular joint dislocation. However, to date, there has been no study that describes the histopathologic effects of autologous blood injection within the literature. The aim of this study was to evaluate the histopathologic effects of autologous blood injection in rabbit temporomandibular joints. MethodsEight New Zealand white rabbits underwent bilateral autologous blood injection. After the injection, mandibles were fixed by orthodontic brackets and elastics for 24 hours. One rabbit was included in the control group. After 1-month follow-up period, the animals were killed. Temporomandibular joints were dissected and sent to histological examination. ResultsOnly fibrin accumulations were seen in the tissue samples. There was no evidence of degeneration in the joint cartilage, and a fibrous bed was not formed in the injected regions. ConclusionsAlthough the procedure has successful results in the literature, a fibrous bed that is supposed to be the outcome of the treatment was not seen in the tissue samples. According to this study, therefore, the autologous blood injection does not change the structure of temporomandibular joint in rabbits.

[1]  R. Kumar,et al.  Autologous Blood Injection for the Treatment of Recurrent Temporomandibular Joint Dislocation - A Case Report , 2011 .

[2]  E. T. Daif Autologous blood injection as a new treatment modality for chronic recurrent temporomandibular joint dislocation. , 2010, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.

[3]  R. Bainton,et al.  The use of autologous blood and adjunctive 'face lift' bandage in the management of recurrent TMJ dislocation. , 2009, The British journal of oral & maxillofacial surgery.

[4]  O. Güven Management of chronic recurrent temporomandibular joint dislocations: a retrospective study. , 2009, Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery.

[5]  S. Abramowicz,et al.  Autologous blood injection for the treatment of chronic recurrent temporomandibular joint dislocation. , 2009, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[6]  N. Horie,et al.  Autologous blood injection into the articular cavity for the treatment of recurrent temporomandibular joint dislocation: a case report. , 2007, Journal of oral science.

[7]  J. Bijlsma,et al.  Initiation of degenerative joint damage by experimental bleeding combined with loading of the joint: a possible mechanism of hemophilic arthropathy. , 2004, Arthritis and rheumatism.

[8]  J. Bijlsma,et al.  Blood-induced joint damage: longterm effects in vitro and in vivo. , 2003, The Journal of rheumatology.

[9]  O. Nahlieli,et al.  Autologous blood injection for treatment of recurrent temporomandibular joint dislocation. , 2001, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.

[10]  J. Bijlsma,et al.  Blood-induced joint damage: a canine in vivo study. , 1999, Arthritis and rheumatism.

[11]  C. M. Silver,et al.  Operative treatment for recurrent dislocation of temporomandibular joint. , 1961, Wiederherstellungschirurgie und Traumatologie. Reconstruction surgery and traumatology.

[12]  Silver Cm,et al.  Operative treatment for recurrent dislocation of temporomandibular joint. , 1963 .