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颞下颌关节治疗中的脐血和胎盘衍生物:一项系统评价

Umbilical and Placental Derivatives in Temporomandibular Joint Treatment: A Systematic Review.

作者信息

Lubecka Karolina, Chęciński Maciej, Chęcińska Kamila, Bliźniak Filip, Wach Tomasz, Szuta Mariusz, Chlubek Dariusz, Sikora Maciej

机构信息

Department of Oral Surgery, Preventive Medicine Center, Komorowskiego 12, 30-106 Kraków, Poland.

National Medical Institute of the Ministry of Interior and Administration, Wołoska 137, 02-507 Warsaw, Poland.

出版信息

J Clin Med. 2024 Nov 21;13(23):7002. doi: 10.3390/jcm13237002.

Abstract

: This review aimed to gather and summarize the existing information on the clinical application of allogeneic umbilical and placental derivatives in the treatment of temporomandibular joint disorders. : Research on the impact of the use of umbilical and placental derivatives on reducing pain and improving mobility in the temporomandibular joint was included in the article. Medical databases, including ACM, BASE, Cochrane, Scopus, Google Scholar, ClinicalTrials.gov, and PubMed, were searched. The final search was conducted on 20 October 2024. : Out of the 43 records found, 5 were considered eligible for further analysis and showed that the use of placental and umbilical derivatives has the greatest potential in the treatment of ankylosis. The intra-articular administration of these tissues into the TMJ brings beneficial results, but they are similar to other, parallel methods, such as PRP or corticosteroids. : The studies discussed may guide researchers in expanding clinical trials, particularly by including more patients with TMDs, and have promising potential in ankylotic disorders, where amniotic membrane use has shown clear benefits.

摘要

本综述旨在收集和总结关于同种异体脐带和胎盘衍生物在颞下颌关节紊乱症治疗中临床应用的现有信息。本文纳入了关于使用脐带和胎盘衍生物对减轻颞下颌关节疼痛和改善活动度影响的研究。检索了包括ACM、BASE、Cochrane、Scopus、谷歌学术、ClinicalTrials.gov和PubMed在内的医学数据库。最终检索于2024年10月20日进行。在找到的43条记录中,有5条被认为符合进一步分析的条件,结果显示使用胎盘和脐带衍生物在治疗关节强直方面具有最大潜力。将这些组织关节内注射到颞下颌关节可带来有益效果,但与其他类似的并行方法,如富血小板血浆(PRP)或皮质类固醇相似。所讨论的研究可能会指导研究人员扩大临床试验,特别是纳入更多颞下颌关节紊乱症患者,并且在关节强直疾病方面具有有前景的潜力,其中使用羊膜已显示出明显益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01df/11642013/b8717881bf4a/jcm-13-07002-g001.jpg

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