TMJ Prolotherapy

 

The temporomandibular joints (TMJs) are complex and dynamic synovial orthopedic hinges containing bone, cartilage, ligaments, blood vessels and nerves. In perfect health, the cartilagenous disc rests tightly atop the condylar head of the mandible via intact ligamentous structures contained within a joint capsule. Rather commonly, traumatic damage to the ligaments can create dysfunction within the joints. In the scientific literature, there exists a plethora papers supporting the usage of prolotherapy and its effectiveness to treat TMJ pathology. Ideally, MRI and CBCT diagnostic imaging precedes the decision to initiate this treatment. At Dr. Nick's, we regularly order and interpret TMJ MRI and CBCT prior to initiating TMJ prolotherapy injections using concentrated platelet rich fibrin (PRF) combined with procaine, and local anesthetic. Med grade ozone gas is also introduced into the joints being treated when our practice initiates prolotherapy. Though not a cure-all, TMJ prolotherapy can provide many patients with TMJ pathology relief.