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中华口腔医学研究杂志(电子版) ›› 2025, Vol. 19 ›› Issue (06) : 424 -428. doi: 10.3877/cma.j.issn.1674-1366.2025.06.012

综述

富血小板血浆治疗颞下颌关节骨关节病的机制与临床应用
丁雪薇, 买买提吐逊·吐尔地()   
  1. 新疆医科大学第一附属医院(附属口腔医院)口腔颌面创伤正颌外科,新疆维吾尔自治区口腔医学研究所,乌鲁木齐 830000
  • 收稿日期:2025-08-28 出版日期:2025-12-01
  • 通信作者: 买买提吐逊·吐尔地

Mechanism and clinical application of platelet-rich plasma in the treatment of temporomandibular joint osteoarthrisis

Xuewei Ding, Tuerdi Maimaitituxun()   

  1. Department of Oral and Maxillofacial Trauma and Orthog Nathic Surgery, First Affiliated Hospital of Xinjiang Medical University (Affiliated Stomatological Hospital), Xinjiang Uygur Autonomous Region Stomatological Research Institute, Urumqi 830000, China
  • Received:2025-08-28 Published:2025-12-01
  • Corresponding author: Tuerdi Maimaitituxun
  • Supported by:
    National Natural Science Foundation of China(82360198)
引用本文:

丁雪薇, 买买提吐逊·吐尔地. 富血小板血浆治疗颞下颌关节骨关节病的机制与临床应用[J/OL]. 中华口腔医学研究杂志(电子版), 2025, 19(06): 424-428.

Xuewei Ding, Tuerdi Maimaitituxun. Mechanism and clinical application of platelet-rich plasma in the treatment of temporomandibular joint osteoarthrisis[J/OL]. Chinese Journal of Stomatological Research(Electronic Edition), 2025, 19(06): 424-428.

颞下颌关节骨关节病(TMJOA)是一种多因素疾病,其致病机制复杂,涉及滑膜炎性反应、软骨退变和髁突骨质破坏等多个方面。TMJOA传统治疗(如药物、物理和手术等方法)存在明显局限性,仅能缓解临床症状,无法促进组织的修复再生,目前尚无根治方法。富血小板血浆(PRP)作为一种生物制剂,富含生长因子等成分,通过促进细胞增殖、抑制炎症和调控局部微环境等作用,在组织再生和修复领域展现出巨大潜力。本文阐述TMJOA的病理过程,解析PRP的生物活性成分及其作用机制,总结其在骨关节病中的应用研究,分析其治疗TMJOA的可行性和临床效果,旨在为PRP在该领域的深入研究提供参考。

Temporomandibular joint osteoarthrosis is a multifactorial disease with complex pathogenic mechanisms, involving synovial inflammatory response, cartilage degeneration, and condylar bone destruction. Traditional treatments for this disease, such as medication, physical therapy, and surgery, have obvious limitations. They can only relieve clinical symptoms but fail to promote tissue repair and regeneration, and there is currently no radical cure. As a biological agent, platelet-rich plasma is rich in growth factors and other components. It has shown great potential in the field of tissue regeneration and repair through promoting cell proliferation, inhibiting inflammation, and regulating the local microenvironment, and has attracted much attention in the treatment of osteoarthrosis in recent years. This article elaborates on the pathological process of temporomandibular joint osteoarthrosis, analyzes the bioactive components of platelet-rich plasma and its mechanism of action, summarizes its application research in osteoarthrosis, and analyzes the feasibility and clinical effects of its treatment for temporomandibular joint osteoarthrosis, aiming to provide a reference for in-depth research on platelet-rich plasma in this field.

[1]
Cardoneanu A, Macovei LA, Burlui AM, et al. Temporomandibular joint osteoarthritis:Pathogenic mechanisms involving the cartilage and subchondral bone,and potential therapeutic strategies for joint regeneration[J]. Int J Mol Sci202224(1):171. DOI:10.3390/ijms24010171.
[2]
Li B, Guan G, Mei L, et al. Pathological mechanism of chondrocytes and the surrounding environment during osteoarthritis of temporomandibular joint[J]. J Cell Mol Med202125(11):4902-4911. DOI:10.1111/jcmm.16514.
[3]
Feng SY, Cao MN, Gao CC, et al. Akt2 inhibition alleviates temporomandibular joint osteoarthritis by preventing subchondral bone loss[J]. Arthritis Res Ther202527(1):43. DOI:10.1186/s13075-025-03506-x.
[4]
Wei X, Gao J, Tian Z, et al. Retrospective study on the comparative efficacy of intra-articular injection and photodynamic therapy in the treatment of TMD[J]. Ther Clin Risk Manag202521:415-424. DOI:10.2147/TCRM.S512151.
[5]
Siewert M, Pokrowiecki R, Zawadzki PJ, et al. Arthrocentesis of temporomandibular joints:A clinical comparative study [J]. Life (Basel)202414(12):1594. DOI:10.3390/life14121594.
[6]
Xiong Y, Gong C, Peng X, et al. Efficacy and safety of platelet-rich plasma injections for the treatment of osteoarthritis:A systematic review and Meta-analysis of randomized controlled trials [J]. Front Med (Lausanne)202310:1204144. DOI:10.3389/fmed.2023.1204144.
[7]
Li X, Dong Y, Liu J, et al. Efficacy of arthroscopic cartilage transplantation combined with platelet-rich plasma in the treatment of early knee osteoarthritis:A retrospective cohort study [J]. Langenbecks Arch Surg2025410(1):122. DOI:10.1007/s00423-025-03690-z.
[8]
Chęciński M, Lubecka K, Bliźniak F, et al. Hyaluronic acid/platelet-rich plasma mixture improves temporomandibular joint biomechanics:A systematic review[J]. Int J Mol Sci202425(17):9401. DOI:10.3390/ijms25179401.
[9]
Liu S, Wu C, Zhang Y. Transcriptomics analyses of IL-1β-stimulated rat chondrocytes in temporomandibular joint condyles and effect of platelet-rich plasma [J]. Heliyon202410(4):e26739. DOI:10.1016/j.heliyon.2024.e26739.
[10]
Chen W, Huang F, Chen B, et al. BMSC derived exosomes attenuate apoptosis of temporomandibular joint disc chondrocytes in TMJOA via PI3K/AKT pathway[J]. Stem Cell Rev Rep202521(2):491-508. DOI:10.1007/s12015-024-10810-7.
[11]
Suh DK, Yeo WJ, Cheong K, et al. Transcriptome analysis of platelet-rich plasma-treated osteoarthritic chondrocyte [J]. Biomed Res Int20242024:7680736. DOI:10.1155/2024/7680736.
[12]
Xu F, Zhang J, Wu I, et al. Does intra-articular injection of PRP help patients with temporomandibular joint osteoarthritis after joint puncture? A systematic review and Meta-analysis of randomized controlled trials [J]. BMC Oral Health202525(1):475. DOI:10.1186/s12903-025-05826-5.
[13]
Liu SS, Xu LL, Liu LK, et al. Platelet-rich plasma therapy for temporomandibular joint osteoarthritis:A randomized controlled trial[J]. J Craniomaxillofac Surg202351(11):668-674. DOI:10.1016/j.jcms.2023.09.014.
[14]
Armiento AR, Alini M, Stoddart MJ. Articular fibrocartilage:Why does hyaline cartilage fail to repair?[J]. Adv Drug Deliv Rev2019146:289-305. DOI:10.1016/j.addr.2018.12.015.
[15]
Gruber R. How to explain the beneficial effects of platelet-rich plasma [J]. Periodontol 2000202597(1):95-103. DOI:10.1111/prd.12565.
[16]
Zhang Z, Liu P, Xue X, et al. The role of platelet-rich plasma in biomedicine:A comprehensive overview [J]. iScience202528(2):111705. DOI:10.1016/j.isci.2024.111705.
[17]
Xu J, Ren H, Zhao S, et al. Comparative effectiveness of hyaluronic acid,platelet-rich plasma,and platelet-rich fibrin in treating temporomandibular disorders:A systematic review and network Meta-analysis [J]. Head Face Med202319(1):39. DOI:10.1186/s13005-023-00369-y.
[18]
Calciolari E, Dourou M, Akcali A, et al. Differences between first-and second-generation autologous platelet concentrates [J]. Periodontol 2000202597(1):52-73. DOI:10.1111/prd.12550.
[19]
Dejnek M, Witkowski J, Moreira H, et al. Content of blood cell components,inflammatory cytokines and growth factors in autologous platelet-rich plasma obtained by various methods [J]. World J Orthop202213(6):587-602. DOI:10.5312/wjo.v13.i6.587.
[20]
郭锦锦,张思敏,买买提吐逊·吐尔地. 富血小板血浆联合透明质酸治疗颞下颌关节骨关节炎的研究进展[J]. 中国医学创新202017(36):168-172. DOI:10.3969/j.issn.1674-4985.2020.36.043.
[21]
Iwanaga T, Shikichi M, Kitamura H, et al. Morphology and functional roles of synoviocytes in the joint [J]. Arch Histol Cytol200063(1):17-31. DOI:10.1679/aohc.63.17.
[22]
Khatab S, van Buul GM, Kops N, et al. Intra-articular injections of platelet-rich plasma releasate reduce pain and synovial inflammation in a mouse model of osteoarthritis [J]. Am J Sports Med201846(4):977-986. DOI:10.1177/0363546517750635.
[23]
Knighton DR, Ciresi KF, Fiegel VD, et a. Classification and treatment of chronic nonhealing wounds. Successful treatment with autologous platelet-derived wound healing factors (PDWHF) [J]. Ann Surg1986204(3):322-330. DOI:10.1097/00000658-198609000-00011.
[24]
Schwitzguébel A, Corzo AH, Theodoridou E, et al. Platelet-rich plasma treatment for large joint osteoarthritis:Retrospective study highlighting a possible treatment protocol with long-lasting stimulation of the joint with an adequate dose of platelets [J]. BMC Musculoskelet Disord202526(1):412. DOI:10.1186/s12891-025-08663-3.
[25]
Arita A, Tobita M. Adverse events related to platelet-rich plasma therapy and future issues to be resolved [J]. Regen Ther202426:496-501. DOI:10.1016/j.reth.2024.07.004.
[26]
Rajeev A, Ali M, Devalia K. Autologous conditioned plasma and hyaluronic acid injection for isolated grade 4 osteochondral lesions of the knee in young active adults [J]. Cureus202214(8):e27787. DOI:10.7759/cureus.27787.
[27]
Singh A, Chakravarty S, Sehgal D, et al. Optimal dosage of platelet-rich plasma injections in patients with osteoarthritis of the knee:A scoping review [J]. Cureus202416(12):e75497. DOI:10.7759/cureus.75497.
[28]
Si-Hyeong Park S, Li B, Kim C. Efficacy of intra-articular injections for the treatment of osteoarthritis:A narrative review [J]. Osteoarthr Cartil Open20257(2):100596. DOI:10.1016/j.ocarto.2025.100596.
[29]
Kaye AD, Boullion JA, Abdelsalam M, et al. Efficacy of intra-articular platelet-rich plasma injections in treatment of knee osteoarthritis:A systematic review and Meta-analysis [J]. Curr Pain Headache Rep202529(1):13. DOI:10.1007/s11916-024-01320-9.
[30]
Romandini I, Boffa A, Di Martino A, et al. Leukocytes do not influence the safety and efficacy of platelet-rich plasma injections for the treatment of knee osteoarthritis:A double-blind randomized controlled trial [J]. Am J Sports Med202452(13):3212-3222. DOI:10.1177/03635465241283500.
[31]
Mirghaderi P, Mortezaei A, Javidan A, et al. Efficacy and safety of biological products in hip osteoarthritis:A systematic review and Meta-analysis of randomized controlled trials[J]. Clin Rheumatol202544(4):1403-1415. DOI:10.1007/s10067-025-07366-3.
[32]
Patra RC, Kanungo B, Yashudas A, et al. Multimodal physical therapy approach for the management of patients with temporomandibular disorder:Randomized control trial [J]. J Oral Biol Craniofac Res202515(3):515-524. DOI:10.1016/j.jobcr.2025.03.003.
[33]
Liu F, Steinkeler A. Epidemiology,diagnosis,and treatment of temporomandibular disorders [J]. Dent Clin North Am201357(3):465-479. DOI:10.1016/j.cden.2013.04.006.
[34]
Li CX, Yu P, Gong ZC, et al. Modified minimally invasive surgery in reconstructing the temporomandibular joint disk by transplantation of the temporalis myofascial flap [J]. BMC Musculoskelet Disord202324(1):7. DOI:10.1186/s12891-023-06128-z.
[35]
Giannelli A, Forte M, D'Albis G, et al. Utilization of platelet-rich plasma in oral surgery:A systematic review of the literature [J]. J Clin Med202514(8):2844. DOI:10.3390/jcm14082844.
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