Evidence map›Paper›PMID 41366348›Full record

SynthesisBMC oral health2025

Is injectable platelet rich fibrin beneficial in managing intracapsular temporomandibular disorders? A systematic review and meta-analysis.

Mariam M Bahgat, Nourhan M Aly

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Mariam M BahgatDepartment of Prosthodontics, Faculty of Dentistry, Alexandria University, Azarita, Alexandria, 21526, Egypt. Mariam.amin@alexu.edu.eg.
Nourhan M AlyDepartment of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, 21526, Alexandria , Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo highlight the current knowledge of the effectiveness of injectable platelet rich fibrin (i-PRF) in the management of temporomandibular joint internal derangement (TMJ-ID) and temporomandibular joint osteoarthritis (TMJ-OA). METHODOLOGY: A "Population, Intervention, Comparison, Outcome" (PICO) strategy was implemented by performing a systematic search through Cochrane databases, PubMed/MEDLINE, and Google Scholar from their commencement to November 2024. Randomized clinical trials (RCTs) addressing the management of TMJ-ID and TMJ-OA with i-PRF were included. Two reviewers independently evaluated the suitability of the RCTs, followed by data extraction.

resultsThe electronic search revealed 274 articles, but only 6 studies were deemed suitable for selection, with a total of 270 subjects; 75% were females, and 25% were males. Meta-analysis revealed a significant reduction in pain levels with i-PRF compared to controls (pooled SMD = - 2.16; 95% CI = - 3.43 to - 0.89; P < 0.001). Significant improvement was also observed in maximum mouth opening (SMD = 2.46; 95% CI = 0.56 to 4.36; P = 0.02). i-PRF significantly enhanced lateral mandibular movements compared with controls (SMD = 1.35; 95% CI = 0.03 to 2.67; P = 0.048), whereas no significant difference was found for protrusive movements (SMD = 1.76; 95% CI = - 0.97 to 4.48; P = 0.11). Improvements in joint sounds and disc position were qualitatively reported in smaller subsets of studies. Substantial heterogeneity (I² = 83-93%) was observed across outcomes, reflecting variability in study design and treatment protocols.

conclusionCurrent evidence suggests that i-PRF provides improvements in TMJ pain, joint sounds, and mandibular movements for up to 12 months. However, more RCTs are needed.

Indexed as

OsteoarthritisPlatelet-Rich FibrinTemporomandibular Joint DisordersHumansRandomized Controlled Trials as TopicInjectable Platelet Rich FibrinMaximum mouth openingMeta-analysisTemporomandibular disordersVisual analogue scale

Identifiers

PMID41366348
PMCPMC12947513

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.