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Objectives: Treatment of osteoarthritis (OA) using autologous conditioned serum (ACS) has become in recent
years an alternative to consider in the approach of the degenerative joint disease of the knee. There is no support
in the literature for the use of ACS for the treatment of OA of the temporomandibular joint (TMJ), although the
promising results obtained in human patients with knee joint disease as well as in animal studies are opening the
way for its use at the TMJ. The aim of this paper is to conduct a review of the published literature regarding the
use of the ACS for the treatment of OA in humans, considering the level of scientific evidence, and following the
principles of the evidence-based medicine and dentistry.
Material and Methods: A PubMed-MEDLINE search was carried out of articles published between 1980 and 2011.
After an initial search, a total of 102 articles were obtained, followed by a selection of the most relevant articles
according to the topic; a total of 8 articles were selected, which were stratified according to their level of scientific
evidence using SORT criteria (Strength of Recommendation Taxonomy).
Results: At the time of this review, there is no available literature referring the use of ACS at the TMJ. However, the
use of the ACS in other joints is well documented, both experimentally and clinically, in humans and animals. The
reviewed articles, with a level of evidence 1 and 2 according to the SORT criteria, have generally promising results.
Discussion and Conclusions: The use of ACS in the treatment of OA in joints other than the TMJ, is endorsed by the
level of evidence found in the literature, which opens the door to future studies to determine the feasibility of the use
of the ACS in the treatment of degenerative OA that affects TMJ.
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