Liquid PRF for TMJ injection with Intra-Spin?

interesting ive used PRGF, BTI; for my own shoulder (left slap tear) and worked amazingly. i followed spanish surgeon victor vaquerizo and was honestly healed 100%; time went by and i continued lifting too much weight in the gym and finally had to succumb to the knife, surgery. that was in 2014. im writing cause am also curious to this use. i have the intrlock centrifuge also. thanks for posting

700 RPM for 3 minutes

Show me the research. Multiple double blinded randomized controlled studies that show safe and effective results. Even better, a meta analysis ( Cochrane ) that demonstrates the same. Toys abound in dentistry. My back room is full of them.

You needs mri andCT scan first to establish the degree of injury. A perforation is not a cute. It is usually an element of OA over the long term . This patient needs an arthroscopy in the first instance. PRF may only give you a temporary resolution if symptoms. If there is gross cortical erosion she will likely require a replacement ideally.

You can definitely use PRF for this and there has been some published literature on the topic. https://www.ncbi.nlm.nih.gov/pubmed/30231809 We also teach the techniques in our courses with Professor Carlos Mourao who's an oral maxillofacial surgeon and practices the technique himself. There are videos in the course presented from him if you are ever interested to learn the technique. I would utilize a protocol of 1500 RPM for roughly 3 minutes. Whoever recommended 700 RPM is too low as the cell layer separation is not adequate. That's also on a different centrifuge (the IntraSpin has a smaller rotor and the RPMs need to be adjusted accordingly). Please see the results from our recent studies.

If you want to make a liquid version,, simply use a testtube with anticoagulant With the same anticoagulant used in every single blood donation for blood banks, every day, all over the country and the world

We are " Doctors" First lets find out what cause the tear and then provide the Treatment. How do we expect for the tear to heal if the cause is removed to begin with.

700 RPM for 3 Minutes is from Choukroun's protocol for centrifuges that match the specifications of the manufacturer of centrifuge that he uses. That centrifuge has a radius of around 110mm, which corresponds to an RCF (Relative Centrifugal Force ) of around 60. The IntraLock machine is, I believe, just a Hettich centrifuge, EBA 200. See: https://www.hettichlab.com/. The rotor radius on this centrifuge is much smaller, so to achieve a similar RCF as the Choukroun protocol, you need a higher RPM. I believe the Hettich machine has a radius of around 85 mm (you can ask them or measure), which would mean that to achieve an RCF of 60, you need 800 RPM. The 1,200 RPM mentioned above would seem way too high, as that would be an RCF of around 137. But, then again, that comment may have a different definition of liquid PRF. You can play around with RCF on your own, by using this calculator: http://insilico.ehu.es/mini_tools/rcf_rpm.php Of course, when it comes to PRF, you will get a different number and answer from everyone, because there many different liquid PRF protocols floating around. Even Choukroun has an i-PRF and a Liquid A-PRF. Worst of all, all the leading researchers in the field, now sell their own centrifuges, so there is a serious conflict of interest in every thing you read about PRF. It's extremely difficult to get any objective information in the PRF field, and the studies display a complete lack of uniformity when it comes to basic definitions, e.g. many studies don't even reference an RCF. Amazingly, someone above said to use anticoagulants in the tubes, which is for PRP, and not PRF. Of course, when you click on the link for his name, you will get to a page advertising PRP courses! Well you get the point...

When you ask about making PRF for injection I assume you want to make i-PRP. One cannot inject the fibrin. 1300 for 3 minutes should yield I-PRP. I spun some blood today at those settings and the result was fibrin plugs. I was very surprised.

If you want to make a liquid version, simply use a testtube with anticoagulant. Use your usual times and speeds to separate the layers for your particular machine. Call it whatever name you want (PRP, iPRF, BioPRF, Liquid CGF, ......) A test tube with the same anticoagulant used in every single blood donation for blood banks, every day, all over the country and the world. For about $1 from BD.

Where is the evidence that it is possible to repair a perforated meniscus by injecting PRF or any other material into the temporomandibular joint space? Answer: there is none. This is placebo surgery.

There is so much anecdotal mis- information being disseminated about Alphabet City. Someone should write a retrospective paper and we would probably discover it's all the same thing. All just generic names. When you say I need a Band-Aid what do you get?

I use dr Garg’s protocol for liquid PRP ! He discovered PRP with dr Marks and has numerous publications on the topic 1100 rpm for 4 minutes . It has such an amazing healing You can ask his direct advice On www.implantseminars.com

The PRF (or the passage of time) will not "repair" a perforation, but the symptoms usually resolve over time with out any surgical intervention. Basic TMD information. LG

PRF Silicone Coated Tube (promotes coagulation) Injectible PRF Non Silicone Coated Tube No anti-coagulant required