A randomized control trial comparing the efficacy of joint lavage ,mandibular manipulation and anterior repositioning splint versus joint lavage and mandibular manipulation in management of temporomandibular disc displacement without reduction

A randomized clinical trial comparing the efficacy of arthrocentesis with mandibular manipulation and anterior repositioning splint versus arthrocentesis and mandibular manipulation in the management of temporomandibular joint disc displacement without reduction

Status

Active, not recruiting

Phases

Phase 2Phase 3

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2020/12/029524

Enrollment

Registered

2020-12-03

Start date

Unknown

Completion date

Unknown

Last updated

2021-11-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: M266- Temporomandibular joint disorders

Interventions

Intervention1: GROUP 1 - ARTHROCENTESIS, MANDIBULAR MANIPULATION: STEP 1 Arthrocentesis (superior joint space) The surgical site will be disinfected with povidone iodine (betadine) and covered with st

Eligibility

Inclusion criteria

Inclusion criteria: ASA I patients • Wilkes class III â?? Anterior disc displacement without reduction as confirmed by MRI • Patient willing for informed consent and follow up.

Exclusion criteria

Exclusion criteria: Prior surgical treatment for TMD • Edentulous patients • Age • Presence of occlusion conditions (anterior cross bite) • Presence of TMJ pathology • Any medical condition which contraindicate the mentioned intervention • Patient ongoing chemo or radiotherapy • Pregnant patient • Patient not willing for informed consent and not coming for follow up

Design outcomes

Primary

Measure	Time frame
To compare efficiency of arthrocentesis, mandibular manipulation and anterior repositioning splint therapy versus that of arthrocentesis and mandibular manipulation in Wilkes stage 3 temporomandibular disorders (TMDs) for management of pain after procedure by using VAS score.Timepoint: Pre intervention 2 weeks ,1 mnonth, 3 months and 6 months after intervention	—

Secondary

Measure	Time frame
To assess the change in disc condyle angle and condyle disc position (MRI Evaluation) at 3 months follow up 1. To measure mouth opening (passive and assisted) at 2 weeks ,1 month, 3 months and 6 months follow up. 2. To access the subjective chewing efficacy 2 weeks, 1month, 3 months and 6 months follow up. 3.To assess the clicking after 2 weeks, 1 month, 3 months and 6 months follow up.Timepoint: mri evaluation before intervention and 3 mnths after intervention clinical evaluation before interventionand 2weeks,1 month ,3 months and 6 months after intervention	—

Measure

Time frame

To assess the change in disc condyle angle and condyle disc position (MRI Evaluation) at 3 months follow up 1. To measure mouth opening (passive and assisted) at 2 weeks ,1 month, 3 months and 6 months follow up. 2. To access the subjective chewing efficacy 2 weeks, 1month, 3 months and 6 months follow up. 3.To assess the clicking after 2 weeks, 1 month, 3 months and 6 months follow up.Timepoint: mri evaluation before intervention and 3 mnths after intervention clinical evaluation before interventionand 2weeks,1 month ,3 months and 6 months after intervention

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Countries

India

Contacts

Public ContactDr Anuvindha J S

AIIMS, New Delhi

anuomfs1994@gmail.com8590076580

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026