Health Condition 1: K089- Disorder of teeth and supporting structures, unspecified Health Condition 2: M266- Temporomandibular joint disorders
Conditions
Interventions
Intervention1: Arthrocentesis followed by i-PRF injection: Arthrocentesis is performed with the standard double needle puncture technique with 150-200ml of Ringers lactate. After the arthrocentesis p
Sponsors
NIL
Eligibility
Inclusion criteria
Inclusion criteria: Age: More than 18 years or less than or equal to 50 years. Unilateral temporomandibular disorder (Wilkes II, III, IV) Painful TMD Occasional difficulty in mouth opening
Exclusion criteria
Exclusion criteria: Age18 or less and more than 50 Pregnant female Autoimmune diseases such as osteoarthritis and rheumatoid arthritis Patient allergic to local anaesthesia Patient in whom magnetic resonance imaging (MRI) is contraindicated Patient with history of TMJ surgery Patient with the congenital or developmental disorder of TMJ Benign or malignant TMJ lesions Patients refusing to attend all scheduled visits
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| evaluate and compare three different methods of management i.e., arthrocentesis, i-PRF injection, and a combination of the two in unilateral temporomandibular disorder in terms of TMJ pain relief, based on VAS scale evaluated after the 3rd month post intervention.Timepoint: 10 th day ,1 month and 3 months | — |
Secondary
| Measure | Time frame |
|---|---|
| â?¢ To assess the change in maximum inter-incisal mouth opening â?¢ To assess the change in lateral and protrusive movement To evaluate the effect on the clicking of the joint â?¢ To evaluate the effect in the deviation and deflection of mandible â?¢ To evaluate the effect on the muscles of mastication â?¢ To assess the impact of internal derangements on the quality of the life using oral health impact questionnaire â?¢ To assess the severity of the temporomandibular disorder using the Fonseca questionnaire â?¢ To assess the psychological aspect of the patient based on the perceived stress scale questionnaire â?¢ To evaluate the disc changes following the intervention through the Magnetic Resonance Imaging (MRI) based on the following variables in MRI findings: 1. Shape of the disc 2. Relation between disc and condyle 3. Signal intensity in joint space 4. Degree of disc displacement Timepoint: clinical evaluation at 10h day,1 month and 3 months and oral health impact,perceived stress scale questionnare and Fonseca questionnare at 0 and 3rd month | — |
Countries
India
Contacts
Public ContactRam Sundar Chaulagain
AIIMS,RISHIKESH
Outcome results
None listed