Health Condition 1: M248- Other specific joint derangements,not elsewhere classified
Conditions
Interventions
Intervention1: Convention Double Puncture Arthrocentesis followed by 2 ml of i-PRF injected into joint space: The antiseptic solution (5% povidone iodine) will be used to prepare the surgical site. A
the third point (Point C) will be located 20 mm in front of the tragus and 10 mm below the CTL. Two 18-gauge needles will be introduced through the designated locations after an auriculotemporal nerve
10 milliliters of peripheral blood will be collected from the antecubital vein of the patient in empty collection tubes, (i.e. without any additives). The blood collection tubes will be centrifuged at
Sponsors
Sardar Patel Postgraduate institute of dental and medical sciences
Eligibility
Inclusion criteria
Inclusion criteria: 1. Presence of unilateral Anterior disc displacement with and without reduction 2. Age greater than 18 years 3. Patients who fall within the ASA 1 or 2 (American Society of Anaesthesiology) classification 4. Presence of localized temporomandibular joint pain 5. Stages 2 - 4 in the Wilkes classification. 6. Mouth opening less than 35 mm 7. Clicking or Popping sound 8. Refractory to conservative method for at least 6 months 9. Pain on wide mouth opening and protrusive and or lateral excursion movements
Exclusion criteria
Exclusion criteria: 1. Previous history of Trauma or TMJ Surgery 2. Dentofacial deformity 3. Psychiatric illness 4. Chronic headache 5. Undergoing Orthodontic treatment 6. Significant mechanical obstruction that prevents mouth opening 7. Acute capsulitis 8. Benign or malignant temporomandibular joint lesions 9. Neurological disorders 10. Haematological disorders 11. Patients with a previous history of allergy or anaphylactic shock.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcomes to be evaluated are 1. Improvement in the range of motion, including protrusive and lateral excursive movement of jaw 2. Improvement in postoperative pain assessed using 10 cm Visual analog scaleTimepoint: 1. 7th postoperative day 2. 14th postoperative day 3. 21st postoperative day 4. 30th postoperative day 5. 90th postoperative day 6. 180th postoperative day | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes to be evaluated are 1. Improvement in maximum interincisal opening 2. Improvement in Clinical dysfunction using Helkimo clinical dysfunction scoring 3. improvement in bite force using gnathodynamometer in both th groupsTimepoint: 1. 7th postoperative day 2. 14th postoperative day 3. 21st postoperative day 4. 30th postoperative day 5. 90th postoperative day 6. 180th postoperative day | — |
Countries
India
Contacts
Public ContactDr Shubhamoy Mondal
Sardar patel post graduate institute of dental and medical sciences
Outcome results
None listed