Recurrent Dislocation of Temporomandibular Joint (Disorder)
Conditions
Brief summary
Alternate hypothesis that treatment of Tempromandibular joint dislocation with Zirconium Dioxide eminoplasty will be more efficient than using titanium onlays in terms of decreasing maximum inter incisal distance and providing better soft tissue response and post-operative patient satisfaction.
Interventions
DEVICEeminoplasty with patient specific Zirconium dioxide onlay implant
Eminoplasties will be done for patient with chronic condylar dislocation using patient specific zirconium dioxide implants
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Intervention model description
A Randomized Clinical Trial A Trial will be carried out in hospital of Oral and Maxillofacial Surgery department- Faculty of dentistry Cairo University. Equal Randomization: Participants receiving treatment. Positive Controlled: Both groups receiving treatment. Parallel group study: each group of patients receives single treatment simultaneously.
Eligibility
Sex/Gender
ALL
Age
18 Years to 48 Years
Healthy volunteers
Yes
Inclusion criteria
* Patient with recurrent dislocation with maximum inter incisal opening over 55mm * Long-standing dislocation of the TMJ involving both fixation for more than 3 weeks and the failure of manual reduction * Failure of conservative strategies such as orientation to self-limit jaw movement and the use of a chin-cap or bandage * Both sexes * Age between 18 and 48 years. * Highly motivated patients.
Exclusion criteria
* Post-menopausal females with osteoporosis * Patient with uncontrolled systemic disease * pregnancy * psychological disorders, drug or alcohol dependency * Known allergies or sensitivities to dental materials, including Zirconia, Titanium or general anesthetic agents * Inability to return for follow up visits. * Refusal of participation from the patient
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Difference in Maximal inter incisal distance between pre-operative and post-operative (mm) | 6 months | using a caliper the difference between preoperative and postoperative Maximal interincisal opening is recorded (mm) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient's Pain | 6 months | in terms of visual analogue scale (0-10) |
Countries
Egypt
Outcome results
None listed