Disc Disorder
Conditions
Brief summary
This randomized clinical study was conducted on patients with disc displacement without reduction. Patient was selected one of the two study groups: control group received only arthrocentesis or test group received arthrocentesis + injectable platelet-rich fibrin (i-PRF). As primary outcome variable, pain was recorded at preoperatively and at postoperatively 1, 2, 3, 6 and 12 months. Maximum mouth opening, lateral and protrusive movements were formed as secondary outcome variables.
Detailed description
This randomized clinical study was conducted on patients with disc displacement without reduction. Patient was selected one of the two study groups: control group received only arthrocentesis or test group received arthrocentesis + i-PRF. Arthrocentesis procedure was performed for all groups with two needle technique. For test group, intra-articular i-PRF was made. As a primary outcome variable, pain was recorded at preoperatively and at postoperatively 1, 2, 3, 6 and 12 months. Maximum mouth opening, lateral and protrusive movements were formed as secondary outcome variables.
Interventions
Arthrocentesis performed with two-needle technique, and then injection of i-PRF intra-articularly
Arthrocentesis performed with two-needle technique
Sponsors
Study design
Eligibility
Inclusion criteria
* unilateral or bilateral disc displacement without reduction * localized pain on temporomandibular joint * decreased mouth opening, lateral and protrusive movements
Exclusion criteria
* Malignant or inflammatory disorders * prior surgical history of temporomandibular joint
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change of pain | at preoperatively, and at 1, 2, 3, 6 and 12 months postoperatively | Pain was measured with a 10-point visual analogue scale which range from 0 meaning no pain to 10 meaning worst pain at preoperatively and at 1, 2, 3, 6 and 12 months postoperatively |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change of maximum mouth opening | at preoperatively, and at 1, 2, 3, 6 and 12 months postoperatively | Maximum mouth opening was measured with a millimeter ruler at preoperatively and at 1, 2, 3, 6 and 12 months postoperatively |
| Change of lateral movements | at preoperatively, and at 1, 2, 3, 6 and 12 months postoperatively | Lateral movements were measured with a millimeter ruler at preoperatively and at 1, 2, 3, 6 and 12 months postoperatively |
| Change of protrusive movements | at preoperatively, and at 1, 2, 3, 6 and 12 months postoperatively | Protrusive movements were measured with a millimeter ruler at preoperatively and at 1, 2, 3, 6 and 12 months postoperatively |
Countries
Turkey (Türkiye)