Temporomandibular Joint Disorders
Conditions
Brief summary
Arthrocentesis of TMJ then injection of micro fragmented adipose tissue mixed with bone marrow aspirate on healing of TMJ internal disc derangement without reduction.
Detailed description
Arthrocentesis of TMJ then injection of intra and periarticular of 2 mm of micro fragmented adipose tissue mixed with Bone marrow aspirate extracted from 20 mm of bone marrow using gradient separation method in one group and use of Bone marrow aspirate injection only in another group and injection of intra and periarticular of 2 mm hyaluronic acid gel in control group on healing of TMJ internal disc derangement without reduction.
Interventions
mixture of stem cells
stem cells
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with TMDs not previously surgically treated. * Patients with TMJ osteoarthritis assessed by clinical examination and magnetic resonance imaging.
Exclusion criteria
* Patients refuse to be enrolled in this study. * Patients with uncontrolled systemic disease.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mandibular mouth opening | 6 Months | Measuring Maximum interincisal opening measured by plastic scale ruler in millimeter |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Post-operative pain | six months follow-up | measuring pain by using visual analogue scale from (0 to 10) score where zero indicate no pain and 10 indicate worst pain |
| Joint sound | six months follow-up | Clicking by clinical examination indicate ( present or absent ) of clicking |
| Lateral and protrusive movements | six months follow-up | Measuring lateral and protrusive movements by using range of motion scale in millimeter |
Countries
Egypt