TMJ Disc Disorder
Conditions
Brief summary
comparing the clinical efficacy of intra-articular injection of platelet lysate (PL), versus Hyaluronic Acid after arthrocentesis in the management of patients with anterior disc displacement with reduction.
Interventions
2 ml of Platelet lysate will be deposited into the superior joint space (SJS) in the affected joint at the entry point slowly
2 ml of Hyaluronic Acid will be deposited into the superior joint space (SJS) in the affected joint at the entry point slowly.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients that will be diagnosed with anterior disc displacement with reduction (ADDWR) both clinically and through magnetic resonance imaging scan (MRI). * Patients who will not respond to a previous conservative therapy. * Patients with pain in temporomandibular joints. * Patients with normal or limitation in mouth opening. * Patients with clicking sound.
Exclusion criteria
* Patients with previous invasive TMJ surgical procedures. * Patients with inflammatory or connective tissue diseases. * Patients with neurologic disorders. * Patients with history of bony or fibrous adhesion. * Patients having gross mechanical restrictions and condylar fractures. * Patients with psychological problems. * Patients receiving anti-coagulation treatment, non-steroidal anti-inflammatory drugs within 48 hours pre-operatively, corticosteroid injection at the treatment site within one month or systemic use of corticosteroids within 2 weeks.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Maximum inter-incisal opening | 6 months | Maximum inter-incisal opening will be measured by Vernier caliper and this will be recorded by photographs. |
Countries
Egypt