Augmentation, TMJ, TMJ - Oral &Amp;Maxillofacial Surgery
Conditions
Keywords
TMJ, TMJ augmentation, Augmentation, Oral and Maxillofacial surgery
Brief summary
To evaluate the efficacy of titanium ring inlay in ESS technique in Temporomandibular joint eminence augmentation
Detailed description
Background:Temporomandibular joint (TMJ) disorders affect approximately 5-12% of the population, with eminence augmentation being a challenging surgical intervention. Current techniques using autogenous grafts or alloplastic materials present limitations including donor site morbidity, resorption, and implant failure. This study evaluates a novel titanium ring inlay technique for TMJ eminence augmentation, which may offer improved stability, osseointegration, and functional outcomes. Patients and Methods: A prospective study was conducted on 100 patients (28 males, 72 females; age range: 25-41 years) with TMJ Temporomandibular joint eminence augmentation. Study was performed after ethical approval from Research Ethics Committee, Faculty of Dentistry, Sinai University OMS 01-04-024; . Titanium ring inlay procedure was performed to Temporomandibular joint eminence augmentation. Preoperative and postoperative assessments included pain levels (VAS pain), maximum mouth opening (MMO), Clicking during mouth opening, Headach presence, tinnitus and subjective patient feedback.
Interventions
PROCEDURETitanium Ring Inlay Eminence Augmentation
* Preauricular approach with subperiosteal dissection * Dual osteotomy (transverse mid-eminence + vertical parallel to skull base) * Titanium ring inlay placement with anatomical contouring * Intraoperative functional assessment
Sponsors
Menoufia University
Sinai University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
A prospective study was conducted on 100 patients (28 males, 72 females; age range: 25-41 years) with TMJ Temporomandibular joint eminence augmentation. Study was performed after ethical approval from Research Ethics Committee, Faculty of Dentistry, Sinai University OMS 01-04-024.
Eligibility
Sex/Gender
ALL
Age
25 Years to 41 Years
Healthy volunteers
No
Inclusion criteria
* Diagnosed TMJ dysfunction requiring eminence augmentation * Failed conservative management (≥3 months) * Adequate bone stock for inlay placement * Willingness to comply with follow-up protocol
Exclusion criteria
* Systemic conditions contraindicating surgery * Active TMJ infection * Previous TMJ surgery * Pregnancy * Neuromuscular disorders-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Functional improvement | Baseline (T0); T1 (1 months postoperative); T2 (3 months postoperative); T3 (6 months postoperative); T4 (12 months postoperative). | Measuring the Maximal interincisal opening (MIO; mm) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain Score | Baseline (T0); T1 (1 months postoperative); T2 (3 months postoperative); T3 (6 months postoperative); T4 (12 months postoperative). | Measuring the Visual Analogue Scale (VAS), pain score (1-10) |
| Headache | Baseline (T0); T1 (1 months postoperative); T2 (3 months postoperative); T3 (6 months postoperative); T4 (12 months postoperative). | Measuring the Headache Assessment Presence Yes/No |
| Tinnitus | Baseline (T0); T1 (1 months postoperative); T2 (3 months postoperative); T3 (6 months postoperative); T4 (12 months postoperative). | Tinnitus presence (Y/N) |
Countries
Egypt
Outcome results
None listed