TMJ Disorder
Conditions
Brief summary
Background: Millions of individuals worldwide suffer from temporomandibular joint (TMJ) disorders and are characterized by pain and joint dysfunction. TMJ internal derangement (ID) is the most frequent type of temporomandibular disorders (TMDs). TMJ arthrocentesis represents a form of minimally invasive surgical treatment in patients suffering from internal derangement of the TMJ Aim of the study: To clinically compare between the effect of TMJ arthrocentesis under high hydraulic pressure by dental implant motor and the conventional method in treatment of TMJ internal derangement regarding pain and mandibular movements.
Interventions
OTHERconventional TMJ arthrocentesis
ten patients with TMJ internal derangement using conventional technique
OTHERMotor irrigation with 80% power
ten patients with TMJ internal derangement with reduction using dental implant motor irrigation pump in power 80%
OTHERMotor irrigation with 40% power
ten patients with TMJ internal derangement with reduction using dental implant motor irrigation pump in power 40%
Sponsors
Alexandria University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
16 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* TMJ internal derangement with reduction. * Both genders.
Exclusion criteria
* Patients with overlying infection or cellulitis * Relevant systemic disease * Previous TMJ surgery.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in pain scores | 1 week, 4 weeks, 3 months | a 10 point visual analogue scale (VAS)\*. (0-1=none, 2-4=mild, 5-7=moderate, 8-10=severe) . |
| Change in mouth opening | baseline, 1 week, 4 weeks, 3 months | The patient's maximum mouth opening (MMO) value will be measured by taking the average of three consecutive measurements of the distance between the maxilla and mandible mid-central incisive teeth with the Endo ruler after the patients were asked to open |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| post operative edema | 1 week | Scales: * None (no swelling) * Mild (intra oral swelling confined to surgical field) * Moderate (extra oral swelling in the surgical zone) * Severe (extra oral swelling spreading beyond the surgical zone) |
| change in mandibular movements | baseline, 1 week, 3 months | Patient's TMJ Lateral, protrusive and side to side movements will be measured |
Countries
Egypt
Outcome results
None listed