Anterior Disc Displacement, Conventional Arthrocentesis, Ozonated Water Arthrocentesis, Temporomandibular Joint
Conditions
Brief summary
The aim of this study is to clinically evaluate and compare the effectiveness of ozonized water arthrocentesis (lavage) and conventional Ringer's solution arthrocentesis in the management of temporomandibular joint (TMJ) anterior disc displacement with reduction. The study seeks to determine whether the use of ozonized water as an irrigating solution during arthrocentesis provides superior clinical outcomes in terms of pain reduction, improvement of mandibular function, and enhancement of mouth opening compared with conventional arthrocentesis performed using Ringer's solution.
Detailed description
A large number of people worldwide suffer from temporomandibular joint internal derangement (TMJ ID), with women accounting for the majority of affected individuals. Various treatment modalities have been proposed to restore functional equilibrium of the TMJ system. Management typically begins with conservative approaches, such as dietary modifications, antidepressant medications, non-steroidal anti-inflammatory drugs (NSAIDs), physiotherapy, and occlusal splints. When conservative measures fail to provide adequate symptom relief, minimally invasive interventions may be considered, including acupuncture, intra-articular injections of morphine or corticosteroids, botulinum toxin injection, and arthrocentesis. More advanced cases may require invasive surgical procedures such as arthroscopy or open joint surgery.
Interventions
PROCEDUREArthrocentesis using ozonized water
Patients were treated by Arthrocentesis using ozonized water.
PROCEDUREArthrocentesis using ringer's solution
Patients were treated using conventional arthrocentesis with ringer's solution.
Sponsors
Ain Shams University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Age: 18-65 years, with no gender preference. * A main temporomandibular joint (TMJ) complaint that is diagnosed as disc displacement with reduction and arthralgia according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). * Presence of unilateral or bilateral temporomandibular disorder. * American Society of Anesthesiologists (ASA) class I and II patients who are fit for general anesthesia. * No improvement with conservative treatment for 3 months. * Free of magnetic resonance imaging (MRI) contraindications. * No previous surgeries to the TMJ.
Exclusion criteria
* History of systemic diseases that affect the TMJ such as rheumatoid arthritis and osteoarthritis. * Restricted mouth opening due to muscle spasm. * Developmental or congenital TMJ disorders. * Benign or malignant TMJ lesions.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Degree of pain | One week after surgery | Each patient was instructed about postoperative pain assessment with VAS. VAS (0 represents "no pain" while 10 represents "the worst pain imaginable") |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Measurement of maximum mouth opening | One week after surgery | Maximal mouth opening which is the separation distance between the incisal edges of the mandibular and maxillary incisors was measured in millimeters |
Countries
Egypt
Outcome results
None listed