Temporomandibular joint disorder syndrome
Conditions
Interventions
Viscosupplementation is performed with the injection of sodium hyaluronate without upper joint compartment, accessed through the rebreathing of a point in the preauricular region approximately 1 cm in
Drug
Sponsors
Universidade Federal de Minas Gerais
Universidade Federal de Minas Gerais
Universidade Federal do Rio de Janeiro
Eligibility
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: Individuals from 18 to 70 years; of both sexes; with clinical and imaging diagnosis of disc displacement of the temporomandibular joint with or without reduction
Exclusion criteria
Exclusion criteria: Patients with rheumatologic diseases, neuropathic pain or history of previous TMJ surgery, trauma or fractures; Patients previously submitted to therapy by viscossuplementation, arthroscopy or arthrocentesis.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Expected outcome 1: Decreased pain intensity; Through a numerical visual scale, applied before and after the cycle of interventions, the intensity of pain experienced in the TMJ submitted to digital palpation of 0.5 kg was measured at the moments examined; The values assigned ranged from 0 to 10, where 0 = no pain and 10 = worst pain experienced; The comparison of the final values with respect to the baseline was performed individually in each case evaluated. Final values smaller than the initial values were considered as satisfactory, while final values = 0 indicated total therapeutic efficacy in the short term. A minimum of 1 unit on the numerical scale was expected at the end of cycles. The statistical value of p <0.05 was considered significant. ;Outcome found 1: the individuals had a decrease in pain intensity at the end of the interventions in relation to the initial intensity. The initial mean was 7.3 while the final 2.2. Five subjects had final pain intensity = 0 (p<0,05).;Outcome 2: Optimization of clinical joint dysfunction; It was evaluated by the degree of mandibular movement from the measurement in millimeters of the maximum buccal opening, maximum lateral movement to the right and to the left, in addition to the maximum protusive movement, measured with precision digital caliper, taking as reference the region between upper central incisors and lower and possible midline deviations; A final oral opening measured at 40-45 mm was considered normal, while lateral and protrusive opening values were considered normal when the 1/4 measure of the mouth opening was reached. The gain in mouth opening amplitude was also verified by the positive difference between the measurements of the end of the viscossuplementation cycle in relation to the baseline. It was expected that the amplitude of the buccal opening and excursive movements due to viscosupplementation were increased in cases where mobility was initially reduced. The statistical value of p <0.05 was consi | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes are not expected | — |
Countries
Brazil
Contacts
Public ContactLuciano Ferreira
Universidade Federal de Juiz de Fora
Outcome results
None listed