A Comparative Study Between the Different Levels of TMJ Arthroscopy in the Management of TMJ Internal Derangement

Alexandria University

Status: Completed

Conditions: TMJ Disc Disorder

Treatments: Procedure: three levels of TMJ arthroscopy

Study type: Interventional

Funder types: Other

Identifiers

NCT06013059

001056 - IORG 0008839

Details and patient eligibility

About

The temporomandibular joint (TMJ) arthroscopy has emerging role nowadays in the treatment of TMJ internal derangement with its three levels of intervention. A comparative study between the 3 levels is essential to develop a standardized selection criteria and management algorithm.

Enrollment: 30 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients with TMJ internal derangement Wilkes III

Exclusion criteria

1. Medically unfit patients.
2. Patients with TMDs secondary to malocclusion.
3. Psychological instability.
4. Patients operated before for other TMJ problems.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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30 participants in 3 patient groups

level (I) arthroscopy (Lysis and lavage)

Active Comparator group

Treatment:

Procedure: three levels of TMJ arthroscopy

Procedure: three levels of TMJ arthroscopy

Procedure: three levels of TMJ arthroscopy

level (II) arthroscopy (operative arthroscopy)

Active Comparator group

Treatment:

Procedure: three levels of TMJ arthroscopy

Procedure: three levels of TMJ arthroscopy

Procedure: three levels of TMJ arthroscopy

level (III) arthroscopy (operative arthroscopy + disc repositioning and fixation)

Active Comparator group

Treatment:

Procedure: three levels of TMJ arthroscopy

Procedure: three levels of TMJ arthroscopy

Procedure: three levels of TMJ arthroscopy