Comparison Between Arthrocentesis and Rocabado Exercises on Temporomandibular Disc Displacement Without Reduction

Cairo University (CU)

Status: Completed

Conditions: Temporomandibular Joint Disorders, Articular Disc Disorder (Reducing or Non-Reducing)

Treatments: Procedure: Rocabado approach exercise program 6×6 and manibulation .; Procedure: Arthrocentesis

Study type: Interventional

Funder types: Other

Identifiers

NCT06937151

P.T.REC/012/003932

Details and patient eligibility

About

The present study will be designed to compare the short- and medium-term results of arthrocentesis and non-surgical methods Rocabado approach in early disc displacement without reduction.

Full description

This study will be designed to provide a comparison between the effect of the Rocabado approach as a conservative treatment and temporomandibular joint arthrocentesis in temporomandibular joint disc displacement without reduction.

Delimitations:

This study will be delimited in the following aspects:

1. Patients:

   The study group will be composed of sixty-eight patients with temporomandibular joint disc displacement without reduction will be enrolled in the study. Group A: It will be composed of thirty-four patients with TMJ disc displacement without reduction who are started on the Rocabado approach- 4 - 6×6 exercise program. Include therapeutic exercise, and patient education focusing on the temporomandibular joint. Repeat measurements will be performed on 1st measurement at the baseline before any intervention, 2nd measurement after 8 weeks of treatment by a physiotherapist. Group B: It will be composed of thirty-four patients with disc displacement without reduction who are started on TMJ arthrocentesis procedure with medical and nursing care.

2. Equipment and tools:

2.1-Measurement equipment: Thera bite ROM scale 8-Item Jaw Functional Limitation Scale (JFLS-8) (Valid Arabic version) visual anlogue scale 2.2-Therapeutic procedures: Rocabado's 6X6 Exercise Program and manibulation

Enrollment: 68 patients

Sex: All

Ages: 40 to 55 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• History of a sudden reduction in the mandibular opening. Unassisted mandibular opening 35 mm.
• Mandibular opening with assistance increased by ≥3 mm from
• unassisted opening, with a prior history of click, click disappearance, and a sudden decrease in opening.
• Magnetic resonance imaging (MRI) diagnosis of Disc displacement without reduction.
• Persistence of the symptoms indicated in the first item for a Maximum of 3 weeks.
• clinical diagnosis of unilateral Disc displacement without reduction of the temporomandibular joint.

Exclusion criteria

• History of major jaw trauma.
• Dentofacial deformity.
• Psychiatric illness.
• Chronic headache. Presence of other disorders involving the TMJ.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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68 participants in 2 patient groups

Group A (Study group) ROCABADO APPROACH :

Active Comparator group

Description:

Group A (Study group): This group includes thirty-four patients with temporomandibular joint disc displacement without reduction, who will receive the Rocabado approach exercise program 6×6 AND MANIPULATION

Treatment:

Procedure: Rocabado approach exercise program 6×6 and manibulation .

Group B (Control group) ARTHOROCENTESIS:

Active Comparator group

Description:

This group includes thirty-four patients with temporomandibular joint disc displacement without reduction who will receive TMJ Arthrocentesis

Treatment:

Procedure: Arthrocentesis