MRI-Based Comparison of Joint Changes After Arthrocentesis Using Single- vs Double-Puncture SPA Type II Needle Techniques

Not yet recruiting

Conditions: Other symptoms and signs involvingthe nervous and musculoskeletal systems,
Patients with temporomandibular joint (TMJ) disorders, internal derangement of the TMJ(DDWOR), leading to symptoms like pain, limited mouth opening, clicking sounds, and functional limitations.

Registration Number: CTRI/2025/06/088609

Lead Sponsor: Santosh Dental College and Hospital

Brief Summary: Temporomandibular joint (TMJ) disorders will continue to pose significant clinical challenges, often causing pain, restricted function, and reduced quality of life. One of the most prevalent TMJ internal derangements will be disc displacement without reduction (DDWOR), which will be characterized by an anteriorly displaced articular disc and symptoms like limited mouth opening and discomfort. While conservative treatments will usually serve as first-line management, arthrocentesis—a minimally invasive procedure—will likely prove effective for early-stage internal derangements by releasing adhesions and improving disc function. The standard double-puncture arthrocentesis technique, although effective, may be time-consuming and may pose challenges such as needle dislocation. To address these issues, a single-puncture technique using the SPA Type II needle will be developed to simplify the procedure by combining inflow and outflow in one needle, potentially reducing complications and operating time. This randomized controlled study will aim to compare the outcomes of single- versus double-puncture arthrocentesis on the disco-condylar complex using MRI. The study will involve 24 patients divided into two groups, and it will use pain scores, maximum mouth opening, lateral and protrusive movements, clicking, and MRI evaluation of the disco-condylar complex as outcome measures. By providing clinical insights into the efficacy of these techniques, the findings will guide clinicians in selecting optimal treatment approaches for TMJ disorders, ultimately improving patient outcomes and supporting the use of minimally invasive procedures.

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 24

Inclusion Criteria

• Patients with age between 18-60 years.
• Patient with wilkies stage II TMJ disorder (anterior disc displacement with reduction).
• Patient with pain, clicking in TMJ and restricted mouth opening.

Exclusion Criteria

• Patient with wilkies stage III TMJ disorder and above • Patient with hematological disorder and connective tissue disease.
• Patient with history of repeated arthrocentesis.
• Patient with history of previous TMJ surgery.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
IMPROVEMENT IN PAIN ON FUCTION, MAXIMUM MOUTH OPENING, LATERAL AND PROTRUSIVE MOVEMENTS AND TMJ CLICKING SOUNDS	Assessed on 15 days,1 month and 3 months.

Secondary Outcome Measures

Name	Time	Method

Trial Locations

Locations (1): Santosh Dental college and Hospital, ghaziabad, uttar pradesh
🇮🇳
Ghaziabad, UTTAR PRADESH, India
Santosh Dental college and Hospital, ghaziabad, uttar pradesh
🇮🇳Ghaziabad, UTTAR PRADESH, India
Dr Richa Sharma
Principal investigator
08585968147
risharma11122@gmail.com