Arthrocentesis vs nonsurgical methods in the treatment of temporomandibular joint pain and closed lock. A randomized controlled trial

Not Applicable

• Conditions: Temporomandibular Joint Dysfunction Syndrome, Diseases of the musculoskeletal system and connective tissue; C05.500.607.221.897.897

• Registration Number: RBR-24y9dd
• Lead Sponsor: Faculdade de Odontologia da Universidade Estadual do Rio de Janeiro

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2020-01-06
• Last Update Posted: 29 May 2023

Recruitment & Eligibility

• Status: Recruitment completed
• Sex: Not specified
• Target Recruitment: Not specified

Inclusion Criteria

Patients older than 18 years and younger than 67; presenting at least 4 points corresponding to joint pain in the visual analogue scale (VAS); with mouth opening at less or equal than to 35 mm; with a history of joint locking; progressive decrease of mouth opening and joint noises

Exclusion Criteria

History of TMJ surgery or with an absolute indication of surgical treatment; joint systemic diseases; gastric disease or other condition that contraindicate the use of NSAIDs; muscular pain as the main source of the symptomatology and patients with psychological compromises that would make treatment impossible

Study & Design

• Study Type: Intervention
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To evaluate the effectiveness of each treatment in reducing temporomandibular pain during mandibular opening using the visual analog scale (VAS) method, where we will observe on a scale from 0 to 10 the rate of auricular pain decrease over a period of six months.;To evaluate the effectiveness of each treatment in increasing the mandibular opening verified by the interincisal distance in millimeters over a period of six months

Secondary Outcome Measures

Name	Time	Method
To evaluate the influence of the instituted treatments on the reduction of inflammatory agents (immunoglobulins) in the synovial fluid, comparing the preoperative samples and one month after treatment.<br><br><br>Identify the inflammatory molecules present in temporomandibular disorders.;To evaluate the effectiveness of each treatment in reducing temporomandibular pain during mandibular protrusion and laterality using the analogous visual scale (VAS) method, where we will observe on a scale from 0 to 10 the rate of pre-auricular pain decrease over a period of six months;To evaluate the influence of changes in the position of the articular disc in the treatment to reduce temporomandibular pain and increase mandibular opening using the analogous visual scale (VAS) 0 to 10 and interincisal distance in millimeters comparing the the presence or absence of any internal joint change.