NL-OMON20171
Recruiting
Not Applicable
Diagnostic arthroscopy versus arthrocentesis as initial treatment for arthralgia of the temporomandibular joint
MCG0 sites140 target enrollmentTBD
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Not specified
- Sponsor
- MCG
- Enrollment
- 140
- Status
- Recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
No summary available.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patients aged \> 18 years
- •\- Arthralgia of the TMJ, proven with a diagnostic intra\-articular injection with Ultracain DS Forte (articaine 4% \+ 1:100\.000 adrenalin; Aventis Pharma, Hoevelaken, The Netherlands).
- •\- TMJ pain still present after two weeks of NSAIDs (i.e. diclofenac 3 times daily 50mg)
- •\- Symptoms presenting unilaterally or bilaterally with a maximal Visual Analog Scale (VAS)\-score \< 30 mm during movement or function of the contralateral joint, after anesthetizing the to be treated joint (thus avoiding the contralateral joint to be the cause of a limited mouth opening).
Exclusion Criteria
- •\- Systemic rheumatic disease (such as rheumatoid arthritis, juvenile idiopathic arthritis, systemic lupus erythematosus, Sjögren syndromes, psoriatic arthritis)
- •\- Connective tissue disease (such as Marfan syndrome, Ehlers\-Danlos syndrome, Osteogenesis Imperfecta)
- •\- Bony ankylosis of the TMJ
- •\- Congenital or acquired dentofacial deformity
- •\- History of jaw trauma that resulted in jaw or joint pain, bony changes or mandibular growth restriction
- •\- Prior arthrocentesis, (diagnostic) arthroscopy or open\-TMJ surgery
- •\- Psychiatric disorder (as diagnosed by a physician)
- •\- Unwillingness to receive one of the study treatments
- •\- Pregnancy at time of treatment
- •\- Concurrent use of steroids, sedatives, muscle relaxants or anti\-inflammatory drugs other than the previously prescribed NSAIDs
Outcomes
Primary Outcomes
Not specified
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