Comparing Single Needle and Double Needle Arthrocentesis for Temporomandibular Joint Disorders

Not Applicable

Completed

• Conditions: TMJ Disc Disorder

• Registration Number: NCT06757322
• Lead Sponsor: Yuzuncu Yıl University

Brief Summary

The purpose of this study was to compare the clinical success and efficacy of single-needle, double-cannula arthrocentesis with conventional arthrocentesis techniques in patients with temporomandibular joint disorders. Patients with nonreducible disc displacement complained of limited mouth opening and/or pain. All treated patients had baseline and follow-up (with mouth opening and VAS). Comparisons were made within and between groups.

Detailed Description

The patients included in the study were evaluated in the preoperative, 1week, 1-3, and 6 months after the procedure. Double-needle group: two needles were inserted into the joint and washed. In the single-needle group, two needles were bent (from their lower parts) before the procedure and their pointed ends were joined by placing acrylic on the plastic parts from a single point. The resulting combined needle was directed to the upper joint space and washed. 13 underwent single-needle double cannula arthrocentesis and 15 underwent double needle arthrocentesis.

Study Timeline

• Study Start: 2022-01-01
• Primary Completion: 2022-03-01
• Study Completion: 2022-10-30
• Status Verified: 2024-12
• Study First Submitted: 2024-12-18
• Study First Submitted QC: 2024-12-31
• Last Update Submitted: 2024-12-31
• Study First Posted: 2025-01-03
• Last Update Posted: 2025-01-03

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 28

Inclusion Criteria

• with complaints of pain and restricted mouth opening and who had not received any previous treatment.
• Patients with a diagnosis of disc displacement without reduction characterized by persistent or frequent TMJ pain, history of joint clicking, limited mouth opening with deviation to the affected side, limited lateral movement to the opposite side, limited protrusive movements with deviation to the affected side were included.

Exclusion Criteria

• Patients with systemic inflammatory joint disease, facial growth disorder, and direct trauma to the TMJ were excluded.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
change in mouth opening	Until the 6th month after TMJ Arthrocentesis	The maximum mouth opening of the patients was noted in centimeters before arthrocentesis and in the control sessions, and the changes between the sessions were compared.
VAS Pain Scor	Until the 6th month after TMJ Arthrocentesis	The VAS pain assessments of the patients before and during the arthrocentesis and control sessions were noted and changes between sessions were compared. The VAS score is an assessment in which we note the patient's pain assessment between 0 and 10. '0' means no pain, while '10' means the worst possible pain. As the number increases, it indicates that the patient's pain increases.

Trial Locations

Locations (1)

Van Yüzüncü Yıl Üniversitesi Diş Hekimliği Fakültesi; 🇹🇷 Van, Turkey