Temporomandibular Joint Eminence Augmentation Using Titanium Ring Inlay: A New Surgical Technique
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Sinai University
- Enrollment
- 112
- Locations
- 1
- Primary Endpoint
- Functional improvement
Study Overview
Brief Summary
To evaluate the efficacy of titanium ring inlay in ESS technique in Temporomandibular joint eminence augmentation
Detailed Description
Background:Temporomandibular joint (TMJ) disorders affect approximately 5-12% of the population, with eminence augmentation being a challenging surgical intervention. Current techniques using autogenous grafts or alloplastic materials present limitations including donor site morbidity, resorption, and implant failure. This study evaluates a novel titanium ring inlay technique for TMJ eminence augmentation, which may offer improved stability, osseointegration, and functional outcomes.
Patients and Methods: A prospective study was conducted on 100 patients (28 males, 72 females; age range: 25-41 years) with TMJ Temporomandibular joint eminence augmentation. Study was performed after ethical approval from Research Ethics Committee, Faculty of Dentistry, Sinai University OMS 01-04-024; . Titanium ring inlay procedure was performed to Temporomandibular joint eminence augmentation. Preoperative and postoperative assessments included pain levels (VAS pain), maximum mouth opening (MMO), Clicking during mouth opening, Headach presence, tinnitus and subjective patient feedback.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 25 Years to 41 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Diagnosed TMJ dysfunction requiring eminence augmentation
- •Failed conservative management (≥3 months)
- •Adequate bone stock for inlay placement
- •Willingness to comply with follow-up protocol
Exclusion Criteria
- •Systemic conditions contraindicating surgery
- •Active TMJ infection
- •Previous TMJ surgery
- •Pregnancy
- •Neuromuscular disorders-
Outcomes
Primary Outcomes
Functional improvement
Time Frame: Baseline (T0); T1 (1 months postoperative); T2 (3 months postoperative); T3 (6 months postoperative); T4 (12 months postoperative).
Measuring the Maximal interincisal opening (MIO; mm)
Secondary Outcomes
- Pain Score(Baseline (T0); T1 (1 months postoperative); T2 (3 months postoperative); T3 (6 months postoperative); T4 (12 months postoperative).)
- Headache(Baseline (T0); T1 (1 months postoperative); T2 (3 months postoperative); T3 (6 months postoperative); T4 (12 months postoperative).)
- Tinnitus(Baseline (T0); T1 (1 months postoperative); T2 (3 months postoperative); T3 (6 months postoperative); T4 (12 months postoperative).)
Investigators
Mohamed Moawed Ibrahim Ghoneim, PhD
Associate professor of Oral and Maxillofacial Surgery
Sinai University