A randomized control trial comparing the efficacy of joint lavage ,mandibular manipulation and anterior repositioning splint versus joint lavage and mandibular manipulation in management of temporomandibular disc displacement without reductio
Phase 2
- Conditions
- Health Condition 1: M266- Temporomandibular joint disorders
- Registration Number
- CTRI/2020/12/029524
- Lead Sponsor
- Division of oral and maxillofacial surgery
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Yet Recruiting
- Sex
- Not specified
- Target Recruitment
- 0
Inclusion Criteria
ASA I patients
• Wilkes class III â?? Anterior disc displacement without reduction as confirmed by
MRI
• Patient willing for informed consent and follow up.
Exclusion Criteria
Prior surgical treatment for TMD
• Edentulous patients
• Age <15years
• Presence of occlusion conditions (anterior cross bite)
• Presence of TMJ pathology
• Any medical condition which contraindicate the mentioned intervention
• Patient ongoing chemo or radiotherapy
• Pregnant patient
• Patient not willing for informed consent and not coming for follow up
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method To compare efficiency of arthrocentesis, mandibular manipulation and anterior <br/ ><br>repositioning splint therapy versus that of arthrocentesis and mandibular manipulation in <br/ ><br>Wilkes stage 3 temporomandibular disorders (TMDs) for management of pain after <br/ ><br>procedure by using VAS score.Timepoint: Pre intervention <br/ ><br>2 weeks ,1 mnonth, 3 months and 6 months after intervention
- Secondary Outcome Measures
Name Time Method To assess the change in disc condyle angle and condyle disc position (MRI <br/ ><br>Evaluation) at 3 months follow up <br/ ><br> 1. To measure mouth opening (passive and assisted) at 2 weeks ,1 month, 3 months <br/ ><br>and 6 months follow up. <br/ ><br>2. To access the subjective chewing efficacy 2 weeks, 1month, 3 months and 6 <br/ ><br>months follow up. <br/ ><br>3.To assess the clicking after 2 weeks, 1 month, 3 months and 6 months follow up.Timepoint: mri evaluation before intervention and 3 mnths after intervention <br/ ><br>clinical evaluation before interventionand 2weeks,1 month ,3 months and 6 months after intervention