Temporomandibular Joint Eminence Augmentation Using Titanium Ring Inlay: A New Surgical Technique
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 112
- 试验地点
- 1
- 主要终点
- Functional improvement
研究概览
简要总结
To evaluate the efficacy of titanium ring inlay in ESS technique in Temporomandibular joint eminence augmentation
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 25 Years 至 41 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosed TMJ dysfunction requiring eminence augmentation
- •Failed conservative management (≥3 months)
- •Adequate bone stock for inlay placement
- •Willingness to comply with follow-up protocol
排除标准
- •Systemic conditions contraindicating surgery
- •Active TMJ infection
- •Previous TMJ surgery
- •Pregnancy
- •Neuromuscular disorders-
结局指标
主要结局
Functional improvement
时间窗: 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)
次要结局
- 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).)
研究者
Mohamed Moawed Ibrahim Ghoneim, PhD
Associate professor of Oral and Maxillofacial Surgery
Sinai University