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TMJ Disc Disorder clinical trials

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NCT ID: NCT06441279 Recruiting - TMJ Disc Disorder Clinical Trials

Treatment of Tempromandibular Joint Anterior Disc Displacement With Different Materials

Start date: April 1, 2024
Phase: N/A
Study type: Interventional

comparing the clinical efficacy of intra-articular injection of platelet lysate (PL), versus Hyaluronic Acid after arthrocentesis in the management of patients with anterior disc displacement with reduction.

NCT ID: NCT06426199 Recruiting - TMJ Disc Disorder Clinical Trials

Chitosan-Hyaluronate Gel Mixture Vs Hyaluronic for Internal Derangement

TMJ
Start date: January 17, 2024
Phase: Phase 4
Study type: Interventional

This study is designed to assess the impact of injecting sodium hyaluronic acid versus a chitosan-hyaluronate hybrid gel into the upper compartment of the temporomandibular joint (TMJ) as a treatment for anterior disc displacement without reduction. The study will include patients diagnosed with Stage III or IV TMJ internal derangement (anterior disc displacement without reduction), as classified by Wilkes, with diagnoses confirmed through clinical symptoms and MRI evaluations. Participants will be randomly divided into two groups, both undergoing TMJ arthroscopy. In the first group, 2 ml of chitosan-hyaluronic acid hybrid gel will be injected into the affected joints, whereas in the second group, 2 ml of hyaluronic acid (HA) will be administered. The study will compare and analyze outcomes in both groups, focusing on pain during TMJ function, clicking sounds, the extent of maximum mouth opening, and maximum lateral jaw movement.

NCT ID: NCT06207955 Not yet recruiting - TMJ Disc Disorder Clinical Trials

I-PRF After Arthrocentesis Plus Botox Injection to Lateral Pterygoid Muscle in Treatment of Anterior Disc Displacement

Start date: February 2024
Phase: N/A
Study type: Interventional

Aim of Study : To evaluate the efficacy of TMJ arhtrocentesis followed by injection of liquid platelet rich fibrin (I-PRF ) in addition to intramuscular injection of lateral pterygoid muscle with botulinum toxin on clinical outcomes of painful TMJ , maximum mouth opening , joint sounds and range of lateral movement in patients with TMJ anterior disc displacement with reduction Hypothesis : Intramuscular injection of lateral pterygoid muscle with botulinum toxin plus TMJ intra-articular injection of liquid platelet rich fibrin after arthrocentesis are more effective than TMJ arthrocentesis followed by intra-articular injection of ( I-PRF ) or TMJ arthrocentesis only .

NCT ID: NCT06013059 Completed - TMJ Disc Disorder Clinical Trials

A Comparative Study Between the Different Levels of TMJ Arthroscopy in the Management of TMJ Internal Derangement

Start date: June 1, 2021
Phase: N/A
Study type: Interventional

The temporomandibular joint (TMJ) arthroscopy has emerging role nowadays in the treatment of TMJ internal derangement with its three levels of intervention. A comparative study between the 3 levels is essential to develop a standardized selection criteria and management algorithm.

NCT ID: NCT05983653 Recruiting - TMJ Disc Disorder Clinical Trials

Evaluation of Arthrocentesis With and Without PRP Injection in Patients With Disc Displacement With Reduction.

Start date: August 1, 2023
Phase: N/A
Study type: Interventional

This study is aiming to evaluate whether large volume of irrigation alone or combined with PRP injection is sufficient for improvement of clinical signs and symptoms

NCT ID: NCT05627830 Recruiting - Pain, Chronic Clinical Trials

Ultrasound Guided Versus Non-Guided Prolotherapy for Internal Derangement of Temporomandibular Joint.

Start date: November 10, 2022
Phase: N/A
Study type: Interventional

Ultrasound Guided Versus Non-Guided Prolotherapy for Treatment of Internal Derangement of Temporomandibular joint. Rationale for conducting the research: The most critical cause for guided prolotherapy is to specify the accurate location of glenoid fossa and the disc space while prolotherapy procedure, and to adjust the needle insertion to according to articular eminence, mandibular condyle, and intra-articular space as anatomical variations. The vibration of ultrasound waves generates a heat so there is a thermal effective for prolotherapy effusion in the TMJ space.

NCT ID: NCT05548894 Completed - TMJ Disc Disorder Clinical Trials

Comparison Between Splint and Laser in Patients Without Disc Displacement With Reduction

Start date: March 3, 2021
Phase: N/A
Study type: Interventional

Stabilization splint therapy and Low-level laser therapy may serve as non-invasive intervention for painful temporomandibular disorders, but its efficacy is still debated. This study compared the effect of stabilization splint and low-level laser therapy alone or in combination in patients with painful chronic closed lock of temporomandibular joints disc displacement without Reduction 42 patients diagnosed with chronic closed lock of disc displacement without reduction were allocated equally and randomly into three treatment groups: group I received combined stabilization splint and low- level laser therapy, group II received low - level laser therapy and group III received stabilization splint. They were evaluated at baseline and one week, two weeks, four weeks, three months, and six months after the intervention.

NCT ID: NCT05510336 Not yet recruiting - TMJ Disc Disorder Clinical Trials

Assessment of Concentric Needle Technique in Temporomandibular Joint (TMJ) Internal Derangement.

Start date: September 1, 2022
Phase: N/A
Study type: Interventional

The aim of the study is to evaluate the effectivenes of using two concentric needles in comaprsion with the normal traditional two distant needles.

NCT ID: NCT05481268 Completed - Myofascial Pain Clinical Trials

Kinesiotaping and Stretching on SKM and Upper Trapezius Muscle in TMD Patients

Start date: March 15, 2018
Phase: N/A
Study type: Interventional

Purpose: This study determined the effects of Kinesiotaping and Stretching on pain, cervical joint range of motion and functional status in patients with myofascial pain due to temporomandibular joint disorder. Methods: 33 patients with myofascial pain due to temporomandibular joint disorder were included in the study. The patients were divided into three groups by simple randomization (Kinesiotaping group, Stretching group and Control group). Patients in the Kinesiotaping and Stretching groups received application for their Upper Trapezius and Sternocleidomastoid muscles twice a week for two weeks by the same physiotherapist. No application was made to the Control group. Cervical joint range of motion, muscle strength and pain were evaluated. Additionally, algometry tests and functional evaluation were performed. The tests were performed in the Kinesiotaping and Stretching groups before the applications and at the end of week 1 and week 2, on the other hand Control group evaluated before the application and at the end of week 2.

NCT ID: NCT04951895 Completed - TMJ Disc Disorder Clinical Trials

Clinical and MRI Finding of The Temporomandibular Joint Posterior Disk Displacement

Posterior Disk
Start date: February 20, 2020
Phase:
Study type: Observational

the study aimed to evaluate the clinical and MRI finding of TMJ with posterior disk displacement with predication of the risk factors