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This study is designed to evaluate the clinical outcomes of computer-guided sodium hyaluronate injection in superior joint space in comparison to conventional injection for treatment of intra-articular TMJ disorder.
This study aimed to reveal the superiority of computer-guided TMJ injection (if found) above the conventional method from the clinician and patient point of view.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A | Experimental | Patients treated with four computer-guided sodium hyaluronate injections in superior TMJ space. |
|
| Group B | Active Comparator | Patients treated with four conventional sodium hyaluronate injections in superior TMJ space. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TMJ injection | Procedure | four sodium hyaluronate injections in superior TMJ space |
|
| Measure | Description | Time Frame |
|---|---|---|
| Comparison of maximum unassisted mouth opening range | Opening range determined by asking the patient to gently open the mouth and measure the distance between upper and lower central incisor using an vernier digital electronic caliper. Vertical movement of the mandible corrected by adding the vertical overlap. | 6 months |
| Comparison of modified Helkimo's clinical dysfunction index. | A modified version of Helkimo's clinical dysfunction index calculated to assess the TMJ dysfunction. | 6 months |
| Comparison of pain intensity on Visual analog scale | Patients asked to mark their TMJ-related pain level on a scale from 0 to 10, where 0 is "no pain" and 10 is "severe pain". | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Total procedural time. | Total procedural time consumed starting from application of topical antiseptic up to the end of the procedure. | Baseline |
| Patient convenience. | Patient convenience on a scale from "0" to "10", where "0" is highly convenient and "10" extremely intolerable. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| AbdElKader A Hyder, MSc | Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Al-Azhar University | Principal Investigator |
| Wael A ElMohandes, PhD | Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Al-Azhar University | Study Director |
| Bahaa El-Din A Tawfik, PhD | Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Al-Azhar University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Dentistry, Al-Azhar University. | Cairo | 11884 | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30940211 | Background | Krause M, Dorfler HM, Kruber D, Humpfner-Hierl H, Hierl T. Template-based temporomandibular joint puncturing and access in minimally invasive TMJ surgery (MITMJS) - a technical note and first clinical results. Head Face Med. 2019 Apr 2;15(1):10. doi: 10.1186/s13005-019-0194-8. | |
| 29370321 | Background | Steenks MH, Turp JC, de Wijer A. Reliability and Validity of the Diagnostic Criteria for Temporomandibular Disorders Axis I in Clinical and Research Settings: A Critical Appraisal. J Oral Facial Pain Headache. 2018 Winter;32(1):7-18. doi: 10.11607/ofph.1704. |
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| Baseline |
| 28216845 | Background | Rani S, Pawah S, Gola S, Bakshi M. Analysis of Helkimo index for temporomandibular disorder diagnosis in the dental students of Faridabad city: A cross-sectional study. J Indian Prosthodont Soc. 2017 Jan-Mar;17(1):48-52. doi: 10.4103/0972-4052.194941. |