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

Assessment of Concentric Needle Technique for the Management of Temporomandibular Joint Internal Derangement Randomized Controlled Trial (RCT)

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

Inclusion Criteria:

1. Patients with age ranges from 18-60.
2. Patients with painful clicking.
3. Patients free of systemic conditions that might affect the TMJ or interfere with carrying out the surgical procedure (osteoarthritis, rheumatoid arthritis, uncontrolled diabetes).

Exclusion Criteria:

1. Patients out of the specified range group
2. Patients with painless TMJ clicking.
3. Patients with osteo-arthritic changes of the TMJ.
4. Patients with systemic conditions that might affect the TMJ or interfere with carrying out the surgical procedure (osteoarthritis, rheumatoid arthritis, uncontrolled diabetes).
5. Patients with previous TMJ surgeries.