Computer Guided Visco Supplementation in the Management of Internal Derangement of Temporomandibular Joint

Evaluation of Computer-guided Visco Supplementation in the Management of Internal Derangement of Temporomandibular Joint (a Randomized Controlled Clinical Trial)

Background: The intra-articular injection is considered the first line of minimally invasive treatment in TMJ-ID patients who do not respond to conservative treatment. Image-guided puncture technique has emerged to add safety, reliability, convenience, and decrease the need for correcting the puncture point.

Aim of the study: To evaluate the feasibility and clinical outcomes of computer-guided superior joint space injection of sodium hyaluronate in the treatment of temporomandibular joint disorder (TMJ-ID) compared with conventional injection

Inclusion Criteria:

• 1. Patients diagnosed with internal derangement according to Wilkins stage I and II.
• Patients who would not respond to conservative treatment as a first line of treatment.

Exclusion Criteria:

• Patients with Wilkins stage III, IV, V.
• History of mandibular fracture.
• Lactating, pregnant or planning pregnancy women.
• Known hypersensitivity to hyaluronic acid or clear biocompatible photopolymer resin.