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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
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Study Group | Experimental |
| |
| Control | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Computer guided sodium hyaluronate injections | Other | Patients will be treated with Computer guided sodium hyaluronate injections in superior TMJ space |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in TMJ dysfunction | A modified version of Helkimo's clinical dysfunction index (Di) is be calculated to assess the TMJ dysfunction as follows:
| Baseline, 1 month, and 3 months |
| change in pain score | Pain level was determined by the patient's self-assessment using a visual analog scale (VAS) from zero to 10 ("0" is pain-free and "10" is severe intolerable pain). | Baseline,1 months, and 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Duration of operation | Total procedural time consumed starting from the application of topical antiseptic up to the end of the procedure. | Baseline |
| Number of Needle Relocation | The need to relocate the needle after first puncture of both needles will be used to compare between the efficacies of the computer guided arthrocentesis guide and the conventional free hand arthrocentesis. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Outpatient clinic of Oral and Maxillofacial Surgery | Alexandria | 00302 | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40645842 | Derived | Atmeh BSK, El Dibany RM, El-Mahallawy Y. Evaluation of computer-guided visco-supplementation in the management of internal derangement of temporomandibular joint: a randomized controlled clinical trial. Oral Surg Oral Med Oral Pathol Oral Radiol. 2025 Oct;140(4):416-427. doi: 10.1016/j.oooo.2025.04.098. Epub 2025 Apr 29. |
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| ID | Term |
|---|---|
| D013705 | Temporomandibular Joint Disorders |
| ID | Term |
|---|---|
| D017271 | Craniomandibular Disorders |
| D008336 | Mandibular Diseases |
| D007571 | Jaw Diseases |
| D009140 | Musculoskeletal Diseases |
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| conventional sodiumhyaluronate injections | Other | Patients will be treated with conventional sodium hyaluronate injections in superior TMJ space |
|
| Baseline |
| D007592 |
| Joint Diseases |
| D009135 | Muscular Diseases |
| D009057 | Stomatognathic Diseases |