Comparison Between Arthrocentesis and Rocabado Exercises on Temporomandibular Disc Displacement Without Reduction

Arthrocentesis Versus Rocabado Exercises on Temporomandibular Disc Displacement Without Reduction

The present study will be designed to compare the short- and medium-term results of arthrocentesis and non-surgical methods Rocabado approach in early disc displacement without reduction.

This study will be designed to provide a comparison between the effect of the Rocabado approach as a conservative treatment and temporomandibular joint arthrocentesis in temporomandibular joint disc displacement without reduction.

Delimitations:

This study will be delimited in the following aspects:

1. Patients:

   The study group will be composed of sixty-eight patients with temporomandibular joint disc displacement without reduction will be enrolled in the study. Group A: It will be composed of thirty-four patients with TMJ disc displacement without reduction who are started on the Rocabado approach- 4 - 6×6 exercise program. Include therapeutic exercise, and patient education focusing on the temporomandibular joint. Repeat measurements will be performed on 1st measurement at the baseline before any intervention, 2nd measurement after 8 weeks of treatment by a physiotherapist. Group B: It will be composed of thirty-four patients with disc displacement without reduction who are started on TMJ arthrocentesis procedure with medical and nursing care.

2. Equipment and tools:

2.1-Measurement equipment: Thera bite ROM scale 8-Item Jaw Functional Limitation Scale (JFLS-8) (Valid Arabic version) visual anlogue scale 2.2-Therapeutic procedures: Rocabado's 6X6 Exercise Program and manibulation

Inclusion Criteria:

• History of a sudden reduction in the mandibular opening. Unassisted mandibular opening 35 mm.
• Mandibular opening with assistance increased by ≥3 mm from
• unassisted opening, with a prior history of click, click disappearance, and a sudden decrease in opening.
• Magnetic resonance imaging (MRI) diagnosis of Disc displacement without reduction.
• Persistence of the symptoms indicated in the first item for a Maximum of 3 weeks.
• clinical diagnosis of unilateral Disc displacement without reduction of the temporomandibular joint.

Exclusion Criteria:

• History of major jaw trauma.
• Dentofacial deformity.
• Psychiatric illness.
• Chronic headache. Presence of other disorders involving the TMJ.