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Assessment of intra-articular injection of hyaluronic acid and prp within TMJ using the Zebris jaw tracking device as an objective method
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Hyaluronic acid + PRP | Experimental | patients with disc displacement with reduction will undergo intra-articular injection with hyaluronic acid and prp |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Hyaluronic Acid (HA) and Platelet rich plasma | Combination Product | A combination of Autologous Platelet-Rich Plasma prepared from the patient's blood and hyaluronic acid injected intra-articularly |
| Measure | Description | Time Frame |
|---|---|---|
| Mandibular movements assessed using the zebris JMA | changes in mandibular movements assessed using the Zebris Jaw Motion Analyzer (JMA) system following treatment | Baseline, 1month |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum interincisal opening (MIO) | Changes in maximum interincisal opening measured in millimeters following treatment | Baseline, 1 week, 1 month, 3 months,6 months |
| Pain Assessment using the Visual Analogue Scale |
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Inclusion Criteria
Exclusion Criteria
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Dentistry, Mansoura university | Al Mansurah | Dakahlia Governorate | 35516 | Egypt |
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Changes in pain intensity assessed using the Visual Analog Scale (VAS), a 0-10 scale where 0 indicates no pain and 10 indicates the worst imaginable pain; higher scores indicate greater pain severity. Measurements will be obtained at baseline, 1 week, 1 month, 3 months, and 6 months following intra-articular injection of hyaluronic acid and platelet-rich plasma (PRP) in patients with temporomandibular joint disc displacement with reduction.
| baseline, 1 week, 1 month, 3months, 6 months |
| clicking sound | changes in clicking sound following treatment | Baseline, 6 months |
| ID | Term |
|---|---|
| D013705 | Temporomandibular Joint Disorders |
| D034062 | Insomnia, Fatal Familial |
| ID | Term |
|---|---|
| D017271 | Craniomandibular Disorders |
| D008336 | Mandibular Diseases |
| D007571 | Jaw Diseases |
| D009140 | Musculoskeletal Diseases |
| D007592 | Joint Diseases |
| D009135 | Muscular Diseases |
| D009057 | Stomatognathic Diseases |
| D017096 | Prion Diseases |
| D002494 | Central Nervous System Infections |
| D007239 | Infections |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D019636 | Neurodegenerative Diseases |
| D007319 | Sleep Initiation and Maintenance Disorders |
| D020919 | Sleep Disorders, Intrinsic |
| D020920 | Dyssomnias |
| D012893 | Sleep Wake Disorders |
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| ID | Term |
|---|---|
| D006820 | Hyaluronic Acid |
| ID | Term |
|---|---|
| D006025 | Glycosaminoglycans |
| D011134 | Polysaccharides |
| D002241 | Carbohydrates |
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