Arthrocentesis Alone Versus Arthrocentesis With Hyaluronic Acid Injection
Temporomandibular Joint Dysfunction Syndrome, Arthrocenteses, Hyaluronic Acid
About this trial
This is an interventional treatment trial for Temporomandibular Joint Dysfunction Syndrome
Eligibility Criteria
Inclusion Criteria: Adults with age between( 18-45) years Both genders The cases ciinically have either of ( limitation of mouth opening , pre-auricular pain , headache, temporal, and occipital tenderness ) and radiologically (MRI) diagnosed as ADD with reduction The patients have symptom durations for more than 3 months with medical treatment. Patients whom did not respond to medical treatment Exclusion Criteria: Previous TMJ surgery or previous arthrocentesis. Patients with arthritis or history of condylar trauma Patients with degenerative change of the condylar head and with facial asymmetry, retrognathism, or prognathism Severe co-morbid conditions (uncontrolled diabetes, Hypertenion
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Arthrocentesis alone
arthrocentesis with hyaluronic acid injection
Arthrocentesis alone in management of temporomandibular joint dysfunction in the form of anterior disc displacement with reduction.by lavage by normal saline and during the lavage the mandible is moved through opening, excursive, and protrusive movements to facilitate lysis of adhesions.
arthrocentesis with hyaluronic acid injection in management of temporomandibular joint dysfunction in the form of anterior disc displacement with reduction. after arthrocentesis is completed, lavage is done by hyaluronic acid injection