Ultrasound Guided Versus Non-Guided Prolotherapy for Internal Derangement of Temporomandibular Joint.
TMJ Disc Disorder, Ultrasound Therapy; Complications, TMJ
About this trial
This is an interventional treatment trial for TMJ Disc Disorder
Eligibility Criteria
Inclusion Criteria: Patients with TMD - internal derangement with symptomatic clicking pain, according to RDC (Research diagnostic criteria for TMJD) sheet . Muscles spasm causing TMDs. Patients who failed to improve on conservative measures or highly hyperactivity patients. Female and male patients age range from 20 to 60 years old. Exclusion Criteria: Patients who refused to be included in the research. Patients with a systemically diseases or inflammation whether local or generalized. Patients with bleeding disorders. Patients with unknown dextrose allergy.
Sites / Locations
- CairoURecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Ultrasound Guided Prolotherapy forTreatment of Internal Derangement of TMJD.
Non-Guided Ultrasound ( Blind) Prolotherapy for Treatment of Internal Derangement of TMJD.
Injection procedure in TMJ Space guided by ultrasound probe the injection materials will be composition of ( !0% Dextrose ) + (Saline ) + (2% Lidocaine, plain anesthesia ). The intervention procedure will done after TMJ MRI assessment for patients who have anterior disc displacement with reduction (DDWR)
Injection procedure in TMJ Space by anatomical land mark (blindly), and we also call it ( conventional prolotherapy ) the injection materials will be composition of ( !0% Dextrose ) + (Saline ) + (2% Lidocaine, plain anesthesia ). The intervention procedure will done after TMJ MRI assessment for patients who have anterior disc displacement with reduction (DDWR)