TMJ Arthroscopy Compared to Arthrocentesis in Disc Displacement Without Reduction

Launched by KAROLINSKA INSTITUTET · Jan 13, 2025

Keywords

ClinConnect Summary

This clinical trial is designed to compare two surgical methods for treating a painful condition called temporomandibular joint (TMJ) disc displacement without reduction, which can make it hard to open your mouth and cause significant pain. The two methods being compared are called arthroscopic lysis and lavage and arthrocentesis. The goal is to see which method better improves mouth opening, reduces pain, and helps people feel more capable in their daily lives.

To participate in this trial, you should be at least 18 years old and have difficulty opening your mouth due to TMJ disc displacement, with specific levels of pain and disability. Participants will have one of the two surgeries while under general anesthesia, but they won’t know which one they’re getting. After the surgery, they’ll have follow-up appointments at 1, 3, 6, 12, and 24 months to check on their recovery and complete surveys about their quality of life. The trial is not currently recruiting participants, but it aims to gather valuable information on how to best treat this condition.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Uni- or bilateral DDwoR affecting the patients mouth opening capacity to a range of ≤ 35 mm, verified with clinical and magnetic resonance imaging (MRI) findings.
• • TMJ pain ≥ 3 (NRS)
• • TMJ disability ≥ 3 (NRS)
• • Age ≥ 18 years
• Exclusion Criteria:
• • Prior open TMJ surgery
• • Patient diagnosed with rheumatologic joint disease.
• • ASA (American Society of Anaesthesiologists) \> 3
• • Patient unable to verify informed consent.