Evaluation of the Effectiveness of Arthrocentesis Using Catheter in the Treatment of Temporamandibular Joint Disorders

NCT06766851 | Completed

• 1 other identifier: EskisehirOU-TEKIN-002
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

The study focused on arthrocentesis performed using a catheter, aiming to assess its effects on pain perception and mouth opening in patients with TMJ disorders.

Conditions

TMJ Disc Disorder; Treatment; Arthrocentesis

Keywords

Branul

Outcome Measures

Primary Outcomes (2)

• The measurement of pain-free maximum mouth opening (MMO) in millimeters

  Pain-free MMO was measured as the distance between the incisal edges of the upper and lower incisors while patient's mouth is open as possible without any assistance and without pain. Three measurements were performed, and their average is recorded.

  Preopretive, Postoperative 1st day, 1st week and 1st month

• Change in post-operative pain assessed

  A visual analog scale (VAS) was used, grading from 1 to 10 (1: no pain, 10: unbearable pain)

  Preoperative, Postoperative 1st day, 1st week and 1st month

Study Arms (2)

Catheter group

EXPERIMENTAL

Patients presenting temporomandibular joint disc displacement without reduction (DDwoR) treated with catheter arthrocentesis. The upper joint space was entered with a 16 gauge 45 mm long branul. The 16 gauge metal cannula was removed and the plastic sheath was left in the upper joint space. The 18 gauge metal cannula, which was 1 size smaller, was placed inside the sheath. The irrigation solution was administered through the 18 gauge metal cannula and the irrigation solution flowed out of the space between the cannula and the sheath + I-PRF

Other: Procedure: TMJ Arthrocentesis

conventional single needle group

ACTIVE COMPARATOR

Patients presenting temporomandibular joint disc displacement without reduction (DDwoR) treated with single puncture arthrocentesis + I-PRF

Other: Procedure: TMJ Arthrocentesis

Interventions

Procedure: TMJ Arthrocentesis OTHER

Temporomandibular joint arthrocentesis

Catheter group; conventional single needle group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

Sponsors & Collaborators

• Eskisehir Osmangazi University: lead

Study Sites (1)

Eskişehir Osmangazi University

Eskişehir, 26480, Turkey (Türkiye)

Location

Related Publications (2)

• Hasanoglu Erbasar GN, Senturk MF, Sancak K. The Short-Term Results of the Modified Concentric-Needle Technique for Single-Puncture Arthrocentesis: A Preliminary Study. J Coll Physicians Surg Pak. 2024 Jun;34(6):717-722. doi: 10.29271/jcpsp.2024.06.717.

  PMID: 38840358 BACKGROUND

• Senturk MF, Yazici T, Gulsen U. Techniques and modifications for TMJ arthrocentesis: A literature review. Cranio. 2018 Sep;36(5):332-340. doi: 10.1080/08869634.2017.1340226. Epub 2017 Jun 15.

  PMID: 28618972 BACKGROUND

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Asst.Prof.

Study Record Dates

• First Submitted: January 4, 2025
• First Posted: January 9, 2025
• Study Start: December 13, 2024
• Primary Completion: August 15, 2025
• Study Completion: September 15, 2025
• Last Updated: September 16, 2025

Record last verified: 2025-09

Locations

TU (1)