Single Puncture Arthrocentesis vs Double Puncture Arthrocentesis
NCT ID: NCT04367259
Last Updated: 2020-04-29
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
36 participants
INTERVENTIONAL
2017-01-01
2019-12-01
Brief Summary
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Detailed Description
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Double puncture arthrocentesis technique:
Posterior puncture method was used as described by Alkan and Etoz. for DPA. A straight line was drawn with a marker pen along the skin from the middle portion of the auricular tragus to the lateral chantus. The first puncture point was marked 10 mm anterior and 2 mm inferior to the tragus and the second 7 mm anterior and 2 mm inferior to the tragus. After local anesthesia, upper joint cavity was irrigated with 200 mL of Lactated Ringer's (RL) solution by inserting two 21- gauge needle. At the end of the procedure, after withdrawn of one of the needles, 1 mL of sodium hyaluronate (SH) was injected into the upper TMJ compartment through the other needle.
Single Puncture Arthrocentesis Technique:
SPA was performed with one needle (SPA Type-1 according to Senturk and Cambazoglu). The first reference point in DPA was used as the needle entry point fort he SPA. With this technique, the inflow and outflow of solution were provided through the same cannula and lumen of one 21-gauge needle as described by Guarda-Nardini et al. The joint was irrigated with 200 mL of RL solution under high pressure. At the end of the procedure1 mL of SH was injected through the needle.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Single puncture arthrocentesis (SPA) group
Patients presenting temporomandibular joint disc displacement without reduction (DDwoR) treated with single puncture arthrocentesis
TMJ Arthrocentesis
Temporomandibular joint arthrocentesis
Double puncture arthrocentesis (DPA) group
Patients presenting temporomandibular joint disc displacement without reduction (DDwoR) treated with double puncture arthrocentesis
TMJ Arthrocentesis
Temporomandibular joint arthrocentesis
Interventions
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TMJ Arthrocentesis
Temporomandibular joint arthrocentesis
Eligibility Criteria
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Inclusion Criteria
* Restricted mouth opening
Exclusion Criteria
* History of previous TMJ surgery
21 Years
59 Years
ALL
Yes
Sponsors
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Erzincan University
OTHER
Responsible Party
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Fatih TASKESEN
Head of Dept. Oral and Maxillofacial Surgery
Principal Investigators
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Fatih TASKESEN
Role: STUDY_CHAIR
Erzincan Binali Yildirim University Faculty of Dentistry
Locations
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Erzincan Ağiz Ve Diş Sağlığı Egt Araş Hastanesi
Erzincan, , Turkey (Türkiye)
Countries
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References
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Bayramoglu Z, Tozoglu S. Comparison of single- and double-puncture arthrocentesis for the treatment of temporomandibular joint disorders: A six-month, prospective study. Cranio. 2021 Mar;39(2):151-156. doi: 10.1080/08869634.2019.1603796. Epub 2019 Apr 25.
Senturk MF, Yazici T, Findik Y, Baykul T. Intraoperative comparison of single- and double-puncture techniques in temporomandibular joint arthrocentesis. Int J Oral Maxillofac Surg. 2018 Aug;47(8):1060-1064. doi: 10.1016/j.ijom.2018.03.029. Epub 2018 May 1.
Provided Documents
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Document Type: Study Protocol and Statistical Analysis Plan
Other Identifiers
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135163
Identifier Type: -
Identifier Source: org_study_id
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