TMJ Arthroscopy Compared to Arthrocentesis in Disc Displacement Without Reduction
Recruiting now · Not applicable
Conditions studied: Temporomandibular Joint Disc Displacement, Temporomandibular Joint Disc Displacement, Without Reduction, Temporomandibular Disorders (TMD)
In brief
The goal of this clinical trial is to compare the intervention arthroscopic lysis and lavage to the intervention arthrocentesis in treating disabling and painful temporomandibular joint disc displacement without reduction. The main questions it aims to answer are: * Which surgical method that best improves mouth opening capacity, TMJ pain, and TMJ disability? * If any pre- or peri-operative variable/-s could be identified as a predictor for surgical outcome? Researchers will compare arthroscopic lysis and lavage to arthrocentesis to see if arthroscopic lysis and lavage works better to treat temporomandibular joint disc displacement. Participants will: * Have one of the two interventions under general anesthesia, not knowing which intervention. * Visit an external clinic for regular checkups at 1, 3, 6, 12, and 24 months after surgery. * Answer three different quality of life surveys at the checkups.
Key facts
- Study ID
- NCT06782178
- Run by
- Karolinska Institutet
- People needed
- 100
- Starts
- 2025-04-01
- Expected to finish
- 2030-02-01
- Last updated by the study team
- 2026-08-06
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- 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
You may not qualify if…
- Prior open TMJ surgery
- Patient diagnosed with rheumatologic joint disease.
- ASA (American Society of Anaesthesiologists) > 3
- Patient unable to verify informed consent.
Where it is running
- Karolinska Institutet — Huddinge, Sweden (enrolling)
Full record on ClinicalTrials.gov
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