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ArthrocentesisNCT04367259

Single Puncture Arthrocentesis vs Double Puncture Arthrocentesis

A study testing TMJ Arthrocentesis in people with Arthrocentesis, run by Erzincan University at 1 site in Turkey (Türkiye).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The aim of the present study was to compare the treatment efficacy of single puncture arthrocentesis (SPA) and double puncture arthrocentesis (DPA) techniques in Temporomandibular joint (TMJ) disc displacement without reduction (DDwoR). Read more about this study

Who is it for?
Ages 21 to 59 yearsHealthy volunteers can take part
Conditions the study is for
Arthrocentesis
What is being tested?
TMJ Arthrocentesis
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
36 participants
Where
1 siteTurkey (Türkiye)
Study dates
1 Jan 2017to 1 Dec 2019
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 21 to 59 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Clinical diagnosis of Temporomandibular joint (TMJ) disc displacement without reduction.
  • Restricted mouth opening

Who cannot join

  • History of systemic disease effecting TMJ.
  • History of previous TMJ surgery

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • Erzincan Ağiz Ve Diş Sağlığı Egt Araş Hastanesi

    Erzincan

Other trials in Turkey (Türkiye)

About this study

Official title: Comparison of the Efficacy of Single and Double Puncture Arthrocentesis in Treatment of Temporomandibular Joint Disc Displacement Without Reduction

The aim of the present study was to compare the treatment efficacy of single puncture arthrocentesis (SPA) and double puncture arthrocentesis (DPA) techniques in Temporomandibular joint (TMJ) disc displacement without reduction (DDwoR).

Read the detailed description

Study sample consisted of 36 patients with DDwoR. 18 patients received SPA procedure and included in SPA group. The other 18 patients received DPA procedure and included in DPA group.

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
Arthrocentesis
Being tested
TMJ Arthrocentesis
Keywords
Temporomandibular Joint

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TMJ ArthrocentesisProcedure or surgery

    Temporomandibular joint arthrocentesis

Study groups in NCT04367259
Study groupRoleWhat they receive
Single puncture arthrocentesis (SPA) groupActive comparatorPatients presenting temporomandibular joint disc displacement without reduction (DDwoR) treated with single puncture arthrocentesis
Receives: Procedure: TMJ Arthrocentesis
Double puncture arthrocentesis (DPA) groupActive comparatorPatients presenting temporomandibular joint disc displacement without reduction (DDwoR) treated with double puncture arthrocentesis
Receives: Procedure: TMJ Arthrocentesis

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The Rate of Pain on Function (PoF) assessed by Numerical Rating Scale (NRS)

    Patients rated their pain on function (pain during chewing or speaking etc.) on a Numeric Rating Scale (NRS) (0-10 where 0 is no pain and 10 is the worst pain imaginable)

    Measured: baseline (t0)

  2. The Rate of Pain on Function (PoF) assessed by Numerical Rating Scale (NRS)

    Patients rated their pain on function (pain during chewing or speaking etc.) on a Numeric Rating Scale (NRS) (0-10 where 0 is no pain and 10 is the worst pain imaginable)

    Measured: At 1st week (t1)

  3. The Rate of Pain on Function (PoF) assessed by Numerical Rating Scale (NRS)

    Patients rated their pain on function (pain during chewing or speaking etc.) on a Numeric Rating Scale (NRS) (0-10 where 0 is no pain and 10 is the worst pain imaginable)

    Measured: at 1st month (t2)

  4. The Rate of Pain on Function (PoF) assessed by Numerical Rating Scale (NRS)

    Patients rated their pain on function (pain during chewing or speaking etc.) on a Numeric Rating Scale (NRS) (0-10 where 0 is no pain and 10 is the worst pain imaginable)

    Measured: at 3rd month (t3)

  5. The Rate of Pain on Function (PoF) assessed by Numerical Rating Scale (NRS)

    Patients rated their pain on function (pain during chewing or speaking etc.) on a Numeric Rating Scale (NRS) (0-10 where 0 is no pain and 10 is the worst pain imaginable)

    Measured: at 6th month (t4)

  6. 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.

    Measured: baseline (t0)

  7. 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.

    Measured: at 1st week (t1)

  8. 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.

    Measured: at 1st month (t2)

  9. 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.

    Measured: at 3rd month (t3)

  10. 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.

    Measured: at 6th month (t4)

Secondary outcomes (31)
  1. The rate of pain at rest (PaR) assessed by Numerical Rating Scale (NRS)

    Patients rated their pain level at rest on a Numerical pain Scale (NRS) )(0-10 where 0 is no pain and 10 is the worst pain imaginable)

    Measured: At Baseline (t0)

  2. The rate of pain at rest (PaR) assessed by Numerical Rating Scale (NRS)

    Patients rated their pain level at rest on a Numerical pain Scale (NRS) )(0-10 where 0 is no pain and 10 is the worst pain imaginable)

    Measured: at 1st week (t1)

  3. The rate of pain at rest (PaR) assessed by Numerical Rating Scale (NRS)

    Patients rated their pain level at rest on a Numerical pain Scale (NRS) )(0-10 where 0 is no pain and 10 is the worst pain imaginable)

    Measured: at 1st month (t2)

  4. The rate of pain at rest (PaR) assessed by Numerical Rating Scale (NRS)

    Patients rated their pain level at rest on a Numerical pain Scale (NRS) )(0-10 where 0 is no pain and 10 is the worst pain imaginable)

    Measured: at 3rd month (t3)

  5. The rate of pain at rest (PaR) assessed by Numerical Rating Scale (NRS)

    Patients rated their pain level at rest on a Numerical pain Scale (NRS) )(0-10 where 0 is no pain and 10 is the worst pain imaginable)

    Measured: at 6th month (t4)

  6. Measurement of Duration of the Procedure in Minutes

    Total time for arthrocentesis was noted at the end of the procedure

    Measured: at 1st day (At the end of the procedure)

  7. Measurement of the easiness of the procedure to the operator by using Visual Analog Scale (VAS)

    The operator rated the degree of easiness of the procedure on a VAS as 0-very easy 10-very difficult to perform.

    Measured: at 1st day (At the end of the procedure)

  8. The rate of treatment tolerability assessed by 5-point Likert-type scale

    The degree to which overt adverse effects and post operative complications (pain, feeling of pressure in TMJ area and disturbing sound) can be tolerated by the patient. Patients were asked to rate the tolerability on a 5 point scale as 0- lowest, 4-highest.

    Measured: 1st day

  9. The rate of treatment tolerability assessed by 5-point Likert-type scale

    The degree to which overt adverse effects and post operative complications (pain, feeling of pressure in TMJ area and disturbing sound) can be tolerated by the patient. Patients were asked to rate the tolerability on a 5 point scale as 0- lowest, 4-highest.

    Measured: 1st week

  10. The rate of treatment tolerability assessed by 5-point Likert-type scale

    The degree to which overt adverse effects and post operative complications (pain, feeling of pressure in TMJ area and disturbing sound) can be tolerated by the patient. Patients were asked to rate the tolerability on a 5 point scale as 0- lowest, 4-highest.

    Measured: 6th month

  11. The rate of chewing efficiency by using Visual Analog Scale (VAS)

    Patients rated the chewing efficiency on a VAS as 0-can only eat semi-liquid foods, 10-eat any solid-food.

    Measured: at baseline (t0)

  12. The rate of chewing efficiency by using Visual Analog Scale (VAS)

    Patients rated the chewing efficiency on a VAS as 0-can only eat semi-liquid foods, 10-eat any solid-food.

    Measured: at 1st week (t1)

  13. The rate of chewing efficiency by using Visual Analog Scale (VAS)

    Patients rated the chewing efficiency on a VAS as 0-can only eat semi-liquid foods, 10-eat any solid-food.

    Measured: at 1st month (t2)

  14. The rate of chewing efficiency by using Visual Analog Scale (VAS)

    Patients rated the chewing efficiency on a VAS as 0-can only eat semi-liquid foods, 10-eat any solid-food.

    Measured: at 3rd month (t3)

  15. The rate of chewing efficiency by using Visual Analog Scale (VAS)

    Patients rated the chewing efficiency on a VAS as 0-can only eat semi-liquid foods, 10-eat any solid-food.

    Measured: at 6th month (t4)

  16. Rate of perceived effectiveness of the treatment by using 5-point Likert-type scale

    Patients rated the subjective treatment effectiveness on a 5-point scale as 0- lowest, 4 highest values.

    Measured: at 6th month

  17. Measurement of Lateral Movement of the mandible towards the affected Temporomandibular joint (TMJ) in millimeters

    Lateral Movement of the mandible towards the affected Temporomandibular joint (LT) was measured as the distance between the midlines of the upper and lower incisors by a caliper while patient's mandible was shifted towards the affected TMJ. Three measurements were performed, and their average is recorded.

    Measured: at baseline (t0)

  18. Measurement of Lateral Movement of the mandible towards the affected Temporomandibular joint (TMJ) in millimeters

    Lateral Movement of the mandible towards the affected Temporomandibular joint (LT) was measured as the distance between the midlines of the upper and lower incisors by a caliper while patient's mandible was shifted towards the affected TMJ. Three measurements were performed, and their average is recorded.

    Measured: at 1st week (t1)

  19. Measurement of Lateral Movement of the mandible towards the affected Temporomandibular joint (TMJ) in millimeters

    Lateral Movement of the mandible towards the affected Temporomandibular joint (LT) was measured as the distance between the midlines of the upper and lower incisors by a caliper while patient's mandible was shifted towards the affected TMJ. Three measurements were performed, and their average is recorded.

    Measured: at 1st month (t2)

  20. Measurement of Lateral Movement of the mandible towards the affected Temporomandibular joint (TMJ) in millimeters

    Lateral Movement of the mandible towards the affected Temporomandibular joint (LT) was measured as the distance between the midlines of the upper and lower incisors by a caliper while patient's mandible was shifted towards the affected TMJ. Three measurements were performed, and their average is recorded.

    Measured: at 3rd month (t3)

  21. Measurement of Lateral Movement of the mandible towards the affected Temporomandibular joint (TMJ) in millimeters

    Lateral Movement of the mandible towards the affected Temporomandibular joint (LT) was measured as the distance between the midlines of the upper and lower incisors by a caliper while patient's mandible was shifted towards the affected TMJ. Three measurements were performed, and their average is recorded.

    Measured: at 6th month (t4)

  22. Measurement of Lateral Movement of the mandible away from the affected Temporomandibular joint (TMJ) in millimeters

    Lateral Movement of the mandible away from the affected Temporomandibular joint (LA) was measured as the distance between the midlines of the upper and lower incisors by a caliper while patient's mandible was shifted away from the affected TMJ. Three measurements were performed, and their average is recorded.

    Measured: at baseline (t0)

  23. Measurement of Lateral Movement of the mandible away from the affected Temporomandibular joint (TMJ) in millimeters

    Lateral Movement of the mandible away from the affected Temporomandibular joint (LA) was measured as the distance between the midlines of the upper and lower incisors by a caliper while patient's mandible was shifted away from the affected TMJ. Three measurements were performed, and their average is recorded.

    Measured: at 1st week (t1)

  24. Measurement of Lateral Movement of the mandible away from the affected Temporomandibular joint (TMJ) in millimeters

    Lateral Movement of the mandible away from the affected Temporomandibular joint (LA) was measured as the distance between the midlines of the upper and lower incisors by a caliper while patient's mandible was shifted away from the affected TMJ. Three measurements were performed, and their average is recorded.

    Measured: at 1st month (t2)

  25. Measurement of Lateral Movement of the mandible away from the affected Temporomandibular joint (TMJ) in millimeters

    Lateral Movement of the mandible away from the affected Temporomandibular joint (LA) was measured as the distance between the midlines of the upper and lower incisors by a caliper while patient's mandible was shifted away from the affected TMJ. Three measurements were performed, and their average is recorded.

    Measured: at 3rd month (t3)

  26. Measurement of Lateral Movement of the mandible away from the affected Temporomandibular joint (TMJ) in millimeters

    Lateral Movement of the mandible away from the affected Temporomandibular joint (LA) was measured as the distance between the midlines of the upper and lower incisors by a caliper while patient's mandible was shifted away from the affected TMJ. Three measurements were performed, and their average is recorded.

    Measured: at 6th month (t4)

  27. Measurement of protrusive movement of the mandible in millimeters

    Protrusive movement of the mandible was measured as the distance in horizontal direction between the incisal edges of upper and lower incisors by a caliper when mandible moves forward.

    Measured: at baseline (t0)

  28. Measurement of protrusive movement of the mandible in millimeters

    Protrusive movement of the mandible was measured as the distance in horizontal direction between the incisal edges of upper and lower incisors by a caliper when mandible moves forward.

    Measured: at 1st week (t1)

  29. Measurement of protrusive movement of the mandible in millimeters

    Protrusive movement of the mandible was measured as the distance in horizontal direction between the incisal edges of upper and lower incisors by a caliper when mandible moves forward.

    Measured: at 1st month (t2)

  30. Measurement of protrusive movement of the mandible in millimeters

    Protrusive movement of the mandible was measured as the distance in horizontal direction between the incisal edges of upper and lower incisors by a caliper when mandible moves forward.

    Measured: at 3rd month (t3)

  31. Measurement of protrusive movement of the mandible in millimeters

    Protrusive movement of the mandible was measured as the distance in horizontal direction between the incisal edges of upper and lower incisors by a caliper when mandible moves forward.

    Measured: at 6th month (t4)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Apr 2020
  2. Study start1 Jan 2017
  3. Primary completion1 Nov 2019
  4. Study completion1 Dec 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
36 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04367259
Sponsor's protocol ID
135163
Status last verified
Apr 2020
First submitted
3 Apr 2020
Last updated
29 Apr 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • 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.

    PubMed 31021311
  • 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.

    PubMed 29685386

Questions about this trial

What is this clinical trial studying?

A study testing TMJ Arthrocentesis in people with Arthrocentesis, run by Erzincan University at 1 site in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 29 Apr 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The Rate of Pain on Function (PoF) assessed by Numerical Rating Scale (NRS) (time frame: baseline (t0)). The study lists 10 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04367259, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Apr 2020.

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