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OpenTrials
Completed

NCT Number: NCT06850142

A Comparative Study Between TMJ Discopexy to External Ear Cartilage Versus to Temporal Fascia

Discopexy is a surgical procedure aimed at stabilizing the articular disc within the temporomandibular joint (TMJ) in patients experiencing TMJ disorders (TMD). The TMJ is a complex joint responsible for jaw movement, and its proper function relies on the alignment and stability of the articular disc, a fibrocartilaginous structure that cushions the joint. In cases of disc displacement or dysfunction, patients may experience pain, clicking, limited jaw movement, and other symptoms.

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Key information

Conditions

Temporomandibular Joint Disc Displacement Temporomandibular Joint Disc Displacement, Without Reduction

Age range

35 year–60 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Faculty of Dentistry- Fayoum University

Al Fayyum, 63514, Egypt

About this study

Discopexy involves repositioning and securing the displaced disc to its anatomical position, often using sutures or anchors, to restore normal joint mechanics and alleviate symptoms. This procedure is typically considered when conservative treatments, such as physical therapy or splints, have failed to provide relief. Discopexy aims to improve joint function, reduce pain, and prevent further degenerative changes in the TMJ. The aim of the present study is to compare between new surgical techniques of discopexy of TMJ disc either to external ear cartilage or to temporal fascia.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients with primary TMD with complete anterior disc displacement without reduction with no or minimal osteoarthritic changes

Exclusion criteria

  • osteoarthritis

Treatment and study plan

Discopexy to external ear cartilage

Procedure

stabilizing the articular disc within the temporomandibular joint (TMJ) in patients experiencing TMJ disorders (TMD) to external ear cartilage

Discopexy to temporal fascia

Procedure

stabilizing the articular disc within the temporomandibular joint (TMJ) in patients experiencing TMJ disorders (TMD) to temporal fascia

Primary outcomes

  1. The Visual Analog Scale (VAS)

    Time frame: baseline, 1 month, 3 months, 6 months

    The Visual Analog Scale (VAS) It consists of a straight line, typically 10 centimeters (100 mm) in length, with one end labeled "No Pain" and the other end labeled "Worst Pain Imaginable."

Secondary outcomes

  1. Disc position

    Time frame: baseline, 1 month, 3 months, 6 months

    assess the position of the articular disc in the TMJ either Normal, anterior displacement (with or without reduction), posterior displacement, or lateral displacement.

  2. Maximum Mouth opening

    Time frame: baseline, 1 month, 3 months, 6 months

    used to assess the functional capacity of the temporomandibular joint (TMJ) and the surrounding musculoskeletal structures.

Sponsors and collaborators

Lead sponsor

Fayoum University

Other

Collaborators

  • Sohag University

Registry information

Important dates

Study start
2022
Primary completion
2024
Study completion
2025
First posted
Feb 27, 2025
Registry last updated
Feb 27, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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