Amr Gibaly
Cairo, 62764, Egypt
NCT Number: NCT06791265
Dislocation of temporomandibular joint (TMJ) is a pathologic condition in which the patient suffers non-self limiting hypermobility in the joint due to the displacement of mandibular condyle outside its position within the glenoid fossa. Although lateral and posterior dislocation is mentioned in literature, Anteromedial position is the most common. In this condition, the condyle is stuck beyond the articular eminence anteriorly in a non-functional position.
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Notify Me18 year–60 year
All sexes
Interventional
Not applicable
Cairo, 62764, Egypt
TMJ dislocation occurs in different forms, acute dislocation as a result of trauma or excessive opening, chronic dislocation as a result of capsule laxity due to prolonged disarticulation, and finally recurrent dislocation. Recurrent dislocation is a repeated sporadic acute TMJ dislocation. Unlike chronic dislocation, the mandibular condyle is located in its normal position between dislocation episodes. Recurrent TMJ dislocation treatment modalities can be organized according to the stability factor into ligaments alteration, musculature alteration, and bony anatomy alteration. Nonsurgical/minimally invasive and surgical/invasive therapies have been used. Conservative modalities are usually used before invasive modalities, yet surgical modalities are still superior to non surgical modalities due to its higher success rate. Eminectomy is one of the widely used surgical procedures to manage recurrent dislocation. It is considered as a "rescue procedure" by many surgeons
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
medically compromised patients
The patients will be subjected to computer-guided osteotomy utilizing a virtually preplanned cutting guide
The patients will be subjected to a free-hand Eminectomy utilizing the routine surgical technique
Time frame: 6 months
The recurrence will be investigated for ocuurence in the followups
Time frame: 6 months
maximum mouth opening will be measured in followups
Time frame: One week postoperative
The accuracy of the work flow will be assessed by superimposing the CBCT scans
Beni-Suef University
Other
Computer-guided Versus Conventional Eminectomy for Treatment of Recurrent Temporomandibular Joint Dislocation
Acronym: Computer-guide
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