A COMPARATIVE STUDY BETWEEN THREE CONSERVATIVE TECHNIQUES IN MANAGEMENT OF RECURRENT TEMPOROMANDIBULAR JOINT DISLOCATION. ONE YEAR RANDOMIZED CLINICAL TRIAL

Document Type : Original Article

Authors

1 Associate Professor, Department of Oral and Maxillofacial Surgery, Faculty of Oral and Dental Medicine, Delta University For Science and Technology, Mansoura, Egypt.

2 Professor, Department of Oral and Maxillofacial Surgery, Faculty of Oral and Dental Medicine, Cairo University, Cairo, Egypt.

3 Lecturer oral and maxillofacial surgery at MUST

Abstract

Abstract
Introduction: The most widely used proliferant in prolotherapy is hypertonic dextrose, which comes in concentrations between 10% and 50%. Its evaluation produced remarkable results in management of patients who had diseased TMJ over mobility.
Aim: was to analyze results obtained after use of injectable TMJ prolotherapy by dextrose versus inter maxillary fixation and combination between the two methods in management of diseased patients by TMJ recurrent dislocation.
Materials and methods: 36 diseased candidates (4 males and 32 females) suffering from long standing recurrent TMJ dislocation were divided randomly to 3 equally sized groups. Diseased candidates in group A were addressed with TMJ dextrose injection only to five Injection sites: (1- stylomandibular ligament; 2- posterior meniscal attachement; 3- upper capsular attachement; 4- upper joint space; 5- lower capsular attachement) .
Group B diseased candidates were addressed only with maxillary mandibular fixation (IMF) for 14 days, and similar ones in group C were cured by use of joint injectable dextrose combined with MMF in the first 14 days. Maximum mouth opening distance, Condylar translation, Muscle Tenderness and TMJ ache were assessed preoperative, and post interference at 1 month, and 1 year.
Results : There was significantly decrease in pain, Muscle Tenderness, Maximal Inter-Incisal Mouth Opening, and in Condylar translation in 3D and sagittal views.
Conclusion: Prolotherapy had been as primary line of management in the recurrent dislocation of TMJ. Multiple dextrose injection may overcome recurrence of disease; however, the most favorable clinical results are attained by dextrose combination and MMF.

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Egyptian Dental Journal
Volume 71, Issue 3 - Serial Number 2
July (Oral Surgery)
July 2025
Pages 2043-2060

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