Arthrocentesis of TMJ then injection of micro fragmented adipose tissue mixed with bone marrow aspirate on healing of TMJ internal disc derangement without reduction.
Arthrocentesis of TMJ then injection of intra and periarticular of 2 mm of micro fragmented adipose tissue mixed with Bone marrow aspirate extracted from 20 mm of bone marrow using gradient separation method in one group and use of Bone marrow aspirate injection only in another group and injection of intra and periarticular of 2 mm hyaluronic acid gel in control group on healing of TMJ internal disc derangement without reduction.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
24
mixture of stem cells
stem cells
Cairo university
Cairo, Egypt
Mohamed Talaat Abbas Hassan
Cairo, Egypt
Mandibular mouth opening
Measuring Maximum interincisal opening measured by plastic scale ruler in millimeter
Time frame: 6 Months
Post-operative pain
measuring pain by using visual analogue scale from (0 to 10) score where zero indicate no pain and 10 indicate worst pain
Time frame: six months follow-up
Joint sound
Clicking by clinical examination indicate ( present or absent ) of clicking
Time frame: six months follow-up
Lateral and protrusive movements
Measuring lateral and protrusive movements by using range of motion scale in millimeter
Time frame: six months follow-up
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