Long-term Follow up of TMJ Surgery and Evaluation of the 6-month Control as a Prognostic Marker.
Karolinska Institutet
91 participants
Apr 1, 2025
OBSERVATIONAL
Conditions
Summary
The goal of this clinical trial is to evaluate the long-term outcome of surgical intervention (arthroscopy or discectomy) due to the diagnoses temporomandibular joint disc displacement with or without displacement. The main questions it aims to answer are: * Does the surgical outcome recorded at the earlier 6-month follow up persist at the long-term follow up approximately 10 years postoperatively? * How does the radiologically determined degree of joint degeneration change with time in patients that have had joint surgery? Researchers will compare the six-month surgical outcome to the ten-year outcome to see if temporomandibular joint surgery results are stable over time. Participants with an earlier performed joint surgery will: * Have a clinical examination approximately ten years postoperatively. * Have a temporomandibular joint x-ray scan performed (cone-beam computed tomography).
Eligibility
Inclusion Criteria2
- Patients participating in the studies with ethical approval numbers EPN 2014/764-31/2 and 2014/622-31/1.
- Initial diagnosis DDwR or DDwoR.
Exclusion Criteria1
- Patient unable to verify informed consent.
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Interventions
Arthroscopic lysis and lavage refers to an arthroscopic procedure where the temporomandibular joint is rinsed with saline solution and where the joint capsule is distended and where adhesions are lysated bluntly
Discectomy refers to open temporomandibular joint surgery where the joint disc is completely removed without being replaced.
Locations(1)
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NCT06782165