Amr Gibaly, Mohamed Abdelmoiz, Ahmed Nagi Alghandour
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The baseline preoperative measurements included Maximal interincisal opening (MIO), auscultation of the presence of clicking, and Visual Analogue Scale (VAS), which were repeated for postoperative measurements after one, two, five, and eight months.</p><p><strong>Results: </strong>By the end of the study, all patients expressed apparent improvement in pain MIO and clicking. The inter- and intragroup comparison revealed that the pain score values of the control group after five and eight months were significantly higher than those of the study group. The study group demonstrated more significant MIO calibration than the control group, with insignificant differences between both groups regarding the presence of clicking at any time interval. The associations between clicking and VAS values, between clicking and MIO, and between VAS values and increased MIO were positive in the test group and negative in the control group.</p><p><strong>Conclusions: </strong>Dextrose Prolotherapy and DDN were beneficial. However, Prolotherapy demonstrated more significant, sustained, and correlated long-term alleviation of symptoms and increased MIO.</p><p><strong>Clinical relevance: </strong>The study assesses the sole effect of dextrose prolotherapy on relieving the signs of TMJ anterior disc displacement apart from the impact of the penetrating needle.</p><p><strong>Clinical trial registration: </strong>The study was registered on www.</p><p><strong>Clinicaltrials: </strong>gov (#: NCT05821985) by Ahmed Nagi Alghandour.</p>","PeriodicalId":10461,"journal":{"name":"Clinical Oral Investigations","volume":null,"pages":null},"PeriodicalIF":3.1000,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11310281/pdf/","citationCount":"0","resultStr":"{\"title\":\"Evaluation of the effect of dextrose prolotherapy versus deep dry needling therapy for the treatment of temporomandibular joint anterior disc displacement with reduction: (a randomized controlled trial).\",\"authors\":\"Amr Gibaly, Mohamed Abdelmoiz, Ahmed Nagi Alghandour\",\"doi\":\"10.1007/s00784-024-05830-z\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>to compare the combined effect of Prolotherapy and Deep Dry Needling (DDN) versus DDN effect on relieving the symptoms of Temporomandibular joint (TMJ) anterior disc displacement.</p><p><strong>Patients and methods: </strong>The clinical trial randomly allocated forty patients. The (control group) patients received four intraarticular and masseteric DDN sessions, while the (study group) patients were subjected to the exact technique followed by Prolosolution injection. The baseline preoperative measurements included Maximal interincisal opening (MIO), auscultation of the presence of clicking, and Visual Analogue Scale (VAS), which were repeated for postoperative measurements after one, two, five, and eight months.</p><p><strong>Results: </strong>By the end of the study, all patients expressed apparent improvement in pain MIO and clicking. The inter- and intragroup comparison revealed that the pain score values of the control group after five and eight months were significantly higher than those of the study group. The study group demonstrated more significant MIO calibration than the control group, with insignificant differences between both groups regarding the presence of clicking at any time interval. 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引用次数: 0
摘要
目的:比较颞下颌关节(TMJ)前椎间盘移位综合治疗和深部干针疗法(DDN)对缓解颞下颌关节(TMJ)前椎间盘移位症状的效果:临床试验随机分配了四十名患者。对照组)患者接受了四次关节内和咀嚼肌DDN治疗,而(研究组)患者则接受了精确技术,然后注射了Prolosolution。术前基线测量包括最大颌间开度(MIO)、咔嗒声听诊和视觉模拟量表(VAS),术后1个月、2个月、5个月和8个月后重复测量:研究结束时,所有患者的疼痛 MIO 和咔嗒声均有明显改善。组间和组内比较显示,对照组五个月和八个月后的疼痛评分值明显高于研究组。与对照组相比,研究组的 MIO 校正更为明显,两组在任何时间间隔内出现的咔嗒声差异均不明显。试验组的咔嗒声与 VAS 值之间、咔嗒声与 MIO 之间以及 VAS 值与 MIO 增加之间的关系均为正相关,而对照组为负相关:结论:葡萄糖丙种球蛋白疗法和 DDN 均有益处。临床相关性:临床试验注册:该研究评估了颞下颌关节前椎间盘移位症状的缓解效果,而不考虑穿刺针的影响:该研究由 Ahmed Nagi Alghandour 在 www.Clinicaltrials: gov 上注册(编号:NCT05821985)。
Evaluation of the effect of dextrose prolotherapy versus deep dry needling therapy for the treatment of temporomandibular joint anterior disc displacement with reduction: (a randomized controlled trial).
Objective: to compare the combined effect of Prolotherapy and Deep Dry Needling (DDN) versus DDN effect on relieving the symptoms of Temporomandibular joint (TMJ) anterior disc displacement.
Patients and methods: The clinical trial randomly allocated forty patients. The (control group) patients received four intraarticular and masseteric DDN sessions, while the (study group) patients were subjected to the exact technique followed by Prolosolution injection. The baseline preoperative measurements included Maximal interincisal opening (MIO), auscultation of the presence of clicking, and Visual Analogue Scale (VAS), which were repeated for postoperative measurements after one, two, five, and eight months.
Results: By the end of the study, all patients expressed apparent improvement in pain MIO and clicking. The inter- and intragroup comparison revealed that the pain score values of the control group after five and eight months were significantly higher than those of the study group. The study group demonstrated more significant MIO calibration than the control group, with insignificant differences between both groups regarding the presence of clicking at any time interval. The associations between clicking and VAS values, between clicking and MIO, and between VAS values and increased MIO were positive in the test group and negative in the control group.
Conclusions: Dextrose Prolotherapy and DDN were beneficial. However, Prolotherapy demonstrated more significant, sustained, and correlated long-term alleviation of symptoms and increased MIO.
Clinical relevance: The study assesses the sole effect of dextrose prolotherapy on relieving the signs of TMJ anterior disc displacement apart from the impact of the penetrating needle.
Clinical trial registration: The study was registered on www.
Clinicaltrials: gov (#: NCT05821985) by Ahmed Nagi Alghandour.
期刊介绍:
The journal Clinical Oral Investigations is a multidisciplinary, international forum for publication of research from all fields of oral medicine. The journal publishes original scientific articles and invited reviews which provide up-to-date results of basic and clinical studies in oral and maxillofacial science and medicine. The aim is to clarify the relevance of new results to modern practice, for an international readership. Coverage includes maxillofacial and oral surgery, prosthetics and restorative dentistry, operative dentistry, endodontics, periodontology, orthodontics, dental materials science, clinical trials, epidemiology, pedodontics, oral implant, preventive dentistiry, oral pathology, oral basic sciences and more.