Conditions: Temporomandibular Joint Dysfunction Pain Arthrocentesis
Allocation: RANDOMIZED | Intervention model: PARALLEL
Enrollment: 102
Healthy volunteers: no

Brief summary:
The purpose of this study is to determine whether the administration of hyaluronic acid or corticosteroid during arthrocentesis of the temporomandibular joint provides additional pain relief and improved function.

The overall hypothesis for the study is that hyalgan will result in a 30% reduction in the mean visual analogue scale (VAS) at one month when compared to celestone and placebo.

Detailed description:
This study will enroll patients with temporomandibular joint dysfunction who are deemed appropriate candidates for irrigation of their jaw joints secondary to pain or limited opening. At the completion of the joint irrigation subjects will be injected by one of three different products to determine if the additional injection results in a further decrease in jaw joint pain and improved opening. Subjects will be followed for 3 months. Those who do not show improvement may be candidates for additional treatment.

Arms:
arm 1: None arm 2: None arm 3: None

Interventions: intervention 1: Hyaluronic acid intervention 2: Corticosteroid intervention 3: Lactated Ringers
Intervention descriptions: intervention 1: 1 cc hyalgan to be injected into superior joint space intervention 2: 1cc celestone (6 mg/cc) will be injected into the joint space intervention 3: 1 cc lactated ringers solution will be injected into the joint space

Protocol document: