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Botulinum Toxin A Injectable Solution in the Management of Bruxism: A Clinical Trial Study

Phase 2
Conditions
Nocturnal Bruxism
Interventions
Registration Number
NCT03827122
Lead Sponsor
Riyadh Colleges of Dentistry and Pharmacy
Brief Summary

A Clinical Trial Study to investigate the potential performance of BTXA on masseter muscle on patient with nocturnal bruxism and to check the pain scale and share this clinical experience.

Detailed Description

Experimental group we will use BTX-A administration group. All patients (Male/Female) with bruxism associated with chronic pain in masseter muscles bilaterally participated in this study. The patients age 18-60 years. According to the diagnostic grading system of bruxism all subjects will have an assessment including a bruxism questionnaire (i.e., oral history taking with specific focus on bruxism habits) plus a clinical examination to evaluate bruxism signs and symptoms.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
20
Inclusion Criteria
  1. Moderate to severe pain in relation to the masseter muscles and TMJ area related to bruxism during clinical examination.
  2. Aged 20-60 patients.
  3. Tooth-grinding sounds corroborated by family members or caregivers.
  4. Cases where bruxism resulted in occlusal surface attrition of posterior teeth
Exclusion Criteria
  1. pain in the orofacial region,
  2. insomnia,
  3. known botulinum toxin allergy,
  4. pregnancy,
  5. neuromuscular disease,
  6. bleeding disorders,
  7. antibiotic therapy,
  8. pulmonary disease that produced coughing during sleep,
  9. infectious skin lesion at the site of the injection.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Group oneonabotulinumtoxinABotx will be injection in masster muscles 20unit Botx (onabotulinumtoxinA) and visual pain scale will be taken before and after in four intervals 2,8,16,48 weeks
Primary Outcome Measures
NameTimeMethod
Pain reduction after botox injection subjectiveChange in clenching after 2,8,16,48 weeks

Visual pain scale with a score from 0 to 10

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Riyadh Elm University

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Riyadh, Saudi Arabia

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