Effects of Botulinum Toxin Type A(Meditoxin®) on Sleep Bruxism

NCT ID: NCT01336439

Last Updated: 2011-04-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-03-31

Study Completion Date

2011-12-31

Brief Summary

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The purpose of this study is to evaluate the effect of Botulinum toxin type A(Meditoxin®) on bruxism using polysomnography and determine which site is most appropriate for injection to obtain maximal effects.

Detailed Description

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Bruxism is an oral habit consisting of involuntary non-functional gnashing, clenching, grinding of teeth and is a very common condition in the general population. Various treatment modalities such as occlusal splints, pharmacologic agent and cognitive-behavioral therapy have been investigated for the management of bruxism, but none is reported to be fully effective. Recently locally injected botulinum toxin has been used in various movement disorders, but its usefulness and objective effects on nocturnal bruxism have not been evaluated using objective measures such as polysomnography. Moreover, there is no systematic study about which site is most appropriate for injection to obtain maximal effects.

The aim of this study is to evaluate the effect of botulinum toxin type A into masseter muscle or both masseter muscle and temporal muscle on nocturnal bruxism using polysomnography and the changes in the bruxism events on polysomnography.

Conditions

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Sleep Bruxism

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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M group

A total of 25U of botulinum toxin type A was injected into each side masseter muscle in this arm.

Group Type ACTIVE_COMPARATOR

Botulinum toxin type A (Meditoxin®)

Intervention Type DRUG

In this study, the botulinum toxin type A (Meditoxin®)was supplied as a freeze-dried powder of 200U, and was reconstituted with 4ml of sterile saline to a concentration of 5U/0.1ml.

After pre-injection polysomnography, botulinum toxin type A was injected into each side bilaterally using a 1ml-syringe with a 29-gauge, and a 1/2-inch needle. The "M group" had an injection in masseter muscle. The "MT group" had an injection in masseter and temporal muscle. A total of 25U of botulinum toxin type A was injected into each site.

After 4 weeks, the subjects had a post-injection polysomnography.

MT group

A total of 25U of botulinum toxin type A was injected into each side masseter and temporal muscle in this arm.

Group Type ACTIVE_COMPARATOR

Botulinum toxin type A (Meditoxin®)

Intervention Type DRUG

In this study, the botulinum toxin type A (Meditoxin®)was supplied as a freeze-dried powder of 200U, and was reconstituted with 4ml of sterile saline to a concentration of 5U/0.1ml.

After pre-injection polysomnography, botulinum toxin type A was injected into each side bilaterally using a 1ml-syringe with a 29-gauge, and a 1/2-inch needle. The "M group" had an injection in masseter muscle. The "MT group" had an injection in masseter and temporal muscle. A total of 25U of botulinum toxin type A was injected into each site.

After 4 weeks, the subjects had a post-injection polysomnography.

Interventions

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Botulinum toxin type A (Meditoxin®)

In this study, the botulinum toxin type A (Meditoxin®)was supplied as a freeze-dried powder of 200U, and was reconstituted with 4ml of sterile saline to a concentration of 5U/0.1ml.

After pre-injection polysomnography, botulinum toxin type A was injected into each side bilaterally using a 1ml-syringe with a 29-gauge, and a 1/2-inch needle. The "M group" had an injection in masseter muscle. The "MT group" had an injection in masseter and temporal muscle. A total of 25U of botulinum toxin type A was injected into each site.

After 4 weeks, the subjects had a post-injection polysomnography.

Intervention Type DRUG

Other Intervention Names

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Meditoxin®(PacificPharm corporation, Korea)

Eligibility Criteria

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Inclusion Criteria

* clinical diagnosis of sleep bruxism confirmed by wear facets on occlusal splint
* must be able to follow clinical trial procedure
* who are suitable for this clinical trial
* who participated in this clinical trial out of his own free will

Exclusion Criteria

* who take medications such as benzodiazepine or muscle relaxants
* who have secondary bruxism due to brain injury
* who are pregnant or have the possibility of pregnancy
* who had an botulinum toxin injection during the past three months
* who had an allergic reaction history to botulinum toxin
* who have an infection or skin trouble on injection site
* who have an other treatment plan for bruxism
* who are enrolled in other clinical trials
* who are not suitable for this clinical trials
* who have mandibular dyskinesia or mandibular dystonia
Minimum Eligible Age

20 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Yonsei University

OTHER

Sponsor Role lead

Responsible Party

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Yonsei University dental hospital

Principal Investigators

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SeongTaek Kim, PhD

Role: STUDY_CHAIR

Yonsei University dental hospital

Locations

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Yonsei University dental hospital

Seoul, Sedaemun-gu, South Korea

Site Status RECRUITING

Countries

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South Korea

Central Contacts

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YoungJoo Shim, M.S.D.

Role: CONTACT

82-2-2228-8875

HyungUk Park, D.D.S.

Role: CONTACT

82-2-2228-8879

Facility Contacts

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YoungJoo Shim, M.S.D.

Role: primary

82-2-2228-8875

HyungUk Park, D.D.S.

Role: backup

82-2-2228-8879

Other Identifiers

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2-2010-0017

Identifier Type: -

Identifier Source: org_study_id

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