- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03371888
The Platelet-Rich Plasma in the Therapy of Temporomandibular Disorders (PRP/TMD)
January 2, 2019 updated by: Aleksandra Nitecka-Buchta, Medical University of Silesia
The Platelet -Rich Plasma in the Therapy of Temporomandibular Disorders
The Platelet-Rich Plasma intramuscular injections into the masseter and temporalis muscle were performed to reduce painful temporomandibular disorder symptoms,such as myalgia, myofascial pain and myofascial pain with referrals.
Patients(n=120) were randomly divided into two groups: experimental(n=60) and control group(n=60).
In controls injections with 0,9% NaCl were performed.
Pain intensity was measured with NPRS (numeriic pain rating scale, 0= no pain, 11= the worst pain that one can imagine) before(0 day), during(10 day) and after(20 day) the therapy with PRP injections.
Study Overview
Status
Completed
Conditions
Detailed Description
Patients(n=120) attending The Department of Temporomandibular Disorders and Orthodontics at the Silesian Medical University Poland, Zabrze were enrolled to the study and randomly divided into one of two groups: experimental and control group.
Platelet-Rich Plasma(PRP) was prepared for each patient and an intramuscular injections of 0,5 ml PRP into 6 points at each side were performed in experimental group.
A follow-up appointment was made after 10 and 20 days and in each visit an injection of PRP or 0,9% NaCl was performed.
Pain intensity was measured in NPRS(numeric pain rating scale) and collected data data were analyzed.
Study Type
Interventional
Enrollment (Actual)
58
Phase
- Phase 2
- Phase 3
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
-
Zabrze, Poland, 41-800
- Department of TMD Silesian Medical University
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
23 years to 42 years (Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- presence of local myalgia, myofascial pain and myofascial pain with referral within masseter muscles according to the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) (II.1.A. 1, 2 and 3)
- patient's agreement for taking part into the research study
Exclusion Criteria:
- patients being treated with or addicted to analgesic drugs and/or drugs that affect muscle function
- presence of contraindications for injection therapy
- patients being treated by neurologist for neurological disorders and/or neuropathic pain and/or headache
- patients after traumas to the head and neck region in the previous 2 years
- edentulous patients
- patients after radiotherapy
- presence of severe mental disorders
- pregnancy or lactation
- pain of dental origin
- presence of malignancy
- drug and/or alcohol addiction
- patients with needle phobia
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: PRP injections
Intramuscular injection of Platelet-Rich Plasma into the masseter and temporalis muscle
|
A platelet-rich plasma intramuscular injections into the trigger points of painful muscles were performed.
Other Names:
|
Placebo Comparator: 0,9% NaCl injections
Intramuscular injection of 0,9% NaCl into the masseter and temporalis muscle
|
A 0,9% NaCl intramuscular injections into the trigger points of painful muscles were performed.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pain intensity reduction in VAS scale,(VAS scale 0-10 points)
Time Frame: 14 days
|
Decrease in pain intensity in masseter and temporalis muscles.
|
14 days
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Aleksandra Nitecka-Buchta, DMD, Medical University of Silesia
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Wright EF, North SL. Management and treatment of temporomandibular disorders: a clinical perspective. J Man Manip Ther. 2009;17(4):247-54. doi: 10.1179/106698109791352184.
- Xie X, Zhang C, Tuan RS. Biology of platelet-rich plasma and its clinical application in cartilage repair. Arthritis Res Ther. 2014 Feb 25;16(1):204. doi: 10.1186/ar4493.
- Amable PR, Carias RB, Teixeira MV, da Cruz Pacheco I, Correa do Amaral RJ, Granjeiro JM, Borojevic R. Platelet-rich plasma preparation for regenerative medicine: optimization and quantification of cytokines and growth factors. Stem Cell Res Ther. 2013 Jun 7;4(3):67. doi: 10.1186/scrt218.
- Salamanna F, Veronesi F, Maglio M, Della Bella E, Sartori M, Fini M. New and emerging strategies in platelet-rich plasma application in musculoskeletal regenerative procedures: general overview on still open questions and outlook. Biomed Res Int. 2015;2015:846045. doi: 10.1155/2015/846045. Epub 2015 May 5.
- Stiles CD. The molecular biology of platelet-derived growth factor. Cell. 1983 Jul;33(3):653-5. doi: 10.1016/0092-8674(83)90008-9.
- Pihut M, Ferendiuk E, Szewczyk M, Kasprzyk K, Wieckiewicz M. The efficiency of botulinum toxin type A for the treatment of masseter muscle pain in patients with temporomandibular joint dysfunction and tension-type headache. J Headache Pain. 2016;17:29. doi: 10.1186/s10194-016-0621-1. Epub 2016 Mar 24.
- Tsai WC, Yu TY, Chang GJ, Lin LP, Lin MS, Pang JS. Platelet-Rich Plasma Releasate Promotes Regeneration and Decreases Inflammation and Apoptosis of Injured Skeletal Muscle. Am J Sports Med. 2018 Jul;46(8):1980-1986. doi: 10.1177/0363546518771076. Epub 2018 May 17.
- Mazzocca AD, McCarthy MB, Chowaniec DM, Cote MP, Romeo AA, Bradley JP, Arciero RA, Beitzel K. Platelet-rich plasma differs according to preparation method and human variability. J Bone Joint Surg Am. 2012 Feb 15;94(4):308-16. doi: 10.2106/JBJS.K.00430.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
December 7, 2017
Primary Completion (Actual)
December 15, 2018
Study Completion (Actual)
January 1, 2019
Study Registration Dates
First Submitted
December 7, 2017
First Submitted That Met QC Criteria
December 7, 2017
First Posted (Actual)
December 13, 2017
Study Record Updates
Last Update Posted (Actual)
January 4, 2019
Last Update Submitted That Met QC Criteria
January 2, 2019
Last Verified
January 1, 2019
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Nervous System Diseases
- Pain
- Neurologic Manifestations
- Joint Diseases
- Musculoskeletal Diseases
- Muscular Diseases
- Neuromuscular Diseases
- Musculoskeletal Pain
- Stomatognathic Diseases
- Tooth Diseases
- Jaw Diseases
- Craniomandibular Disorders
- Mandibular Diseases
- Myofascial Pain Syndromes
- Myalgia
- Bruxism
- Temporomandibular Joint Disorders
- Temporomandibular Joint Dysfunction Syndrome
Other Study ID Numbers
- Silesian MU PRP
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Myalgia
-
Assiut UniversityCompleted
-
Assiut UniversityCompleted
-
Creighton UniversityTerminatedStatin-associated MyalgiaUnited States
-
Universidade Federal do Rio Grande do NorteCompletedMyalgia [C05.651.542]
-
Riphah International UniversityCompleted
-
Hadassah Medical OrganizationCompletedStatin Induced MyalgiaIsrael
-
Universidad Nacional Andres BelloCompletedMyalgia of Mastication MuscleChile
-
Dr. Horst Schmidt Klinik GmbHCompletedIntubating Conditions | Performance With Respiratory Exercise Device | Postoperative MyalgiaGermany
-
State University of New York at BuffaloCompletedAdult Females | Bilateral Masseter MyalgiaUnited States
-
Universidad Nacional Andres BelloCompletedMyalgia of Mastication Muscle
Clinical Trials on Platelet-Rich Plasma intramuscular injections
-
Kessler FoundationCompletedShoulder Pain | Spinal Cord Injury | Rotator Cuff Tendinitis | Rotator Cuff SyndromeUnited States
-
Stanford UniversityPartnership for Clean CompetitionCompletedRheumatic Diseases | TendinopathyUnited States
-
National and Kapodistrian University of AthensRecruitingUrinary Incontinence | Stress Urinary IncontinenceGreece
-
VivaTech International, Inc.RecruitingOsteoarthritisUnited States
-
Chang Gung Memorial HospitalUnknownKnee OsteoarthritisTaiwan
-
Genesis Athens ClinicNational and Kapodistrian University of AthensRecruitingMenopause, Premature | Menopausal Syndrome | Premature Ovarian Failure | Ovarian Failure, Premature | Menopause Related ConditionsGreece
-
Cardenal Herrera UniversityCompletedCarpal Tunnel SyndromeSpain
-
Damascus UniversityCompletedBone ResorptionSyrian Arab Republic
-
Rajavithi HospitalRecruitingAutologous Platelet-rich Plasma Supplement | Sperm Cryopreservation | Post-cryopreserved Sperm Quality | Semen AnalysisThailand
-
Peking University Third HospitalRecruiting