- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05301452
Evaluation of Intravascular Irradiation of Blood in Children With Sleep Bruxism
Evaluation of Intravascular Irradiation of Blood in Children With Sleep Bruxism - Study Protocol for a Randomized Controlled Clinical Trial
Study Overview
Status
Conditions
Study Type
Enrollment (Anticipated)
Phase
- Phase 2
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- in the mixed dentition phase (permanent incisors and first molars erupted);
- adolescents with an established permanent dentition.
Exclusion Criteria:
- People with dental caries;
- Those taking medications, such as inflammatory agents, muscle relaxants, corticosteroids, anticonvulsants, and antidepressants;
- Those with chronic diseases that affect muscles or motor coordination, and those who do not cooperate during the evaluation will be excluded from the study;
- Children with cerebral palsy;
- Patients whose guardians do not sign the informed consent or the user does not sign the assent.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Placebo Comparator: Control Group
This group will receive an application of placebo ILIB and an orofacial myofunctional therapy (MFT) exercise protocol.
|
The photobiomodulation procedure will be simulated, but with the laser turned off.
It will be done twice a week for 8 weeks, in 20-minute sessions.
Myofunctional therapy will be performed by a speech therapist specialized in the area. It will consist of 1 weekly session, where the functions of breathing, chewing and swallowing will be evaluated and addressed. The following exercises will be indicated: nasal hygiene, inflated cheeks with the tip of the tongue on the palate, lingual sweep, tongue thrust against the palate, tongue touch on the last molars, chewing of soft solids and bolus assembly (20 minute therapy session). |
Active Comparator: ILIB Group
This group will receive an application of ILIB and an orofacial myofunctional therapy (MFT) exercise protocol.
|
Myofunctional therapy will be performed by a speech therapist specialized in the area. It will consist of 1 weekly session, where the functions of breathing, chewing and swallowing will be evaluated and addressed. The following exercises will be indicated: nasal hygiene, inflated cheeks with the tip of the tongue on the palate, lingual sweep, tongue thrust against the palate, tongue touch on the last molars, chewing of soft solids and bolus assembly (20 minute therapy session).
The laser treatment will be performed by a speech therapist and will have the following parameters: wavelength of 808 nm.
It will be done twice a week for 8 weeks, in 20-minute sessions.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes in Oximetry
Time Frame: Baseline and 8 weeks of treatment.
|
A portable pulse oximeter that includes Masimo SET® Measure-through Motion and Low Perfusion™ pulse oximetry under motion and low perfusion conditions will be used.
Nocturnal oximetry will be performed prior to treatment and post treatment.
The parents or guardians of the minor will be trained.
|
Baseline and 8 weeks of treatment.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes in Breathing
Time Frame: Baseline and 8 weeks of treatment.
|
A clinical evaluation will be carried out by a speech therapist specialized in the area of Orofacial Motricity, to check for possible improvement in breathing.
It is the respiratory characterization from the taking of air, which explains the anatomical and topographical situation of its entrance to the respiratory system (respiratory mode), to the thoracoabdominal movement zone that integrates inspiration and expiration.
It is supported by the observation with the aid of a Glatzel's mirror to anatomically determine the upper airway status and its functional correlation.
|
Baseline and 8 weeks of treatment.
|
Changes in Swallowing
Time Frame: Baseline and 8 weeks of treatment.
|
A clinical evaluation will be carried out by a speech therapist specialized in the area of Orofacial Motricity, to check for possible improvement in swallowing.
For this, the Payne's test, which assesses tongue posture both at rest and in function (swallowing), will be used.
From instruments such as liquid fluorescein applied to the apex lingual and lateral borders, and Payne's lamp that verifies the vestige of the fluroscein, and therefore the conditions of support, thrust, position and/or obstruction of the tongue.
|
Baseline and 8 weeks of treatment.
|
Changes in Chewing
Time Frame: Baseline and 8 weeks of treatment.
|
A clinical evaluation will be carried out by a speech therapist specialized in the area of Orofacial Motricity, to check for possible improvement in chewing.
For this, the gnatodynamometer, test that allows to measure the force of the occlusion, will be used.
|
Baseline and 8 weeks of treatment.
|
Changes in Speech
Time Frame: Baseline and 8 weeks of treatment.
|
A clinical evaluation will be carried out by a speech therapist specialized in the area of Orofacial Motricity, to check for possible improvement in speech.
For this, the Glatzel test will be used to measure the degree of nasal patency and the functional symmetry of the upper airways both at rest and in function.
Specifically in the functional evaluation, its usefulness is linked to the verification of the existence of nasality or hyponasality before vowels elicited by the patient.
|
Baseline and 8 weeks of treatment.
|
Changes in the Presence of Bruxism
Time Frame: Baseline and 8 weeks of treatment.
|
The bruxism questionnaire will be delivered to parents or guardians, which will be completed prior to treatment and afterwards.
The questionnaire contains 4 questions regarding the perceived presence of bruxism, and 5 questions for the dentist to answer, based on a clinical observation.
All questions have the options "yes" or "no".
The more times the word "yes" is chosen, the greater the risk for bruxism is.
|
Baseline and 8 weeks of treatment.
|
Changes in Sleep Quality
Time Frame: Baseline and 8 weeks of treatment.
|
A Pediatric Sleep Quality Questionnaire will be delivered to parents or guardians, and it will be completed prior to treatment and afterwards.
The questionnaire contains 44 questions regarding sleep quality.
All questions have the options "yes" or "no".
The more times the word "yes" is chosen, the worse is the sleep quality.
|
Baseline and 8 weeks of treatment.
|
Collaborators and Investigators
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- ILIBSleepBruxism
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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.
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