Bruxism, Tooth Wear
Conditions
Brief summary
Investigating the effect of botulinum neurotoxin on the jaw-neck envelope of motion.
Detailed description
Research subjects will be allocated to placebo or botulinum neurotoxin intervention. A control group will not receive any intervention. The intervention will be administered at three separate sessions with 12 weeks in between. Prior to intervention, and 6 months after last intervention the jaw-neck envelope of motion will be studied using 3D optoelectronic recording systems.
Interventions
Botulinum Neurotoxin type A
Saline solution
Sponsors
Study design
Masking description
Computerised randomisation, colour coded intervention.
Intervention model description
Double blinded
Eligibility
Inclusion criteria
• Tooth wear into dentin.
Exclusion criteria
* No temporomandibular pathology. * No drugs affecting the central nervous system. * No conditions affecting muscles or central nervous system.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change of range of motion | Baseline and 6 months after last intervention. Measurements compared to baseline values. | Measured on a cartesian plane in millimeters. |
| Change of envelope of motion | Baseline and 6 months after last intervention. Measurements compared to baseline values. | Volume of envelope of motion measured in cubic millimeters. |
| Change of length in chewing cycles | Baseline and 6 months after last intervention. Measurements compared to baseline values. | Repetitive chewing cycles, measured in milliseconds. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change of muscle thickness | Baseline and 6 months, 1 year and 2 years after last intervention. Measurements compared to baseline values. | Masseter muscle thickness measured through ultrasonography |
| Change of maximal voluntary bite force | Baseline and 6 months, 1 year and 2 years after last intervention. Measurements compared to baseline values. | Measured through a strain gauge meter |
| Tooth wear, change of hard tissue mass | Baseline and 6 months, 1 year and 2 years after last intervention. Measurements compared to baseline values. | Intraoral scanning. Tooth wear measured in cubic millimeters. |
Countries
Sweden