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CTRI Number  CTRI/2024/07/071130 [Registered on: 23/07/2024] Trial Registered Prospectively
Last Modified On: 22/07/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Dentistry
Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effect of low-voltage electrical current and Low-dose Laser light in relieving Ear joint pain among patients aged between 25 to 50 years 
Scientific Title of Study   Comparative evaluation of effectiveness of Transcutaneous Electrical Nerve Stimulation (TENS) and Low-Level Laser therapy (LLLT) in symptomatic Temporomandibular Disorders 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr DebasreeBoral 
Designation  Assistant Professor 
Affiliation  Dr. R Ahmed Dental College & Hospital 
Address  Dr. R Ahmed Dental College & Hospital, Department of Oral Medicine & Radiology, Room No: BG (Ground Floor)
114, A. J. C Bose Road, Kolkata-700014, West Bengal
Kolkata
WEST BENGAL
700014
India 
Phone  9831766391  
Fax    
Email  drdebasreeboral27@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr DebasreeBoral 
Designation  Assistant Professor 
Affiliation  Dr. R Ahmed Dental College & Hospital 
Address  Dr. R Ahmed Dental College & Hospital, Department of Oral Medicine & Radiology, Room No: BG (Ground Floor)
114, A. J. C Bose Road, Kolkata-700014, West Bengal
Kolkata
WEST BENGAL
700014
India 
Phone  9831766391  
Fax    
Email  drdebasreeboral27@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr DebasreeBoral 
Designation  Assistant Professor 
Affiliation  Dr. R Ahmed Dental College & Hospital 
Address  Dr. R Ahmed Dental College & Hospital, Department of Oral Medicine & Radiology, Room No: BG (Ground floor)
114, A. J. C Bose Road, Kolkata-700014, West Bengal
Kolkata
WEST BENGAL
700014
India 
Phone  9831766391  
Fax    
Email  drdebasreeboral27@gmail.com  
 
Source of Monetary or Material Support  
Department Oral Medicine & Radiology , Ground Floor, Dr. R. Ahmed Dental College & Hospital, 114, A. J. C Bose Road, Kolkata-700014, West Bengal, India 
 
Primary Sponsor  
Name  Dr R Ahmed Dental College Hospital 
Address  Department Oral Medicine & Radiology , Ground Floor, Dr. R. Ahmed Dental College & Hospital, 114, A. J. C Bose Road, Kolkata-700014, West Bengal, India 
Type of Sponsor  Other [Government Dental College] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Debasree Boral  Dr. R Ahmed Dental College & Hospital  Department Oral Medicine & Radiology , Ground Floor, Dr. R. Ahmed Dental College & Hospital, 114, A. J. C Bose Road, Kolkata-700014, West Bengal, India
Kolkata
WEST BENGAL 
9831766391

drdebasreeboral27@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee Dr. R. Ahmed Dental College & Hospital,   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M629||Disorder of muscle, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Low-Level Laser therapy (LLLT)   Its mechanism of action includes increasing the mitochondrial activity, affecting the sodium-potassium pump, and increasing vascularization. Total 8 sessions will be given, 2 sessions per week for 1 month.  
Intervention  Transcutaneous Electric Nerve Stimulation (TENS)   Transcutaneous Electric Nerve Stimulation (TENS);TENS equipment produces a low-amplitude, low-frequency alternating stimulus that causes muscles to contract and relax. Total 8 sessions will be given, 2 sessions per week for 1 month.  
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  History of TMD-related pain for the past 3 months
Not taking any antidepressant medications
Patients falling in Research Diagnostic Criteria for TMJ disorders (RDC/TMD)
Patients willing to participate in this study
 
 
ExclusionCriteria 
Details  Five or more missing posterior teeth (except for the third molars)
Parafunctional habits (bruxism and clenching)
Impacted 3rd molars
Degenerative joint disorder
Patients with cardiac pacemakers, malignancy, or any other severe systemic illness
Those patients who were not willing to undergo treatment
 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Alternation 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
To evaluate the efficacy of TENS and LLLT in reducing TMD-related pain.
To compare the effectiveness of TENS and LLLT.
 
the outcome will be assessed at baseline, after 2 weeks & after 4 weeks.
 
 
Secondary Outcome  
Outcome  TimePoints 
To compare the effectiveness of TENS & LLLT  the outcome will be assessed at baseline, after 2 weeks & after 4 weeks. 
 
Target Sample Size   Total Sample Size="44"
Sample Size from India="44" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3/ Phase 4 
Date of First Enrollment (India)   12/08/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

The study will be carried out on patients reporting to the Department of Oral Medicine and Radiology, Dr. R Ahmed Dental College & Hospital, Kolkata, clinically diagnosed with TMD associated with temporomandibular joint (TMJ) pain, clicking sound, pain in the muscles of mastication and with or without limited mouth opening. 

Total 44 patients with the age range, 25–50 years, will be randomly selected from OPD, after obtaining informed consent. 44 patients will be randomly divided into two groups (group-A, group-B) of 22 each by an individual not participating in the study.

•Group-A will treated with TENS therapy for eight sessions (2 sessions per week), using a WBIDFC TENS 4 CH. device with 20 W power, 220 v voltage, and 50 Hz frequency, continuous mode for 10 minutes.
•Group-B will treated with LLLT for eight sessions (2 sessions per week), using a INDILASE diode laser in continuous wave mode with 810 nm wavelength, 0.2 W power, 10 sec time and 2 J/cm2 energy density.

The pain score (0-10, where 0 represents no pain and 10 represents the worst pain as perceived by the patient subjectively) will be evaluated before, during (mid-treatment), and after treatment using the visual analogue scale (VAS).

Inter-incisal mouth opening will be recorded before, during (mid-treatment), and after treatment using a vernier caliper. The present study is aimed to evaluate and compare the efficacy of TENS and LLLT, as an adjunct to medication in patients with TMD.

 
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