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CTRI Number  CTRI/2025/08/092993 [Registered on: 13/08/2025] Trial Registered Prospectively
Last Modified On: 12/08/2025
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   Effectiveness of Therapeutic Ultrasound and TENS in TMJ disorders. 
Scientific Title of Study   Comparative evaluation of effectiveness of Therapeutic Ultrasound and Transcutaneous Electrical Nerve Stimulation in Temporomandibular Joint Disorder: A Randomized Controlled Trial. 
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 Trupti Doma Gharde 
Designation  Post Graduate Student 
Affiliation  Sinhgad Dental College and Hospital, Pune 
Address  Department of Oral Medicine and Radiology, Department no.2A, Sinhgad Dental College and Hospital, S. No. 44/1,Vadgaon Budruk,off Sinhgad Road,Pune

Pune
MAHARASHTRA
411041
India 
Phone  9822271079  
Fax    
Email  trupti.g1508@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Mahesh Chavan 
Designation  Professor and HOD  
Affiliation  Sinhgad Dental College and Hospital, Pune 
Address  Department of Oral Medicine and Radiology, Department no.2A, Sinhgad Dental College and Hospital, S. No. 44/1,Vadgaon Budruk,off Sinhgad Road,Pune

Pune
MAHARASHTRA
411041
India 
Phone  9823623445  
Fax    
Email  drmaheshschavan@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Mahesh Chavan 
Designation  Professor and HOD  
Affiliation  Sinhgad Dental College and Hospital, Pune 
Address  Department of Oral Medicine and Radiology, Department no.2A, Sinhgad Dental College and Hospital, S. No. 44/1,Vadgaon Budruk,off Sinhgad Road,Pune

Pune
MAHARASHTRA
411041
India 
Phone  9823623445  
Fax    
Email  drmaheshschavan@gmail.com  
 
Source of Monetary or Material Support  
Department of Oral Medicine and Radiology (2A), Sinhgad Dental College and Hospital, Survey No. 44/1, Vadgaon Budruk, Off Sinhgad Road, Pune – 411041, Maharashtra, India 
 
Primary Sponsor  
Name  Dr Trupti Doma Gharde 
Address  Department of Oral Medicine and Radiology (2A), Sinhgad Dental College and Hospital, Survey No. 44/1, Vadgaon Budruk, Off Sinhgad Road, Pune – 411041, Maharashtra, India 
Type of Sponsor  Other [Self Funded] 
 
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 Mahesh Chavan  Sinhgad Dental College and Hospital, Pune  Department of Oral Medicine and Radiology, Department no.2A, Sinhgad Dental College and Hospital, S. No. 44/1,Vadgaon Budruk,off Sinhgad Road,Pune
Pune
MAHARASHTRA 
9823623445

drmaheshschavan@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Sinhgad Dental College and Hospital, Survey No. 44/1, Vadgaon Budruk, Off Sinhgad Road, Pune – 411041, Maharashtra, India  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M266||Temporomandibular joint disorders,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Therapeutic ultrasound   Therapeutic ultrasound (Th US) is a noninvasive therapeutic method which includes vibrations above 16,000 vibrations/s or 16 Hz (range audible to the human ear). The frequency used is between 1.0 and 3.0 MHz. This therapy given for 4 weeks with gap of 2 days in each session.  
Comparator Agent  Transcutaneous electrical nerve stimulation   Transcutaneous electrical nerve stimulation (TENS) in this therapy the application of pulse duration of 50–200 µs and frequency of 50 mA–100 mA applied through surface electrodes, for 4 weeks with gap of 2 days in each session.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients aged above 18 years with pain associate with TMD will be included as per RDC/TMD criteria.
Patient who are willing to participate in the study.
 
 
ExclusionCriteria 
Details  Temporomandibular joint dislocation
Malignancy in head and neck region
Open wounds, burns ,infections or fracture at operating region.
Systemic disorders
Presence of metal implants in TMJ.
Hairy surfaces interfering with assessment
Neurological and Radiological deficits
Pregnant women.
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Pain sensation using Visual Analogue Scale  Baseline
3 months
6 months 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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 2/ Phase 3 
Date of First Enrollment (India)   02/03/2026 
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="0"
Months="6"
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  

Participants:

  • A total of 40 patients aged 18 years and above, diagnosed with Temporomandibular Joint Disorders based on Research Diagnostic Criteria for Temporomandibular Disorders criteria, will be selected.
  • They will be randomly divided into two groups:
    • Group I: Transcutaneous Electrical Nerve Stimulation therapy (20 patients)
    • Group II: Therapeutic Ultrasound therapy (20 patients)

Intervention:

  • Group I  Transcutaneous Electrical Nerve Stimulation therapy:
    • Patients will receive 15-minute Transcutaneous Electrical Nerve Stimulation therapy sessions, twice a week, for 4 weeks.
    • Electrical stimulation will be applied via electrodes placed over the Temporomandibular Joint.
  • Group II Therapeutic Ultrasound therapy:
    • Patients will undergo 5–10-minute therapeutic ultrasound sessions, twice a week, for 4 weeks.
    • Continuous mode ultrasound at 1.0–3.0 MHz frequency will be used.

Assessment:

  • Pain will be evaluated using the Visual Analog Scale before and after each session.
  • Clinical signs of TMD will be recorded as per Research Diagnostic Criteria for Temporomandibular Disorders criteria.
  • Patients will be followed up monthly for 3 and 6 months.

Study Design and Analysis:

  • The study will be a randomized controlled trial with allocation concealment and double blinding.
  • Data will be collected and statistically analyzed using suitable tests (e.g., t-test, Wilcoxon, ANOVA) to compare the effectiveness of Transcutaneous Electrical Nerve Stimulation therapy and Therapeutic Ultrasound therapy.
 
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