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CTRI Number  CTRI/2019/01/017021 [Registered on: 09/01/2019] Trial Registered Prospectively
Last Modified On: 08/05/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Medical Device
Diagnostic
Dentistry 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   To assess the effect of pain reduction in Temporo Mandibular Joint using Pulsed Electro Magnetic Field Therapy in patients with malaligned teeth.  
Scientific Title of Study   Assessment of Efficacy of Pulsed Electromagnetic Field therapy on Temporo Mandibular Joint Pain in patients with Malocclusion. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
MADC/IRB-XXIII/2018/370  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr ABINAYA S 
Designation  Postgraduate student (MDS) 
Affiliation  Meenakshi Ammal Dental College and Hospital 
Address  1/54, DHANAM NAGAR, MUGALIVAKKAM, PORUR, CHENNAI.

Kancheepuram
TAMIL NADU
600125
India 
Phone  8807768610  
Fax    
Email  abi.kandhan@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr NAGACHANDRAN K S 
Designation  Reader and Guide 
Affiliation  Meenakshi Ammal Dental College and Hospital 
Address  Department of Orthodontics, Meenakshi Ammal Dental College and Hospital, Alapakkam main road, Maduravoyal, chennai.

Chennai
TAMIL NADU
600095
India 
Phone  09884152660  
Fax    
Email  orthoksn@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Dr NAGACHANDRAN K S 
Designation  Reader and Guide 
Affiliation  Meenakshi Ammal Dental College and Hospital 
Address  Department of Orthodontics, Meenakshi Ammal Dental College and Hospital, Alapakkam main road, Maduravoyal, chennai.

Chennai
TAMIL NADU
600095
India 
Phone  09884152660  
Fax    
Email  orthoksn@yahoo.co.in  
 
Source of Monetary or Material Support  
Meenakshi Ammal Dental College and Hospital, Alapakkam main road, Maduravoyal, Chennai-95 
 
Primary Sponsor  
Name  Dr ABINAYA S 
Address  1/54, DHANAM NAGAR, MUGALIVAKKAM, PORUR, CHENNAI, TAMILNADU - 600125. 
Type of Sponsor  Other [SELF] 
 
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 ABINAYA S  MEENAKSHI AMMAL DENTAL COLLEGE AND HOSPITAL  Alapakkam main road, Maduravoyal, Chennai-95
Chennai
TAMIL NADU 
8807768610

abi.kandhan@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL REVIEW BOARD  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 
Comparator Agent  Conventional splint therapy  Frequency of wear - around 6 to 8 hours per day during night time. Duration - around 21 to 45 days. 
Intervention  Conventional splint therapy with Pulsed Electromagnetic Field Therapy.   Frequency of wear - around 6 to 8 hours per day during night time. Duration - around 21 to 45 days.  
 
Inclusion Criteria  
Age From  17.00 Year(s)
Age To  45.00 Year(s)
Gender  Both 
Details  1) Ambulatory patients with malocclusion who requires fixed orthodontic treatment.
2) Individuals with clinically evident jaw deviation during mouth opening associated with pain in one or both the TM joints – diagnosis based on RDC.
3) With or without clicking sounds in the TMJ region.
4) Absence of one or more teeth.
 
 
ExclusionCriteria 
Details  1) Systemic illnesses, no cardiac disease, no pacemaker, or other conditions that could be affected by radio frequency discharge beams.
2) Presence of local infection or any other dental pain.
3) Prosthetic joint replacement or placement of any metallic surgical device in or around the area of treatment.
4) Interarticular steroid injection in the past three months.
5) Any medical or psychological disorder that might affect the pain threshold.
6) Constant dose of NSAID or narcotic analgesic drugs
7) Other therapeutic modality during the period of the study.
 
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
significant pain relief after conventional splint therapy along with active PEMF therapy  every 2 weeks for 6 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
using PEMF as an effective non-invasive adjunct method of treatment for pain in TMJ.  6 weeks 
 
Target Sample Size   Total Sample Size="134"
Sample Size from India="134" 
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 
Date of First Enrollment (India)   28/01/2019 
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="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details
Modification(s)  
none yet 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

      This study is a randomized, prospective clinical trial to assess the efficacy of Pulsed Electro Magnetic Field (PEMF) therapy in patients with malocclusion associated with pain in the Temporo-Mandibular joint (TMJ) region. The study includes a sample size of 134 subjects, with pain in the TMJ region, who will be diagnosed based on Research Diagnostic Criteria (RDC), reporting to Meenakshi Ammal Dental College, Chennai, Tamilnadu, India.

Patients who meet the selection criteria will be randomly divided into two study groups namely Group – I (Control group) and Group – II (Experimental group)  with 67patients in each group. In Group-I, patients will be treated with conventional splint therapy. In Group- II, patients will be provided with conventional splint therapy along with active PEMF therapy. The frequency of wear of the device will be around 6-8 hours per day during night time with duration of around 21 to 45 days. In both the groups, the patients will be evaluated for the pain relief using the assessment scale (universal pain assessment tool) at the following intervals: T0 (before device insertion), T1 (after 2 weeks), T2 (after 4 weeks) and T3 (after 6 weeks).  After 6 weeks, effectiveness of treatment and post treatment changes will be evaluated using patient’s global impression of change (PGIC) scale.

The outcome of the study is to assess significant pain relief after conventional splint therapy along with active PEMF therapy and to validate the use of PEMF as an effective non-invasive adjunct method of treatment for pain in TMJ region in patients with malocclusion.

 
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