UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000059918
Receipt number R000068477
Scientific Title Effect of different splint materials on biological responses
Date of disclosure of the study information 2025/11/28
Last modified on 2025/11/28 18:55:49

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Basic information

Public title

Comparison of the effect of three types of oral appliance during experimental bruxism on the masseter muscle

Acronym

Effects of Oral Appliances on the Masseter Muscle

Scientific Title

Effect of different splint materials on biological responses

Scientific Title:Acronym

Effect of splint use on biological responses

Region

Japan


Condition

Condition

Bruxism

Classification by specialty

Dental medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The objective of this study is to clarify the differences in physiological effects of two types of jaw movements-clenching and grinding-performed experimentally during wakefulness in healthy adults, focusing on tissue oxygenation of the masticatory muscles, muscle fatigue, and autonomic nervous system activity. Furthermore, by combining three types of oral appliances (hard-type, soft-type, and combi-type) with a non-appliance condition, this study aims to examine how these appliances influence physiological responses under each condition and to compare subjective evaluations, thereby elucidating the effects of oral appliance use on the body and the differences arising from material characteristics.

Basic objectives2

Others

Basic objectives -Others

An exploratory study aimed at elucidating the physiological mechanisms underlying the effects of clenching, grinding, and the use of various oral appliances on biological parameters.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Change in tissue oxygen saturation (StO2) of the masseter muscles during experimental clenching and grinding tasks. StO2 is evaluated as the difference from the 4-min pre-task baseline mean to the minimum value and recovery course during the 30-s jaw movement and the subsequent 4-min recovery period, with comparisons between jaw-movement types (clenching vs. grinding) and oral appliance conditions (no appliance, hard, soft, and combi).

Key secondary outcomes

Changes in other tissue oxygenation parameters of the masseter muscles (oxyhemoglobin, deoxyhemoglobin, total hemoglobin), defined as differences from the 4-min pre-task baseline mean during the 30-s task and the 4-min post-task recovery period.
Masseter muscle activity assessed by surface electromyography (RMS and %MVC), comparing the pre-task baseline with the 30-s task period.
Subjective fatigue levels evaluated using a visual analogue scale (VAS) immediately after each task.
Subjective evaluations related to oral appliance use, including wearing comfort and perceived ease of clenching and grinding for each appliance condition, assessed by VAS after each task.
Heart rate and heart rate variability indices (HR, CVRR, ccvHF, LF/HF), comparing the 4-min pre-task baseline with the 30-s task period and the 4-min post-task recovery period.


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Self control

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Device,equipment Behavior,custom

Interventions/Control_1

Healthy adult participants perform experimental jaw-movement tasks in a laboratory setting. Under four oral appliance conditions (no appliance, hard-type appliance, soft-type appliance and combi-type appliance) applied in random order, each participant performs clenching and grinding tasks. In the clenching task, participants are instructed to perform maximal voluntary clenching for 30 seconds. In the grinding task, they perform maximal voluntary grinding at 1 Hz for 30 seconds. Near-infrared spectroscopy of the masseter muscles (tissue oxygenation), surface electromyography and heart rate variability are recorded during the 4-minute pre-task baseline, the 30-second task period and the 4-minute post-task recovery period. Immediately after each task, subjective fatigue and appliance-related evaluations are assessed using a visual analogue scale. All tasks are completed in a single visit with sufficient rest periods between tasks.
This study employs a within-subjects (cross-over) design in which all participants complete all four conditions (no appliance, hard-type, soft-type, and combi-type).
Although the order of conditions is randomized for each participant, there is no group allocation; therefore, the study is registered as "non-randomized" in the UMIN system.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Healthy adults
Having at least 28 teeth
No subjective or objective abnormalities in the oral cavity, temporomandibular joint, or craniocervical muscles
No history of neurosurgical diseases

Key exclusion criteria

Taking medications that may affect psychological or cardiovascular systems
Having signs or symptoms of temporomandibular disorders (TMD) in screening tests
History of neurosurgical diseases
Considered unsuitable for participation by the investigators

Target sample size

18


Research contact person

Name of lead principal investigator

1st name Ken-ichi
Middle name
Last name Fukuda

Organization

Tokyo Dental College

Division name

Division of Special Needs Dentistry and Orofacial Pain, Department of Oral Health and Clinical Science

Zip code

101-0061

Address

2-9-18 Kandamisakicho, Chiyoda-ku, Tokyo

TEL

03-5275-1582

Email

kfukuda@tdc.ac.jp


Public contact

Name of contact person

1st name Yuichiro
Middle name
Last name Ohta

Organization

Tokyo Dental College

Division name

Division of Special Needs Dentistry and Orofacial Pain, Department of Oral Health and Clinical Scien

Zip code

101-0061

Address

2-9-18 Kandamisakicho, Chiyoda-ku, Tokyo

TEL

03-5275-1582

Homepage URL


Email

ootayuuichirou@tdc.ac.jp


Sponsor or person

Institute

Tokyo Dental College

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Tokyo Dental College

Address

2-9-18 Kandamisakicho, Chiyoda-ku, Tokyo

Tel

03-6380-9114

Email

drinri@tdc.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 11 Month 28 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

18

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2020 Year 09 Month 01 Day

Date of IRB

2016 Year 10 Month 18 Day

Anticipated trial start date

2020 Year 10 Month 01 Day

Last follow-up date

2025 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2025 Year 11 Month 28 Day

Last modified on

2025 Year 11 Month 28 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000068477