About this trial
The proposed pilot study is aimed at preliminary characterization of the TMNB injection in 20 healthy volunteers. Assessment of bite-force distribution and surface electromyographic activity of the temporalis and the masseter muscles, at rest and clench, before and after unilateral TMNB injection, will be the primary outcome measures. Post-injection assessments will be performed at 30 minutes, 2 hours, and 2 weeks after the injection. Participants will be surveyed regarding their experience receiving the TMNB injection (secondary outcomes).
Eligibility criteria
This trial accepts healthy volunteersQualifiers
18-64 years of age
All ethnicity
Male and female sex
Fluent in written/spoken English
Disqualifiers
Traumatic injury/ surgery on face or jaw < 6 months
current orthodontic treatment
pregnant or nursing,
kidney failure or renal dialysis,
Trial design
Single group
Treatments tested in this trial
Temporomasseteric Nerve Block
DrugThe TMNB injection is a local anesthetic injection technique that targets the anterior deep temporal and masseteric branches of the mandibular division of the Trigeminal Nerve. The surface landmark for the twin block injection site is located by palpating for the depression created by the greater wing of the sphenoid bone at the superior border of the zygomatic process and approximately 1 cm posterior to the posterior border of the frontal process of the zygomatic bone. This site is first disinfected with alcohol wipes prior to inserting a 27- or 25-gauge long dental needle (32 mm). Angled 35-45° away from the calvarium (skull) and perpendicular to the zygomatic arch (along the coronal plane), the needle is advanced to its length before injecting 1.8 mL of 2% lidocaine with 1:100,000 epinephrine.
Treatment groups
Trial outcomes
Primary outcomes
Change in Bite force distribution
Left vs Right distribution of bite force upon clenching will be assessed as an average of 3 consequent measurements.
Change in Surface EMG
Surface EMG will be utilized to measure surface electrical activity over the temporalis and masseter muscles at rest and clenching
Survey
All subjects will be surveyed for their experience as part of their participation in the study
Sponsors and contacts
Click on the lead sponsor to view all of their trials.