ClinicalTrials.gg
CompletedNCT07673471Updated Jun 29, 2026

Vertical Facial Morphology and Occlusal Force Changes After Masseter Botulinum Toxin Injection in Bruxism

An interventional study of Botulinum Toxin Type A (BOTOX) Injection in Bruxism and Occlusal Changes, sponsored by Biruni University. Completed at 1 site in Turkey (Türkiye). Open to participants aged 18 Years to 40 Years. Per ClinicalTrials.gov, last updated 2026-06-29.

Sponsored by Biruni University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 4 months after the study started (first participant enrolled Feb 2026, registered Jun 2026).
Phase
Not applicable
Study type
Interventional
Enrollment
34
Allocation
Not applicable
Ages
18 Years to 40 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 13 studies testing botulinum toxin type A in Bruxism — 3 open to participants now, 3 under way, 1 of them phase 3. botulinum toxin type A · Bruxism.

Enrollment
6th of 13
34 · median 24
Started
2026
with 2 others
No phase
6 of 13
1 open now
Registered
13th of 13
by date
Lead sponsor
1 of 13
Biruni University

Among the 13 studies testing botulinum toxin type A in Bruxism, this one is the 6th largest by enrollment, is one of 3 that started in 2026, is one of 6 with no phase, and was the 13th registered.

By phase

13 studies; the count open now beside each. This study's row is marked.

No phasethis study6 · 1 open
Phase 13 · 1 open
Phase 42 · 0 open
Phase 21 · 0 open
Phase 31 · 1 open

By the year they started

First in 2009; this study’s year is marked. 3 started in 2026.

Tested beside botulinum toxin type A

Size and results

Median enrollment 24 across the 13 interventional studies. Of the 7 that completed or were terminated, 2 (29%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 13 studies testing botulinum toxin type A in Bruxism, or all of them as a file.
02

Study summary

This study investigated whether the shape of the face affects how jaw muscles respond to botulinum toxin injections in people who grind their teeth (bruxism). Participants were divided into two groups based on their facial structure: low-angle (shorter face height) and normal-angle. Each participant received botulinum toxin type A injections into the masseter (jaw) muscle. Bite force measurements were taken before and 15 days after the injection using the T-Scan computerized occlusal analysis system. The study aimed to determine whether facial structure influences the early changes in bite force balance following the injection.

03

Conditions studied

  • Bruxism
  • Occlusal Changes

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04

Who can participate

Ages eligible
18 Years to 40 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age 18-40 years
  • Confirmed bruxism diagnosis through self-report and clinical signs
  • Full permanent dentition excluding third molars
  • Angle Class I molar relationship
  • No previous BTX-A injection within 6 months
  • GoGn/SN angle between 18° and 38° on lateral cephalometric radiograph

Exclusion criteria

Exclusion Criteria:

  • Systemic neuromuscular disorders
  • Known allergy to botulinum toxin or its
  • Pregnancy or breastfeeding
  • Active infection at the injection site
  • Concurrent use of medications known to interact with BTX-A
  • History of orthognathic surgery or prior temporomandibular joint surgery
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
34 participants (actual)

Study arms

  • Experimental
    Masseter BTX-A Injection (Low-Angle and Normal-Angle Subgroups)

    Patients with bruxism received bilateral masseter muscle injections of 25 units of botulinum toxin type A (Botox®, Allergan) per side. T-Scan occlusal force measurements were performed at baseline (T0) and day 15 post-injection (T1). Participants were stratified into low-angle and normal-angle subgroups based on GoGn/SN cephalometric angle.

    Biological: Botulinum Toxin Type A (BOTOX) Injection

Interventions

  • Botulinum toxin type A (Botox®, Allergan, Irvine, CA, USA) was injected bilaterally into the masseter muscle at a dose of 25 units per side (50 units total per patient). Injections were performed by a single experienced clinician under sterile conditions using a 30-gauge needle.

    Also known as: botox

06

What researchers measure

Primary outcomes

  1. Change in Center of Force (CoF)

    The Center of Force (CoF) represents the geometric center of the total occlusal force distribution, measured using the T-Scan Novus™ computerized occlusal analysis system (version 10.0.40; Tekscan, Inc., South Boston, MA, USA). CoF values closer to zero indicate greater bilateral occlusal balance. Within-group changes (T0 to T1) and between-group differences were assessed and compared between low-angle (GoGn/SN \< 26°) and normal-angle (GoGn/SN 26-38°) subgroups.

    Time frame: Baseline (T0) and day 15 post-injection (T1)

Secondary outcomes

  1. Change in Anterior and Posterior Force Percentage

    Anterior force percentage is defined as the combined occlusal force distribution of the anterior teeth, and posterior force percentage as the combined force distribution of the posterior teeth. Both were measured using the T-Scan Novus™ system at baseline (T0) and day 15 post-injection (T1). Within-group changes and between-group differences in anterior-posterior force distribution were evaluated and compared between low-angle and normal-angle subgroups.

    Time frame: Baseline (T0) and day 15 post-injection (T1)

07

Study locations

1 site
  • Department of Orthodontics, Faculty of Dentistry, Biruni University
    Istanbul, Istanbul 34010, Turkey (Türkiye)
08

References and documents

Individual participant data

Plan to share: No — Individual participant data will not be shared due to patient privacy and ethical restrictions. Data are available from the corresponding author on reasonable request.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Feb 2026 to primary completion in May 2026, 2 months.

Of 59 non-industry interventional studies with no phase under Bruxism, half reached primary completion within 8 months of starting (the median), counting those still running; a quarter within 3 and three quarters within 13. This study's 2 months is below that.

Counting every sponsor, half of 60 studies reached it within 7 months; a quarter within 3 and three quarters within 13.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 23, 2026
First posted
Jun 29, 2026
StartActual
Feb 9, 2026
Primary completionActual
May 8, 2026
CompletionActual
May 8, 2026
Last update
Jun 29, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 29, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07673471
Lead sponsor
Biruni University
Responsible party
Fatma Macit (Principal Investigator, Biruni University) — Principal investigator
First posted
Jun 29, 2026
Start date
Feb 9, 2026
Primary completion
May 8, 2026
Completion
May 8, 2026
Last update
Jun 29, 2026

Study contacts

Esra Agaoğlu Mogul
study chair · Department of Orthodontics, Faculty of Dentistry, Biruni University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Botulinum toxin type A

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