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CompletedNCT07865845Updated Oct 16, 2026

Low-Level Laser Therapy Versus Occlusal Splint Therapy for Bruxism in Children

An interventional study of Low-Level Laser Therapy (LLLT) and Occlusal Splint in Bruxism and Sleep Bruxism, sponsored by Ain Shams University. Completed at 1 site in Egypt. Open to participants aged 6 Years to 12 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-16.

Sponsored by Ain Shams University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 5 months after the study started (first participant enrolled May 2025, registered Oct 2026).
Updated Oct 16, 2026Eligibility revisedPrimary outcomes revised+1 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
6 Years to 12 Years
Sex
All
01

Study summary

Many children grind or clench their teeth, especially during sleep. Doctors call this bruxism. It can wear down teeth and cause jaw pain.

This study compared two treatments for bruxism in children. One treatment uses a low-level laser. The other treatment is a custom mouth guard, worn at night.

Thirty children, ages 6 to 12, took part. Twenty had bruxism. Researchers put these children into one of two groups by chance. One group got laser treatment. The other group wore a mouth guard.

Ten more children did not have bruxism. They got no treatment. This group helped researchers compare results.

Before and after treatment, researchers measured how hard each child could bite. They also asked about jaw pain, and how satisfied parents and children were.

Children who received laser treatment could bite harder after treatment. The mouth guard group showed no change in biting strength. Both treatments lowered jaw pain. Most parents and children were satisfied with their treatment.

These results suggest laser therapy may help children's jaw muscles work normally again.

Read the detailed description

This randomized controlled trial compared low-level laser therapy (LLLT) and occlusal splint therapy for the management of sleep bruxism in children aged 6-12 years. Thirty children were enrolled in three groups of 10: an LLLT group, an occlusal splint group, and a bruxism-free control group assessed only at baseline as a normative reference.

The LLLT group received 12 sessions of diode laser therapy (980 nm wavelength, 0.3 W power), applied in contact mode to six points bilaterally on the masseter and temporalis muscles, twice weekly over 8 weeks. The occlusal splint group wore a custom-fabricated hard acrylic mandibular splint, approximately 2 mm thick, nightly for 8 weeks.

The primary outcome was maximum bite force, measured bilaterally using a digital bite force sensor at baseline and after 8 weeks. Secondary outcomes included pain intensity, assessed using the Visual Analog Scale, and treatment satisfaction, assessed separately for parents and children using Likert-type scales.

Allocation of the 20 children with bruxism was by computer-generated randomization, with the sequence concealed from the investigator responsible for outcome assessment. Given the physical differences between the two interventions, full blinding of participants and the treating clinician was not feasible.

02

Conditions studied

  • Bruxism
  • Sleep Bruxism

Keywords

  • Temporomandibular Muscles
  • Photobiomodulation
  • Occlusal Splint
  • Bite Force
  • Low-Level Laser Therapy
  • LLLT
  • Children
  • Pediatric Dentistry
03

In context

Bruxism

169 studies on the registry are indexed under Bruxism; 39 are open to participants now.

This study's enrollment of 30 is below the median of 39 across 106 interventional studies indexed under Bruxism.

Browse Bruxism studies →

Lead sponsor

Ain Shams University is the lead sponsor of 1,932 studies on the registry; 433 are open to participants now.

Of its 33 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
6 Years to 12 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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 6 to 12 years
  • Medically healthy
  • Parental or legal guardian approval with signed informed consent
  • LLLT and occlusal splint groups: diagnosis of bruxism based on parental report
  • LLLT and occlusal splint groups: evidence of attrition (tooth wear) affecting primary and/or permanent dentition
  • Control group: no clinical signs or symptoms of bruxism, and any needed dental treatment completed

Exclusion criteria

Exclusion Criteria:

  • Use of medications such as muscle relaxants
  • Presence of temporomandibular joint disorders
  • Ongoing or previous treatment for bruxism
  • Associated neurological disorders
  • Cognitive impairments that interfere with understanding or cooperation during evaluation procedures
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
30 participants (actual)

Study arms

  • Experimental
    LLLT

    Children with sleep bruxism received low-level laser therapy: 12 sessions of diode laser (980 nm, 0.3 W) applied to the masseter and temporalis muscles, twice weekly over 8 weeks

    Device: Low-Level Laser Therapy (LLLT)

  • Active comparator
    Occlusal Splint

    Children with sleep bruxism wore a custom hard mandibular occlusal splint nightly for 8 weeks.

    Device: Occlusal Splint

  • No intervention
    Control

    Bruxism-free children assessed only at baseline, used as a normative reference for bite force. No treatment was given

Interventions

  • DeviceLow-Level Laser Therapy (LLLT)

    Diode laser (980 nm wavelength, 0.3 W power) applied in contact mode to six points bilaterally (three on the masseter muscle, three on the temporalis muscle), 60 seconds per point, twice weekly for 12 sessions total

  • DeviceOcclusal Splint

    Custom-made hard acrylic mandibular occlusal splint, approximately 2 mm thick, covering all lower teeth, adjusted to provide even occlusal contact. Worn nightly for 8 weeks

06

What researchers measure

Primary outcomes

  1. Change in Bite Force

    Maximum bite force on the right side, the left side, and the average of both sides, measured with the iBite digital bite force sensor and recorded in newtons. The highest of three consecutive measurements on each side was used. Higher values indicate a stronger bite force.

    Time frame: Baseline and 8 weeks

Secondary outcomes

  1. Change in Pain Intensity

    Pain related to jaw muscle activity, rated by the child (with caregiver help when needed) on the Visual Analog Scale, a 10-centimeter line with facial expressions scored 0, 2, 4, 6, 8, and 10. Minimum value is 0 (smiling face, no pain); maximum value is 10 (crying face, most severe pain). Higher scores indicate worse pain.

    Time frame: Baseline and 8 weeks

  2. Parental Satisfaction with Treatment

    Parental satisfaction with and acceptance of the treatment, including perceived effectiveness, comfort, and overall acceptability, rated by the caregiver at the end of treatment on a five-point Likert scale. Minimum value is 1 (very dissatisfied); maximum value is 5 (very satisfied). Higher scores indicate greater satisfaction (a better outcome).

    Time frame: 8 weeks (end of treatment)

  3. Child Satisfaction with Treatment

    Child satisfaction, comfort during the procedure, and acceptance of the treatment, rated at the end of treatment on a structured 3-point Likert scale (1 = dissatisfied, 2 = neutral, 3 = satisfied). Completed by the child with help from the caregiver if needed. Higher scores indicate greater satisfaction, comfort, and acceptance.

    Time frame: 8 weeks (end of treatment)

07

Study locations

1 site
  • Faculty of Dentistry, Ain Shams University
    Cairo, Egypt
08

References and documents

Individual participant data

Plan to share: Yes — De-identified individual participant data will be shared, including baseline demographic data, bite force measurements (baseline and 8 weeks), Visual Analog Scale pain scores, and parental and child satisfaction scores for all 30 participants. Data will be shared in a format suitable for independent verification and re-analysis of the study's primary and secondary outcomes.

Supporting information: Study protocol, Statistical analysis plan

Time frame: Data will be available beginning from the date of publication of the primary study results, with no planned end date, for as long as the corresponding author remains able to respond to requests

Access criteria: Researchers who provide a methodologically sound proposal may request access by contacting the corresponding author via email. Requests will be reviewed on a case-by-case basis to ensure appropriate use and protection of participant confidentiality.

No publications or documents are linked to this record.

09

Updates

2 registry updates since Sep 25, 2026
Also revised
eligibility and primary outcomes
Registered
First appeared on the registry
Oct 8, 2026
Show all 2 updates
  1. Oct 16, 2026
    Eligibility Criteria revised
    Primary outcomes Revised (1 change)
    + 1 other change: secondary outcomes
  2. Oct 8, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07865845
Responsible party
Sponsor
First posted
Oct 8, 2026
Start date
May 1, 2025
Primary completion
May 1, 2026
Completion
Jun 13, 2026
Last update
Oct 16, 2026

Oversight

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

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