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Trial Review
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
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Trial registered on ANZCTR
Registration number
ACTRN12625001047482
Ethics application status
Approved
Date submitted
1/10/2024
Date registered
23/09/2025
Date last updated
23/09/2025
Date data sharing statement initially provided
23/09/2025
Type of registration
Prospectively registered
Titles & IDs
Public title
Assessing the influence of photobiomodulation on inflammatory biomarkers in patients with Temporomandibular disorders
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Scientific title
Assessing the influence of photobiomodulation on inflammatory biomarkers in adults with Temporomandibular disorders
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Secondary ID [1]
312987
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nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
temporomandibular joint disorder
335166
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Condition category
Condition code
Musculoskeletal
331661
331661
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0
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Other muscular and skeletal disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Patients will be requested to expectorate saliva immediately before photobiomodulation therapy. Patients will chew on a paraffin wax block to stimulate saliva production for 2 minutes. Patients will then be asked to relax and administered photobiomodulation (PBM) treatment using near infared lasers on both sides of their TMJ. After 1 hour, patients will be asked to expectorate saliva once again. After 24 hours of treatment, patients will be requested to expectorate saliva for a final time. The experimental treatments involved in this study will take place at the Griffith University Dental Clinic, Gold Coast Campus and The Thirty Two, T28/129 Queen St, Southport.
The wavelength of the laser is 1064 nm. the power of the laser is 80 W. the power of the laser is 50 J. the pulse frequency is 0.5 to 100 Hz. The duration is 10minutes. A dentist will be administering the treatment.
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Intervention code [1]
329521
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Treatment: Devices
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Comparator / control treatment
Sham control patients are not subjected to infared-laser treatment. A beam of red visible light will be aimed at one side of the participant's TMJ to simulate the PBM treatment in Sham treatment
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Inflammatory biomarker analysis (TNF-A)
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Assessment method [1]
339387
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Enzyme-Linked Immunosorbent Assay on expectorated salivary samples
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Timepoint [1]
339387
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Prior, 1hr after and 24 after (primary timepoint) infared laser administration
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Primary outcome [2]
342663
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Inflammatory biomarker analysis (Il-1B)
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Assessment method [2]
342663
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Enzyme-Linked Immunosorbent Assay on expectorated salivary samples
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Timepoint [2]
342663
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Prior, 1hr after and 24 after (primary timepoint) infared laser administration
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Secondary outcome [1]
439730
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Pain
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Assessment method [1]
439730
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Visual analogue score
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Timepoint [1]
439730
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baseline and 24hrs after infared laser application
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Eligibility
Key inclusion criteria
Patients that are diagnosed with TMD, are above the age of 18
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients with TMD that are using pharmaceutical drugs to treat TMD.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
allocation is not concealed
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by computer
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
25/09/2025
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Actual
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Date of last participant enrolment
Anticipated
30/11/2025
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Actual
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Date of last data collection
Anticipated
1/01/2026
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Actual
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Sample size
Target
60
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment postcode(s) [1]
43175
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4215 - Southport
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Funding & Sponsors
Funding source category [1]
317424
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University
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Name [1]
317424
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Griffith University
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Address [1]
317424
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Country [1]
317424
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Australia
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Primary sponsor type
University
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Name
Griffith Univerisity Faculty of Medicine and Dentistry
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Address
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Country
Australia
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Secondary sponsor category [1]
319717
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None
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Name [1]
319717
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none
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Address [1]
319717
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Country [1]
319717
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
316146
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Griffith University Human Research Ethics Committee
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Ethics committee address [1]
316146
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https://www.griffith.edu.au/research/research-services/research-ethics-integrity/human/human-research-ethics-committee
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Ethics committee country [1]
316146
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Australia
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Date submitted for ethics approval [1]
316146
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09/08/2024
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Approval date [1]
316146
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08/10/2024
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Ethics approval number [1]
316146
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Summary
Brief summary
Temporomandibular disorders (TMD) are a group of conditions that affect the jaw joint (temporomandibular joint), the surrounding musculature, and the nerves related to chronic facial pain. Unlike other TMD therapy modalities photobiomodulation (PBM) is widely regarded for its clinical safety, non-invasiveness, anti-inflammatory and analgesic properties. PBM has been shown to be a beneficial adjuvant when used with other TMD therapies. While photobiomodulation has been reported in several studies to effectively relieve symptoms of TMD, the mechanism of action of photobiomodulation on the early inflammatory biomarkers remains unclear. Furthermore, little is known regarding the impact of how different wavelengths of near infared lasers impact the inflammatory biomarkers in the treatment of TMD. The purpose of this study is to shed light on the dynamics of photobiomodulation via the use of Infared lasers in influencing early inflammatory cytokines, such as TNF-A and IL-1B, in TMD therapy using only patient saliva samples. It is hypothesized that patients with TMD will have reduced levels of inflammatory markers following PBM treatment. This research will be conducted at the School of Dentistry and Oral Health, Griffith University, Gold Coast and at The Thirty Two- a private dental practice located at T28/129 Queen St, Gold Coast.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Roy George
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Address
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G40 7.67, Griffith University, Parklands Drive, Southport Gold Coast Campus, QLD, 4215
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Country
136934
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Australia
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Phone
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+61 7 56780751
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Fax
136934
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Email
136934
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[email protected]
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Contact person for public queries
Name
136935
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Roy George
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Address
136935
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G40 7.67, Griffith University, Parklands Drive, Southport Gold Coast Campus, QLD, 4215
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Country
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Australia
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Phone
136935
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+61 7 56780751
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Fax
136935
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Email
136935
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[email protected]
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Contact person for scientific queries
Name
136936
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Roy George
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Address
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G40 7.67, Griffith University, Parklands Drive, Southport Gold Coast Campus, QLD, 4215
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Country
136936
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Australia
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Phone
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+61 7 56780751
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Fax
136936
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Email
136936
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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