Can a Blood-Based injection and botox ease jaw joint pain?
NCT ID NCT06207955
First seen Sep 01, 2026 · Last updated Sep 02, 2026 · Updated 1 time
Summary
This trial tests whether injecting platelet-rich fibrin (a substance made from the patient's own blood) into the jaw joint, along with botulinum toxin (Botox) into a nearby muscle, improves symptoms of anterior disc displacement, a common TMJ disorder. The study includes 39 people aged 16 to 45 with painful jaw movement, clicking sounds, and limited mouth opening. Participants receive one of three treatments: the combined injections, platelet-rich fibrin alone, or a saline washout. Researchers measure mouth opening, joint sounds, and jaw movement over six months to see which approach works best.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Platelet-rich fibrin (I-PRF) injected into the jaw joint, plus botulinum toxin type A injected into a jaw muscle, after a joint washout procedure (arthrocentesis)
- What this could lead to
- If it works, this combination could offer a more effective, minimally invasive treatment for painful TMJ disc displacement, improving jaw opening and reducing joint sounds.
- What could go wrong
- This is a small, early-stage trial with 39 participants, so results may not apply broadly. Injections carry risks like pain, swelling, or muscle weakness, and the added benefit over standard care is unproven.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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39 people
The number who actually took part.
- Started
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Jan 2024
- Finished
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Sep 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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16 to 45 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patients with painful tmj during jaw movements * Patients with joint sounds ( clicking ) during jaw opening and mastication * Patients age range from 16 years old to 45 years old * Patients with Class I maxillo-mandibular relationship * Patients with reduced mouth opening * All patients diagnosed clinically and radiographically by MRI as TMJ anterior disc displacement with reduction Exclusion Criteria: * Patient with history of recent trauma * Patients with malocclusion * Patients with systematic condition that affect bone and joints such as osteoarthritis , systemic lupus and epilepsy . * Patients allergic to botox injection * Pregnant or lactating females * Patients with non-reducible disc on MRI * Patients contraindicated to exposure to MRI * Patients with previous tmj arthrocentesis , arthroscopy or TMJ surgery * Significant mechanical obstruction that prevents mouth opening, acute capsulitis, benign or malignant temporomandibular joint lesions. * Patients with blood diseases, and coagulation disorders
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Faculty of Dentistry Fayoum University
Al Fayyum, Egypt
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