Could a botox shot in the mouth silence stubborn nerve pain?
NCT ID NCT03848143
First seen Jul 30, 2026 · Last updated Jul 31, 2026 · Updated 1 time
Summary
This pilot study is testing whether injecting Botox directly into the painful area inside the mouth can reduce continuous nerve pain in the teeth or jaw. Eight adults with long-lasting dentoalveolar pain that hasn't responded to standard treatments will receive two rounds of injections three months apart. They will track their pain daily using a simple 0-to-10 scale to see if the treatment brings relief.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- onabotulinum toxin A (Botox) injected into the painful area inside the mouth
- What this could lead to
- If it works, this could offer a new treatment option for people with hard-to-treat nerve pain in the mouth or jaw.
- What could go wrong
- This is a very small pilot study with only 8 participants, so results may not apply widely. Botox injections can cause temporary weakness or swelling in nearby muscles.
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
-
Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
-
8 people
The number who actually took part.
- Started
-
Sep 2019
- Finished
-
Jun 2025
- Lead sponsor
-
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
-
18 to 80 years
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * History of continuous dentoalveolar pain with clinically evident positive (hyperalgesia, allodynia) and/or negative (hypoaesthesia, hypoalgesia) signs of trigeminal nerve dysfunction and where other possible pain sources have been ruled out. * Intractable pain to conventional oral and/or topical pharmacotherapy for neuropathic pain according to the recommendations published by NeuPSIG (Neuropathic Pain Special Interest Group) including anticonvulsants, SNRIs (serotonin and norepinephrine reuptake inhibitors) and/or tricyclic antidepressants. * Subject consent to participate in the study. Exclusion Criteria: * hypersensitive to any onabotulinum toxin preparation or any component in the formulation. * systemic nerve or muscle disorders * bleeding disorders * dysphagia * breathing problems * pregnancy or breastfeeding * previous treatment with botulinum toxin in the last 4 months.
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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
-
Orofacial Pain Center
Lexington, Kentucky, 40536, United States
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