New approach aims to slash opioid use after wisdom tooth surgery
NCT ID NCT04414917
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 2 times
Summary
This study tests whether a jaw muscle nerve block (Twin block) and a smart pill dispenser (iPill) can reduce opioid use after wisdom tooth removal. About 133 adults will be enrolled. The nerve block aims to ease pain right after surgery, while the dispenser only releases opioids when pain is severe, based on a phone app. The goal is to lower opioid consumption and misuse.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Twin block (dental local anesthetic) and iPill dispenser (active pill dispenser)
- What this could lead to
- If successful, this approach could reduce opioid prescriptions and misuse after wisdom tooth extractions, especially in young people.
- What could go wrong
- This is a small Phase 2 trial that is currently suspended, so results are uncertain. The nerve block and pill dispenser may not significantly cut opioid use in practice.
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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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 133 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Nov 2026
An estimate. Start dates often move.
- Expected to finish
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Apr 2030
An estimate. End dates often move.
- 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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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
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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: 1. Adults (\> 18) 2. American Society of Anesthesiologists Classification I 3. No h/o temporomandibular disorder (TMD) symptoms 4. No h/o trauma to jaws/teeth 5. No h/o surgery in maxillofacial region 6. Presenting for extraction of at least 1 mandibular partially bony/ full bony impacted 'wisdom' or third molar/s under intravenous sedation 7. iPhone or Android smart phone (compatible with iPill® App) 8. Informed consent 9. No cognitive/intellectual disability 10. Not from vulnerable population Exclusion Criteria: 1. Acute infection or pain in relation to the impacted molars on day of procedure 2. h/o opioid prescription for acute/chronic pain 3. h/o of allergy or contraindication to amide-type local anesthetics, epinephrine or opioids 4. Chronic use of non-steroidal anti-inflammatory drugs (NSAIDs)/muscle relaxants/other prescriptions to manage pain/inflammation 5. Refusal/inability to use iPill® App or dispenser 6. h/o eczema
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Rutgers Health University Dental Associates
New Brunswick, New Jersey, 08901, United States
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Other studies related to the condition(s) this trial covers.
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