Could a simple jaw numbing injection cut opioid use after wisdom tooth removal?
NCT ID NCT04880707
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether a numbing injection called Twin Block can reduce jaw muscle pain and the need for opioid painkillers after wisdom tooth removal. About 48 healthy adults who have jaw pain the day after surgery will receive either the Twin Block or a placebo. Researchers will track pain levels and painkiller use for a week to see if the injection helps.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- 2% lidocaine with 1:100,000 epinephrine (standard dental anesthetic)
- What this could lead to
- If it works, this could provide a simple, non-opioid way to manage jaw pain after wisdom tooth removal, reducing the risk of opioid addiction.
- What could go wrong
- This is a small pilot study with only 48 participants, so results may not apply to everyone. The placebo group may also show improvement, making it hard to prove the injection's benefit.
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
-
About 48 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Mar 2024
- Expected to finish
-
Dec 2026
An estimate. End dates often move.
- 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 years and older
- Sex
-
Anyone
- Healthy volunteers
-
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: * All patients requiring extraction/s of at least 1 lower wisdom (third) molar that is partially/fully 'impacted', under intravenous sedation, are eligible to participate in this study so long as they 1. are older than 18 years of age, 2. are healthy, 3. have no cognitive/intellectual disability, 4. have no past/recent pain or reduced range of motion in their jaw joint/ muscle complex, no trauma or surgery in their jaw region. 5. have an electronic device such as a smart phone or a tablet/ computer with internet connection. 6. are willing to participate in the study and not be excluded by the following criteria below. Exclusion Criteria: * Any patients, even if satisfying the criteria above, may not take part if they have any of the following: 1. Compromised ability to guard their self-interest, for e.g., prisoners, children, pregnant women, patients with intellectual/cognitive disability are not enrolled in the study. 2. Those patients who present with infection/inflammation involving the third molars slated for extractions, on the day of their procedure, may not take part in the study. 3. In addition, those who have had opioid pain medication/s in the past to address short-term or long-standing pain, or those who are on long term prescription of anti-inflammatory pain medication, are unable to participate. 4. Those with long standing pain of the jaw joint or muscles. 5. Finally, those patients who are allergic to/unable to tolerate either the dental local anesthetic or its components, opioids, acetaminophen ('Tylenol') or ibuprofen ('Motrin' or 'Advil') also may not take part in the study.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Acute pain are added.
Genom att skicka in godkänner du våra Användarvillkor
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.
-
The places running it
1 site. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
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
-
Rutgers School of Dental Medicine
RECRUITINGNewark, New Jersey, 07103, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a neck device dial down pain by zapping the vagus nerve?
- Two drugs, one nerve block: which keeps rib fracture pain away longer?
- Can a new Non-Opioid pill cut painkiller needs after throat surgery?
- Can a new painkiller beat placebo after foot surgery?
- Can a heavy blanket calm pain and anxiety after trauma?
- Can a Non-Opioid pill ease pain after ankle replacement?