NCT02870543

Brief Summary

This study aims to evaluate, through a crossover, controlled, double-blind and randomized clinical trial, the efficacy of Phytolacca decandra in association or not with Melissa officinalis in the treatment of children with nocturnal bruxism. Children from 3 to 12 years old with nocturnal bruxism will be randomly allocated into different groups of treatment stage as follows: (1) placebo; (2) Phytolacca decandra; (3) Melissa officinalis; (4) Phytolacca decandra associated with Melissa officinalis. All children will participate to each clinical stage, with a period of 14 days of whashout. Children and the principal investigator will be masked to treatment. The efficacy will be evaluated through parents report about the absence of tooth clenching or grinding by children and electromiography exams. The secondary outcomes that will be evaluated are: trait anxiety and quality of life related to oral health.

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
52

participants targeted

Target at below P25 for phase_3

Timeline
Completed

Started Sep 2014

Typical duration for phase_3

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

September 1, 2014

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2016

Completed
27 days until next milestone

First Submitted

Initial submission to the registry

July 28, 2016

Completed
20 days until next milestone

First Posted

Study publicly available on registry

August 17, 2016

Completed
11 months until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2017

Completed
Last Updated

August 17, 2016

Status Verified

August 1, 2016

Enrollment Period

1.8 years

First QC Date

July 28, 2016

Last Update Submit

August 12, 2016

Conditions

Keywords

BruxismSleep bruxismSleep related bruxismHomeopathy

Outcome Measures

Primary Outcomes (2)

  • Evaluation of efficacy of Phytolacca decandra in association or not with Melissa officinalis in comparison of placebo in arresting nocturnal bruxism, by the use of a visual analog scale

    Parents / guardians will be asked to schedule a graduated visual analog scale from 0 to 10 to determine bruxism level (absence or not of tooth clenching or grinding) of your child during the 30 days of each medicine usage and also during the washout period.

    During the period of treatments and washout : 168 days

  • Evaluation of the efficacy of Phytolacca decandra in association or not with Melissa officinalis in comparison of placebo in arresting nocturnal bruxism, by the electromiography analysis

    All children will be submitted to eletromiography analysys to measure the masseter and temporalis muscles forces before and after each tretament stage.

    Before to start all treatments (baseline) and after each treatment (every 30 days) up to 168 days

Secondary Outcomes (1)

  • Identify changes in the quality of life children with bruxism before and after treatments by the use of B-ECOHIS and PCP-Q questionaries

    Before to start all treatments (baseline) and after each treatment (every 30 days) up to 168 days

Other Outcomes (1)

  • Identify changes in the trait anxiety of children with bruxism before and after treatments by the use of the Brazilian validated version of the Trait-anxiety Scale

    Before to start all treatments (baseline) and after each treatment (every 30 days) up to 168 days

Study Arms (4)

Placebo

PLACEBO COMPARATOR

Placebo

Drug: Phytolacca decandraDrug: Melissa officinalisDrug: Phyt.decandra + Melissa offic.

Phytolacca decandra

ACTIVE COMPARATOR

The Phytolacca decandra with 12CH dosage will be administered (one drop per age of the child) once a day during 30 days.

Drug: Melissa officinalisDrug: Phyt.decandra + Melissa offic.

Melissa officinalis

ACTIVE COMPARATOR

The Melissa officinalis with 12CH dosage will be administered (one drop per age of the child) once a day during 30 days.

Drug: Phytolacca decandraDrug: Phyt.decandra + Melissa offic.

Phyt.decandra + Melissa offic.

EXPERIMENTAL

The combination of Phytolacca decandra with Melissa offcicinalis with 12CH dosage will be administered (one drop per age of the child) once a day during 30 days.

Drug: Phytolacca decandraDrug: Melissa officinalis

Interventions

Treatment of bruxism

Also known as: homeopathic medicine
Melissa officinalisPhyt.decandra + Melissa offic.Placebo

Treatment of bruxism

Also known as: homeopathic medicine
Phyt.decandra + Melissa offic.Phytolacca decandraPlacebo

Treatment of bruxism

Also known as: homeopathic medicine complex
Melissa officinalisPhytolacca decandraPlacebo

Eligibility Criteria

Age3 Years - 12 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Children with good general health; children aged 03-12 years old; children with nocturnal bruxism reported by their parents/guardians.

You may not qualify if:

  • Children with special needs (frame psychological, psychiatric and neurological disorders or any systemic commitments)
  • Children with carious lesions in dentin
  • Children with orthodontic appliances
  • Children with dental anomalies
  • Children with dental erosions
  • Children with the following malocclusions: Class II and III of Angle, crossbite and open bite
  • Children that will be in any medication that modify the salivary flow and / or cause alteration of the central nervous system.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Sleep BruxismBruxism

Interventions

Homeopathylemon balm leaf extract

Condition Hierarchy (Ancestors)

Tooth DiseasesStomatognathic DiseasesParasomniasSleep Wake DisordersNervous System DiseasesMental DisordersHabitsBehavior

Intervention Hierarchy (Ancestors)

Complementary TherapiesTherapeutics

Study Officials

  • Andrea G. Antonio, Adjunct Professor

    Universidade Federal do Rio de Janeiro

    STUDY CHAIR
  • Lucianne Cople Maia, Full Professor

    Universidade Federal do Rio de Janeiro

    STUDY DIRECTOR
  • Cláudia Tavares, Ph.D student

    Universidade Federal do Rio de Janeiro

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Ph.D student

Study Record Dates

First Submitted

July 28, 2016

First Posted

August 17, 2016

Study Start

September 1, 2014

Primary Completion

July 1, 2016

Study Completion

July 1, 2017

Last Updated

August 17, 2016

Record last verified: 2016-08