Placebo Modulation of Orthodontic Pain

West China Hospital23 enrolled

Overview

How placebo modulates orthodontic pain remains largely unknown. The present study aimed to investigate the placebo modulation of brain activity associated with orthodontic pain using fMRI.

How placebo modulates orthodontic pain remains largely unknown. The present study aimed to investigate the placebo modulation of brain activity associated with orthodontic pain using fMRI. 23 voluneers were recruited in a longitudinal fMRI experiment. At both the baseline and the one-month follow-up, orthodontic separators were placed between right lower molars 24 hours before MRI scans. At baseline, the subjects were scanned without placebo while all subjects took placebos half an hour before the scan at follow-up. Scans include a bite/non-bite task fMRI and a followed resting state fMRI. A generalized linear model was used to identify pain-regulating network from task fMRI, and functional connectivity analysis of pain related brain regions was performed to study the possible modulation of placebo on connectivity of pain-regulating networks using resting-state fMRI.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Pain

Interventions

placeboOTHER

participants took placebos (pills made by starch) that were told to be an effective analgesic.

orthodontic elastic separatorsDEVICE

Orthodontic pain was introduced by placement of orthodontic elastic separators to the mesial and distal sides of the right mandibular first molar.

Eligibility

Sex: FEMALEMin age: 20 YearsMax age: 25 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Female, 20-25 years old; * Right handed; * Understand the Visual Analog Scale; * No history of serious illness, surgery, psychiatric disorders or neurological; * No history of drug or alcohol abuse; * No Maxillofacial diseases, agomphiasis, caries, metal filling material or crown; * Individual normal occlusion with no orthodontic treatment history. Exclusion Criteria: * claustrophobic or experienced obvious adverse reactions including fear, nausea, vomiting * discomfort during the scan process or during menstruation.

Outcomes

Primary Outcomes

fMRI data change during MRI scan

The fMRI data were collected with a Siemens 3.0T MRI system at West China Hospital. Scans include a bite/non-bite task fMRI and a followed resting state fMRI. Through MRI data we can investigate the modulation of brain activity associated with orthodontic pain using fMRI.

Time frame: Day 1

Secondary Outcomes

The chronological changes of anxiety level

Secondary outcomes concerning chronological changes of anxiety were assessed before and after orthodontic treatments through state-trait anxiety inventory (ST-AI). A higher score indicates higher anxiety level.

Time frame: Day 1

Data from ClinicalTrials.gov

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