Evidence map›Paper›PMID 39428464›Full record

Trial reportBMC oral health2024

Effects of trigeminal neurostimulation on heart rate variability: comparing cutaneous (Tragus) and tongue (Antero-Dorsal mucosa) stimulation.

Annalisa Monaco, Ruggero Cattaneo, Sara Di Nicolantonio, Marco Strada, Davide Pietropaoli, Eleonora Ortu

2 registry-linked trialsAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC oral health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06549205 nacompletednot on this map

Effects of Trigeminal Neurostimulation on Heart Rate Variability: Comparing Cutaneous (Tragus) and Tongue (Antero-Dorsal Mucosa) Stimulation.

TypeinterventionalSponsorUniversity of L'AquilaRan2022 to 2024Enrolled80ConditionsArousal, ConfusionalArmsdevice that stimulates the dorsal surface of the tongue, device that stimulates the tragus
NCT06790459 nacompletednot on this map

Effects of Transmucosal Electrical Tongue Stimulation (TUD) on Tonic Pupil Size in the Dark

TypeinterventionalSponsorUniversity of L'AquilaRan2024 to 2024Enrolled40ConditionsPupil Diameter, ArousalArmsUlfTens (Ultra-low-frequencies Transcutaneous electrical nervous stimulation)
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Annalisa MonacoDepartement of Clinical Medicine, Public Health, Life and Environmental Sciences, University of L'Aquila, Piazzale Salvatore Tommasi 11, L'Aquila, 67100, Italy.
Ruggero CattaneoDepartement of Clinical Medicine, Public Health, Life and Environmental Sciences, University of L'Aquila, Piazzale Salvatore Tommasi 11, L'Aquila, 67100, Italy.
Sara Di NicolantonioDepartement of Clinical Medicine, Public Health, Life and Environmental Sciences, University of L'Aquila, Piazzale Salvatore Tommasi 11, L'Aquila, 67100, Italy. sara.dinicolantonio@graduate.univaq.it.
Marco StradaSOMA, Istituto Osteopatico, Milano, Italy.
Davide PietropaoliUnit of Oral Diseases, Prevention and Translational Research, Department of Life, Health and Environmental Sciences, San Salvatore Hospital, Dental Clinic, University of L'Aquila, L'Aquila, Italy.
Eleonora OrtuDepartement of Clinical Medicine, Public Health, Life and Environmental Sciences, University of L'Aquila, Piazzale Salvatore Tommasi 11, L'Aquila, 67100, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTrigeminal neurostimulation of the dorsal anterior mucosal surface of the tongue has been proposed to treat a variety of pathologies and to promote neuro-muscular coordination and rehabilitation. Dental ULFTENS can also be considered a form of trigeminal neurostimulation applied to the skin surface bilaterally at the level of the tragus. It has been used for years in dentistry for practical and diagnostic purposes. Previous work has combined the two stimulation techniques showing an efficacy in improving HRV in healthy young women of dental ULFTENS applied to the mucosal surface of the tongue. This work sought to assess whether there is a difference in HRV in relation to the site of application of dental ULFTENS (tragus vs. tongue). If effective in reducing the activity of arousal circuits, this tongue-level stimulation technique could have new clinical applications. MATERIAL AND

methodA new intraoral device allowed electrical stimulation of the dorsal anterior mucosa of the tongue in 80 healthy young women divided into two groups: TUD group (ULFTENS stimulation on the mucosa of the tongue) and Tragus group (stimulation with ULFTENS bilaterally in the area of the tragus). The effects on HRV were monitored by photoplethysmographic wave (PPG). The HRV parameters studied were RMSSD, HF, LF, LF/HF.

resultsOnly the TUD group showed a significant change in selected HRV parameters that was maintained even in the epoch after the end of electrical stimulation. This effect can be considered as a vagal activation and an increased of HRV parameter. The Tragus group did not show significant change in the direction of increased HRV but showed an opposite trend. There were no undesirable or annoying effects of stimulation.

conclusionStimulation of the dorsal anterior (trigeminal) mucosal surface of the tongue with ULFTENS applied with an intraoral device was shown to be able to increase HRV while the same stimulation on tragus area, according to traditional dental ULFTENS procedure, did not show the same effects. CLINICAL IMPLICATIONS: This stimulation technique could be an aid in the diagnosis and treatment of disorders characterized by autonomic disequilibrium such as, in the dental field, TMDs.

trial registration"Effects of Trigeminal Neurostimulation on Heart Rate Variability: Comparing Tragus and Tongue Stimulation". ID number: NCT06549205. Date of first registration: August 1st 2024. https://clinicaltrials.gov/study/NCT06549205?id=%09NCT06549205&rank=1 .

Indexed as

Heart RateTongueTrigeminal NerveAdultElectric Stimulation TherapyFemaleHumansMouth MucosaPhotoplethysmographyYoung AdultDorsal surface of the tongueHeart Rate VariabilityTragusTrigeminal electrical stimulationULFTENS

Identifiers

PMID39428464
PMCPMC11492487

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.