Evidence map›Paper›PMID 40253389›Full record

Trial reportHead & face medicine2025

Efficacy of Centella asiatica on mitigating temporomandibular pain and improving functionality: a randomized, double blind, pilot clinical trial.

Prangtip Potewiratnanond, Rudee Surarit, Mayuree H Tantisira, Lakshman Samaranayake, Nattapon Rotpenpian, Aree Wanasuntronwong

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Head & face medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06231212 (Efficacy of a Standardized Centella Asiatica Extract in Patients With Temporomandibular Disorder), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT06231212 phase2 / phase3completednot on this map

Efficacy of a Standardized Centella Asiatica Extract in Patients With Temporomandibular Disorder

TypeinterventionalSponsorChulalongkorn UniversityRan2020 to 2022Enrolled23ConditionsTemporomandibular DisorderArmsECa 233, Ibuprofen, Placebo
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Prangtip PotewiratnanondDepartment of Occlusion, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand. prangtip.p@chula.ac.th.
Rudee SuraritDepartment of Oral Biology, Faculty of Dentistry, Mahidol University, Bangkok, Thailand.
Mayuree H TantisiraFaculty of Pharmaceutical Sciences, Burapha University, Chonburi, Thailand.
Lakshman SamaranayakeDepartment of Periodontology, Centre of Excellence in Periodontal Disease and Implant Dentistry, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.
Nattapon RotpenpianDepartment of Oral Biology and Occlusion, Faculty of Dentistry, Prince of Songkla University, Songkhla, Thailand.
Aree WanasuntronwongDepartment of Oral Biology, Faculty of Dentistry, Mahidol University, Bangkok, Thailand. aree.wan@mahidol.ac.th.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the efficacy of Centella asiatica extract, ECa233, on alleviating pain symptoms and functional improvement of acute temporomandibular disorders (TMD). MATERIALS AND

methodsA randomized, double-blind, placebo-controlled, pilot clinical trial was performed using 23 adults with acute TMD. They were randomly assigned into four treatment groups, an ibuprofen (positive control) group, two test groups of ECa233 each of 250 mg, and 500 mg extracts, and a placebo (negative control) group. All subjects were requested to self-administer the test/control capsules, twice a day for 14 days. The pain intensity score, range of mandibular motion and tenderness of the masticatory muscles and temporomandibular joint (TMJ) were recorded at baseline, 7- and 14-days post-treatment.

resultsOne week after intervention, the pain intensity score significantly decreased in participants receiving 500 mg of ECa233 (P = 0.016), as well as the placebo group (P = 0.030) but not in the other groups. Additionally, those receiving 500 mg of ECa233 displayed the highest percentage reduction in self-reported pain intensity and pain on TMJ palpation compared with the other groups (P > 0.050). On day 14, there were no significant differences observed among the evaluated parameters in the four groups.

conclusionsThe orally administered ECa233 has the potential to induce rapid, short term, dose-dependent analgesia in individuals with TMD pain. However, longer-term RCT with a larger cohort is necessary to confirm these findings. CLINICAL RELEVANCE: ECa 233 at 500 mg has the potential to induce a more rapid analgesic response in individuals with acute TMD after a 7-day period.

trial registrationThis trial was registered on the ClinicalTrials.gov, the number is NCT06231212, date of registration: 30/01/2024.

Indexed as

Facial PainPlant ExtractsTemporomandibular Joint DisordersTriterpenesAdultCentellaDouble-Blind MethodFemaleHumansMaleMiddle AgedPain MeasurementPilot ProjectsRange of Motion, ArticularTreatment OutcomeYoung AdultCentella asiatica extractPlant ExtractsTriterpenesCentella asiaticaMouth opening distancePain intensity scoreTemporomandibular disorders

Identifiers

PMID40253389
PMCPMC12008970

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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.