Evidence map›Paper›PMID 40296202›Full record

Trial reportJournal of oral rehabilitation2025

Effect on Pain Following One Session of Botulinum Toxin Type A in Patients With Jaw Myalgia: A Randomised Double-Blind Controlled Multicentre Pilot Study.

Ava Minston, Helene Abrahamsson, Peter Abrahamsson, Erik Lindfors, Eva Nohlert, Daniel Ovesson, Negin Yekkalam, Göran Isacsson

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Journal of oral rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Review
  3. 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

8 authors.

Ava MinstonDepartment of Orofacial Pain and Jaw Function, Postgraduate Dental Education Center, Public Dental Health Service, Örebro, Sweden.ORCID https://orcid.org/0009-0003-7055-2900
Helene AbrahamssonThe Maxillofacial Unit, Halmstad Hospital, Halmstad, Sweden.ORCID https://orcid.org/0009-0005-1530-7042
Peter AbrahamssonThe Maxillofacial Unit, Halmstad Hospital, Halmstad, Sweden.ORCID https://orcid.org/0000-0002-8972-6419
Erik LindforsDepartment of Orofacial Pain and Jaw Function, Public Dental Health Service, Uppsala, Sweden.ORCID https://orcid.org/0000-0002-6376-5436
Eva NohlertRegion Vastmanland-Uppsala University, Centre for Clinical Research, Västmanland Hospital, Västerås, Sweden.ORCID https://orcid.org/0000-0003-1771-4635
Daniel OvessonDepartment of Orofacial Pain and Jaw Function, Karlstad Hospital, Karlstad, Sweden.ORCID https://orcid.org/0009-0009-5764-1769
Negin YekkalamDepartment of Orofacial Pain and Jaw Function, Västmanland County Hospital, Västerås, Sweden.ORCID https://orcid.org/0000-0002-2183-7497
Göran IsacssonDepartment of Orofacial Pain and Jaw Function, Västmanland County Hospital, Västerås, Sweden.ORCID https://orcid.org/0000-0003-2431-5173

Funding

Folktandvården, Örebro Läns LandstingLandstinget VästmanlandRegionala Forskningsrådet Uppsala/Örebro
6 · The paper itself

Abstract

backgroundBotulinum toxin Type A (BTX-A) is increasingly used in the management of myofascial pain; however, the evidence to support this treatment modality is still inconclusive.

objectiveTo evaluate the change in days with functional jaw pain after one session of BTX-A or placebo injections into the masseter and temporalis muscles in subjects with jaw myalgia. The hypothesis was that BTX-A is effective in reducing the number of days with functional jaw pain.

methodsThis was a randomised, double-blind, parallel group study in subjects with jaw myalgia. After randomisation, BTX-A or placebo injections were made in the masseter and temporalis muscles. The number of days with jaw pain on function was evaluated after 2 months. Adverse events were registered.

resultsTwenty-three subjects were randomly assigned to BTX-A and 22 to placebo. Between baseline and the 2-month follow-up, the number of days with jaw pain at function changed from a median (interquartile range) of 14 (4) to 10.5 (6) days in the BTX-A group and from 14.0 (1.5) to 14 (5) in the saline group (p < 0.585). Adverse events were mild and transient and similar in the two groups.

conclusionA single treatment of BTX-A injections in the masseter and temporalis muscles was not effective in treating jaw myalgia. However, an adequately powered study might provide sufficient support for efficacy.

Indexed as

Botulinum Toxins, Type AFacial PainMasseter MuscleMyalgiaNeuromuscular AgentsAdultDouble-Blind MethodFemaleHumansInjections, IntramuscularMaleMiddle AgedPain MeasurementPilot ProjectsTemporal MuscleTreatment OutcomeBotulinum Toxins, Type ANeuromuscular Agentsbotulinum toxin type Amyofascial painorofacial paintemporomandibular disorderstreatment

Identifiers

PMID40296202
PMCPMC12037931

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Registered trials

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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.