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CTRI Number  CTRI/2024/04/065819 [Registered on: 16/04/2024] Trial Registered Prospectively
Last Modified On: 15/04/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia
Dentistry 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   To compare pain perception, onset and duration of four drugs by local infiltration: lignocaine, buffered lignocaine, articaine and buffered articaine in milk teth. 
Scientific Title of Study   Comparison of Pain Perception and Efficacy of Infiltration Technique using Lignocaine, Buffered Lignocaine, Articaine and Buffered Articaine in primary teeth 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Kalyani Karwa 
Designation  Postgraduate student 
Affiliation  Saraswati Dhanwantari Dental College, Parbhani- 431401 
Address  Room no. 6, Ground Floor, Department of Pediatric and Preventive Dentistry, Saraswati Dhanwantari Dental College and Hospital, Pathri road, Parbhani-431401

Parbhani
MAHARASHTRA
431401
India 
Phone  7038668899  
Fax    
Email  kalyanikarwa8711@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Rehan Khan 
Designation  Professor and head of department  
Affiliation  Saraswati Dhanwantari Dental College Parbhani 
Address  Room no. 6, Ground Floor, Department of Pediatric and Preventive Dentistry, Saraswati Dhanwantari Dental College and Hospital, Pathri road, Parbhani-431401

Parbhani
MAHARASHTRA
431401
India 
Phone  8237425282  
Fax    
Email  dent_dr1@rediffmail.com  
 
Details of Contact Person
Public Query
 
Name  Kalyani Karwa 
Designation  postgraduate student 
Affiliation  Saraswati Dhanwantari Dental College, Parbhani- 431401 
Address  Room no. 6, Ground Floor, Department of Pediatric and Preventive Dentistry, Saraswati Dhanwantari Dental College and Hospital, Pathri road, Parbhani-431401

Parbhani
MAHARASHTRA
431401
India 
Phone  7038668899  
Fax    
Email  kalyanikarwa8711@gmail.com  
 
Source of Monetary or Material Support  
Room no. 6, Ground Floor, Department of Pediatric and Preventive Dentistry, Saraswati Dhanwantari Dental College and Hospital, Pathri road, Parbhani-431401, Maharashtra, India 
 
Primary Sponsor  
Name  Kalyani Karwa 
Address  Saraswati Dhanwanatari Dental College, parbhani 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Kalyani Karwa  Saraswati Dhanwantari Dental College, Parbhani   Room no. 6, Ground Floor, Department of Pediatric and Preventive Dentistry, Pathri road, Parbhani-431401
Parbhani
MAHARASHTRA 
7038668899

kalyanikarwa8711@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SDDC PBN IEC  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: 3||Administration, (2) ICD-10 Condition: K049||Other and unspecified diseases ofpulp and periapical tissues,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Group A: 2% Lignocaine hydrochloride with 1:80000 adrenaline Group B: buffered lignocaine (0.1ml of sodium bicarbonate added into 1.8 ml cartridge of 2% lignocaine with 1:80000 adrenaline, Group C: 4% articaine HCL with 1:100000 adrenaline, Group D: buffered articaine 0.1 ml of 8.4% sodium bicarbonate added into articaine with adrenaline cartridge.   After giving local infiltration in patients of each group I will evaluate parameters. To each group infiltration will be given with standard septodont syringe with 30 gauge needle. Approximately 0.6ml of anaesthetic solution will be deposited slowly for 20 seconds.  
Intervention  Local infiltration in pediatric patients.  After screening patient for inclusion criteria, the subjects will get divided in 4 groups. To each group local infiltration will be given with standard septodont cartridge of 30 gauge needle. Approximately 0.6ml of anaesthetic solution will be deposited slowly for 20 seconds. Then parameters will be evaluated.  
 
Inclusion Criteria  
Age From  4.00 Year(s)
Age To  10.00 Year(s)
Gender  Both 
Details  - Patients having at least one primary tooth requiring treatment (such as pulp therapy or extraction) under LA infiltration.
- Physically and mentally healthy children, without history of medications.
- Patients exhibiting Frankl’s behaviour rating grade of three or four
 
 
ExclusionCriteria 
Details  - Children allergic to local anaesthesia
- Medically compromised children
- Children whose parents did not give consent to participate in the study
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
After the administration of LA, the following parameters will be
evaluated clinically,
1. Pain on injection
- Wong Baker FACES Pain Rating Scale
- Sound eye motor scale Pain during procedure
- Wong Baker FACES Pain Rating Scale
- Sound eye motor scale
3. Onset of anaesthesia
4. Duration of anaesthesia
 
At baseline  
 
Secondary Outcome  
Outcome  TimePoints 
After the administration of anaesthesia onset & duration of anaesthesia is measured.   At base line 
 
Target Sample Size   Total Sample Size="96"
Sample Size from India="96" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   26/04/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   A detailed case history of patient aged 4-10 years will be taken. All 96 patients will be randomly divided into 4 groups with 24 in each group and local infiltration will be given to them. Four study groups will be: Group A- lignocaine infiltration group, Group B: Buffered lignocaine infiltration group, Group C: Articaine infiltration group, Group D: Buffered articaine infiltration group. After the administration of local infiltration pain on injection and pain during procedure will be measured with Wong Baker FACES pain  rating scale and Sound eye motor scale. Efficacy will be checked by measuring onset and duration of anaesthesia.  
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