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CTRI Number  CTRI/2024/06/068746 [Registered on: 12/06/2024] Trial Registered Prospectively
Last Modified On: 11/06/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia
Dentistry
Behavioral 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effect of distraction using a robotic toy in reducing dental anxiety among young children during the administration of local anesthesia 
Scientific Title of Study   Evaluation of effectiveness of robot-based distraction in comparison with conventional methods on anxiety and pain perception during local anesthesia administration in pediatric patients: a randomized clinical trial 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Abhilasha 
Designation  Postgraduate student 
Affiliation  Sri Rajiv Gandhi College of Dental Sciences and Hospital Bangalore 
Address  Department of Pediatric and Preventive Dentistry Sri Rajiv Gandhi College of Dental Sciences and Hospital Cholanagar Hebbal RT Nagar Post

Bangalore
KARNATAKA
560032
India 
Phone  7260056959  
Fax    
Email  abhilasha.dental@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr. Divya Reddy Cheekolu 
Designation  Professor 
Affiliation  Sri Rajiv Gandhi College of Dental Sciences and Hospital Bangalore 
Address  Department of Pediatric and Preventive Dentistry Sri Rajiv Gandhi College of Dental Sciences and Hospital Cholanagar Hebbal RT Nagar Post

Bangalore
KARNATAKA
560032
India 
Phone  9886651419  
Fax    
Email  divyacreddy81@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Abhilasha 
Designation  Postgraduate student 
Affiliation  Sri Rajiv Gandhi College of Dental Sciences and Hospital Bangalore 
Address  Department of Pediatric and Preventive Dentistry Sri Rajiv Gandhi College of Dental Sciences and Hospital Cholanagar Hebbal RT Nagar Post

Bangalore
KARNATAKA
560032
India 
Phone  7260056959  
Fax    
Email  abhilasha.dental@gmail.com  
 
Source of Monetary or Material Support  
Department of Pediatric and Preventive Dentistry Sri Rajiv Gandhi College of Dental Sciences and Hospital Cholanagar RT Nagar Post Bangalore Karnataka India 560032 
 
Primary Sponsor  
Name  Abhilasha 
Address  Department of Pediatric and Preventive Dentistry Sri Rajiv Gandhi College of Dental Sciences and Hospital RGC campus Hebbal R T Nagar Post Bangalore Karnataka 560032 
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 Abhilasha  Sri Rajiv Gandhi College of Dental Sciences and Hospital  Department of Pediatric and Preventive Dentistry RGC campus cholanagar RT nagar 560032
Bangalore
KARNATAKA 
7260056959

abhilasha.dental@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethical Committee Sri Rajiv Gandhi College of Dental Sciences and Hospital Bengaluru  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Children aged between 4-7 years requiring local anaesthesia for dental treatment  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Conventional Behaviour management  Inferior alveolar nerve block anesthesia will be administered with conventional behaviour management techniques without using any type of distraction aids. The procedure will last roughly about 10 minutes.  
Intervention  Robot-based distraction  Inferior alveolar nerve block will be administered to the child in presence of a robot toy (MIKO 3), along with routine behaviour management techniques. This is a single visit assessment, requiring no follow-up. The procedure duration lasts roughly about 10-15 minutes, from the time of introduction of the child to robot toy till the completion of local aneshtesia administration. 
 
Inclusion Criteria  
Age From  4.00 Year(s)
Age To  7.00 Year(s)
Gender  Both 
Details  Healthy children of both genders in the age group of 4 to 7 years with no known allergy and/or sensitivity to local anaesthesia.
Children with no previous experience of dental treatment.
Children requiring non-emergency dental treatment under local anesthesia (Inferior alveolar nerve block)
Children of parents willing to give informed consent.
Children categorized under rating 2 or 3 on Frankl behaviour rating scale 
 
ExclusionCriteria 
Details  Children with physical/mental/developmental disorders.
Children with complaints of severe pain requiring emergency treatment.
Children categorized under rating 1 or 4 on Frankl behaviour rating scale 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Reduction in dental anxiety experienced by the child during the administration of local anesthesia   10 minutes 
 
Secondary Outcome  
Outcome  TimePoints 
Reduction in pain perception of the child during administration of local anesthesia   2 minutes 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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   N/A 
Date of First Enrollment (India)   01/07/2024 
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="0"
Months="8"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
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  
The study design involves a two-armed, parallel-group, randomized controlled trial conducted at the Department of Pediatric & Preventive Dentistry, Sri Rajiv Gandhi College of Dental Sciences & Hospital, Bengaluru. Children in the age group of 4-7 years meeting the eligibility criteria will be recruited, and their parents will be provided with an information sheet with a detailed description of the study and requested to give informed consent for participation. The study aims to determine the effectiveness of robot-based distraction in comparison to conventional behaviour management methods in reducing dental anxiety of children during local anesthesia administration. The children will be randomly allocated into two groups: a Control Group receiving conventional behaviour management techniques during local anesthesia administration and an Intervention Group receiving the same standard care along with robot-based distraction. Anxiety will be assessed using the Raghavendra, Madhuri, Sujata Pictorial Scale (RMS-PS) and pulse rate measurements (Physiological measure). The Face, Legs, Activity, Cry, Consolability (FLACC) scale will be used to assess pain during anesthesia administration. Administration of inferior alveolar nerve block will be carried out in all children by a single clinician following a uniform administration protocol. All the observational and physiological measures of anxiety, and pain assessment will be recorded by another investigator not participating in the clinical procedure. Due to the nature of intervention, it will not be possible to blind the investigators, children or parents. The proposed research hypothesis is that the addition of robot-based distraction to conventional behaviour management methods during local anesthesia administration in children will decrease the anxiety and improve pain related behaviour.

 
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