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CTRI Number  CTRI/2024/11/076166 [Registered on: 04/11/2024] Trial Registered Prospectively
Last Modified On: 30/10/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry
Behavioral 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Assessing the effect of breathing exercise using bubble blower in children aged 6 to 10 years on pain and anxiety during dental anesthesia delivery. 
Scientific Title of Study   Evaluating the effect of breathing exercise using a bubble blower on anxiety and pain during inferior alveolar nerve block (IANB) in children aged 6 to 10 years: A Randomized Clinical Trial 
Trial Acronym  BE, IANB 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DR NIRBHAY VASHISTHA 
Designation  Postgraduate Student 
Affiliation  RUHS college of dental sciences, Shastri nagar, Jaipur, Rajasthan, 302016 
Address  Room no. 7, Department of Pediatric and Preventive Dentistry, RUHS college of dental sciences, Shastri nagar, Jaipur

Jaipur
RAJASTHAN
302016
India 
Phone  9829599687  
Fax    
Email  nibhaylive234@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ambika Singh Rathore 
Designation  Professor and Head of Department 
Affiliation  RUHS College Of Dental Sciences 
Address  Room no. 7, Department of Pediatric and Preventive Dentistry, RUHS College Of Dental Sciences, Shastri nagar

Jaipur
RAJASTHAN
302016
India 
Phone  8107132663  
Fax    
Email  dr.ambika.rathore@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Ambika Singh Rathore 
Designation  Professor and Head of Department 
Affiliation  RUHS College Of Dental Sciences 
Address  Room no. 7, Department of Pediatric and Preventive Dentistry, RUHS College Of Dental Sciences, Shastri nagar

Jaipur
RAJASTHAN
302016
India 
Phone  8107132663  
Fax    
Email  dr.ambika.rathore@gmail.com  
 
Source of Monetary or Material Support  
Room No. 7, Department of Pediatric and Preventive Dentistry, RUHS College Of Dental Sciences, Shastri Nagar, Jaipur, 302016 
 
Primary Sponsor  
Name  Dr Nirbhay Vashistha 
Address  Room No. 7, Department of Pediatric and Preventive Dentistry, RUHS College Of Dental Sciences, Shastri Nagar, Jaipur, 302016 
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 Nirbhay Vashistha  RUHS College Of Dental Sciences  Room No. 7 Department of Pediatric and Preventive Dentistry, RUHS College Of Dental Sciences, Shastri Nagar, 302016
Jaipur
RAJASTHAN 
9829599687

nirbhaylive234@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethics Committee RUHS CDS Jaipur  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  intervention and behaviour management. 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Bubble Blower Breathing Exercise  Breathing Exercise will be advised, and asked to record every practice in a chart prepared by the investigator for (1 week). The child will be asked to breathe during Inferior alveolar nerve block injection exactly like the Breathing Exercise they practiced at home  
Comparator Agent  No use of bubble blower  Conventional Inferior alveolar nerve block will be performed without the use of bubble blower breathing exercise. 
 
Inclusion Criteria  
Age From  6.00 Year(s)
Age To  10.00 Year(s)
Gender  Both 
Details  Frankl’s behavior rating 3-4
Aged 6 to 10 year-old with moderate to severe anxiety (score 3 to 5 of FIS)
Requiring pulp therapy or extraction of primary mandibular molars
 
 
ExclusionCriteria 
Details  Uncooperative behavior of patient
Use of analgesic before treatment
Previous history of dental treatment, systemic illnesses, physical or intellectual disabilities, or anesthetic allergy.
 
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   Not Applicable 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Intensity of pain  At Baseline and 1 week after intervention 
 
Secondary Outcome  
Outcome  TimePoints 
anxiety assessment   Baseline & 1 week after intervention 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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)   16/11/2024 
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="3"
Days="15" 
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   AIM: To evaluate the effect of breathing exercise using BUBBLE BLOWER on anxiety and pain during inferior alveolar nerve block (IANB) in children aged 6 to 10 years.

OBJECTIVE:
  • To assess intensity of pain using Wong-Baker FACES Pain rating scale (WBFPS) and Faces, Legs, Activity, Cry and Consolability scale (FLACC)
  • To assess anxiety using Facial Imaging Scale (FIS).
The healthy children’s aged between 6-10 years, who reported in the Department of Pediatric and Preventive Dentistry of RUHS College Of Dental Sciences, Jaipur that met the defined inclusion criteria were recruited to participate in this clinical study.

About 40 children are randomized into two groups. The first group received the instruction of BE as well as a commercial bubble blower at first visit. Patients and their parents are asked to practice with the bubble blower 4–5 times daily for 7 days and record every practice in a chart prepared in advance by the investigator. The second group did not receive BE instruction nor were they given bubble blower at the first visit. After 7 days, during second visit L.A. will be introduced in both the groups.

Pre-treatment baseline anxiety will be recorded using the FIS for all the children and pulse rate will be measured at first visit. Procedural pain will be assessed using Faces, Legs, Activity, Cry and Consolability scale (FLACC) and WBFPS. Finally, anxiety will be again recorded after procedure & the data were evaluated using statistical analysis
 
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