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CTRI Number  CTRI/2024/12/077839 [Registered on: 09/12/2024] Trial Registered Prospectively
Last Modified On: 07/12/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia
Dentistry 
Study Design  Randomized, Crossover Trial 
Public Title of Study   Comparison of Buffered and Non-Buffered Lidocaine for Tooth Extractions 
Scientific Title of Study   COMPARISON OF BUFFERED AND NON-BUFFERED LIDOCAINE FOR THERAPEUTIC EXTRACTIONS: A SPLIT-MOUTH, DOUBLE-BLINDED, RANDOMIZED TRIAL 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Sameer Pandey 
Designation  Associate Professor 
Affiliation  Subharti Dental College 
Address  Department of Oral and Maxillofacial Surgery Subharti Dental College, Swami Vivekanand Subharti University, Subharti Puram, NH-58, Delhi-Haridwar ByPass Road, Meerut.

Meerut
UTTAR PRADESH
250005
India 
Phone  917999597901  
Fax    
Email  sameerpandey14@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sameer Pandey 
Designation  Associate Professor 
Affiliation  Subharti Dental College 
Address  Department of Oral and Maxillofacial Surgery Subharti Dental College, Swami Vivekanand Subharti University, Subharti Puram, NH-58, Delhi-Haridwar ByPass Road, Meerut.

Meerut
UTTAR PRADESH
250005
India 
Phone  917999597901  
Fax    
Email  sameerpandey14@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Vipul Jain 
Designation  Post Graduate 
Affiliation  Subharti Dental College 
Address  Department of Oral and Maxillofacial Surgery Subharti Dental College, Swami Vivekanand Subharti University, Subharti Puram, NH-58, Delhi-Haridwar ByPass Road, Meerut.

Meerut
UTTAR PRADESH
250005
India 
Phone  918360180965  
Fax    
Email  jain.vipulmj@gmail.com  
 
Source of Monetary or Material Support  
Associate Professor Department of Oral and Maxillofacial Surgery Subharti Dental College, Swami Vivekanand Subharti University, Subharti Puram, NH-58, Delhi-Haridwar ByPass Road, Meerut. 
 
Primary Sponsor  
Name  Dr Sameer Pandey 
Address  Associate Professor Department of Oral and Maxillofacial Surgery Subharti Dental College, Swami Vivekanand Subharti University, Subharti Puram, NH-58, Delhi-Haridwar ByPass Road, Meerut. 
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 Sameer Pandey  Subharti Dental College and Hospital  Department of Oral and Maxillofacial Surgery, Room no. 5 Meerut UTTAR PRADESH
Meerut
UTTAR PRADESH 
7999597901

sameerpandey14@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
University Ethics Committee (Medical)Swami Vivekanand Subharti University  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K088||Other specified disorders of teethand supporting structures,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Local infiltration in patients requiring extractions for therapeutic purposes  After screening the patients for inclusion criteria, randomization will be used to assign the type lignocaine (buffered or plain)which is to be infiltrated in right and left side of single mouth. The patients and operator will be kept blinded in this whole study. 
Comparator Agent  On one side of mouth buffered lidocaine (1ml 7.5% NaHCO3 + 9ml 2% Lidocaine) with 1:80000 adrenaline will be given and on the other side non-buffered lidocaine(1ml sterile water for injection + 9ml 2% Lidocaine) with 1:80000 adrenaline will be given.  After giving local infiltration, both sides of single mouth will be evaluated for the parameters of study. 
 
Inclusion Criteria  
Age From  15.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  Patients who want therapeutic extractions for orthodontic purpose 
 
ExclusionCriteria 
Details  Patients requiring extractions other than therapeutic purpose 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
1.Pain on injection
2.Onset of action
 
1.Pain on injection is seen immediately at time of deposition of lignocaine.
2.Onset of action is seen in seconds immediately after injecting lignocaine.
 
 
Secondary Outcome  
Outcome  TimePoints 
1. Quantity of local anesthetic required in ml
2. Subjective pain score at the time of extraction using VAS 
At baseline 
 
Target Sample Size   Total Sample Size="34"
Sample Size from India="34" 
Final Enrollment numbers achieved (Total)= "34"
Final Enrollment numbers achieved (India)="34" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   18/12/2024 
Date of Study Completion (India) 24/09/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="8"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
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   It is a split mouth double blinded randomized controlled trial, to compare the clinical effectiveness of buffered versus non-buffered lidocaine in therapeutic extractions by assessing the onset of anesthesia, pain perception during injection and amount of anesthetic solution injectedA total sample size of 34 patients (both male and female) will be enrolled in this study. Pain on injection will be evaluated at the time of injection subjectively by Visual Analog Scale, onset of anesthesia will be evaluated in seconds after injection subjectively and objectively by probing. 
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