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CTRI Number  CTRI/2024/07/069940 [Registered on: 04/07/2024] Trial Registered Prospectively
Last Modified On: 22/05/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Crossover Trial 
Public Title of Study   Comparative Evaluation Of Two Intranasal sleep inducing/calming Agents Among Children Undergoing Invasive Dental Procedures 
Scientific Title of Study   Comparative Evaluation Of Two Intranasal Sedative Agents Among Children Undergoing Invasive Dental Procedures: A Crossover Split Mouth 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  KASHYAP B 
Designation  Student 
Affiliation  Student, Department of Pedodontics 
Address  Department of Pedodontics, Room No.4 AME Dental College Raichur Bijangera road 584103

Raichur
KARNATAKA
584103
India 
Phone  9481682945  
Fax    
Email  kashyapkannanth@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR RAGHAVENDRA HAVALE 
Designation  HEAD OF THE DEPARTMENT 
Affiliation  Department of Pedodontics 
Address  Department of Pedodontics Room No.4 AME dental college Bijangera road Raichur

Raichur
KARNATAKA
584103
India 
Phone  9448407300  
Fax    
Email  raghavendrahavale@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DR PRAVEEN KUMAR N H 
Designation  Reader 
Affiliation  Department of Pedodontics 
Address  Department of Pedodontics Room No.4 AME dental college Bijangera road Raichur

Raichur
KARNATAKA
584103
India 
Phone  9538623728  
Fax    
Email  drpraveennh@gmail.com  
 
Source of Monetary or Material Support  
AMES dental college Bijangera road Raichur Karnataka , India -584103 
 
Primary Sponsor  
Name  Kashyap B 
Address  AMES dental college Bijangera road Raichur Karnataka , India -584103 
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 Kashyap B  AME Dental College Raichur  room no 4 department of pedodontics AMEs Dental college and Hospital bijingera road Raichur Raichur KARNATAKA
Raichur
KARNATAKA 
9481682945

kashyapkannanth@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethics committee for AME denatl college   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  00170 code for anesthesia for dental procedures 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Intranasal Dexmedetomidine  1 minute after Internasal application with atomization device which is monitored for 3 days 
Comparator Agent  Intranasal midazolam  1 minute after application with atomization device which is monitored for 3 days 
 
Inclusion Criteria  
Age From  4.00 Year(s)
Age To  10.00 Year(s)
Gender  Both 
Details  Anxious paediatric patients aged 4–10 years with negative and definitely negative behavioural rating.
Belonging to American society of Anaesthesiologists (ASA) physical status I.
Whose treatment requires bilateral pulp therapy (pulpotomy/pulpectomy) in lower two quadrants under inferior alveolar nerve block. Whose treatment requires bilateral extraction in lower two quadrants under inferior alveolar nerve block
Children with no enlarged tonsils, no problem with neck movements and no oversized tongue.
Children with optimal SpO2 saturation.
Treatment modality only for first or second primary molars on both the sides
 
 
ExclusionCriteria 
Details  Children with cognitive impairment
Breathing difficulties,
History of systemic illness,
Hypersensitivity to midazolam/
Children with congenital heart disease.
Children on central nervous system (CNS) depressant drugs
 
 
Method of Generating Random Sequence   Stratified block randomization 
Method of Concealment   Other 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare the effect of intranasal dexmedetomidine and intranasal midazolam paediatric dental patients undergoing pulp therapies and extraction  preoperative, 5 minutes after application and postoperative 
 
Secondary Outcome  
Outcome  TimePoints 
To evaluate & compare the rate of acceptance & side effects of intranasal sedative agents.  Preoperative 5 minutes after application & postoperative 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
Final Enrollment numbers achieved (Total)= "40"
Final Enrollment numbers achieved (India)="40" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   15/07/2024 
Date of Study Completion (India) 04/01/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) 04/01/2025 
Estimated Duration of Trial   Years="0"
Months="8"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
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  

Aim:

The Aim of the study is to compare and evaluate the effect of intranasal dexmedetomidine and intranasal midazolam as a conscious sedation among children with the 4-10 years

Methodology

Patients that come under inclusion criteria are allotted to the groups. Then samples are subjected to stratified block randomisation based on the order of the study.The study sample, examiner and analyser are blinded. The drug will be administered with the help of atomisation device. The drug acceptance and side effects will be recorded according to scale given by Rakaf et. al 2001. The rate of sedation and behaviour will be analysed using Houpt behaviour scale at preoperative, intraoperative and postoperative period. The mean data will be recorded and data will be subjected to statistical analysis.

 
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