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CTRI Number  CTRI/2025/03/083417 [Registered on: 25/03/2025] Trial Registered Prospectively
Last Modified On: 19/03/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Alternative injection technique for endodontic therapy in children 
Scientific Title of Study   Comparative Evaluation of 4% articaine interdental injection and 2% lignocaine conventional inferior alveolar nerve block for inducing pulpal anaesthesia in lower mandibular molars - a split mouth randomised single blinded 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  Ayushma Chakravorty 
Designation  Post Graduate Student 
Affiliation  Saveetha Dental College  
Address  Department of Pediatric and Preventive Dentistry, Clinic 28, Saveetha Dental College, 162, Poonamallee High Rd, Velappanchavadi, Chennai, Tamil Nadu 600077, India

Thiruvallur
TAMIL NADU
600077
India 
Phone  8105571998  
Fax    
Email  152211001.sdc@saveetha.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sunny Priyatham Tirupathi 
Designation  Reader  
Affiliation  Saveetha Dental College 
Address  Department of Pediatric and Preventive Dentistry, Clinic 28, Saveetha Dental College, 162, Poonamallee High Rd, Velappanchavadi, Chennai, Tamil Nadu 600077, India

Thiruvallur
TAMIL NADU
600077
India 
Phone  9490549454  
Fax    
Email  dr.priyatham@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sunny Priyatham Tirupathi 
Designation  Reader  
Affiliation  Saveetha Dental College 
Address  Department of Pediatric and Preventive Dentistry, Clinic 28, Saveetha Dental College, 162, Poonamallee High Rd, Velappanchavadi, Chennai, Tamil Nadu 600077, India


TAMIL NADU
600077
India 
Phone  9490549454  
Fax    
Email  dr.priyatham@gmail.com  
 
Source of Monetary or Material Support  
Self sponsored Department of Pediatric and Preventive Dentistry, Clinic 28, Saveetha Dental College, 162, Poonamallee High Rd, Velappanchavadi, Chennai, Tamil Nadu 600077, India 
 
Primary Sponsor  
Name  Self sponsored  
Address  Conducted in Department of Pediatric and Preventive Dentistry, Clinic 28, Saveetha Dental College, 162, Poonamallee High Rd, Velappanchavadi, Chennai, Tamil Nadu 600077, India 
Type of Sponsor  Research institution and hospital 
 
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 Sunny Priyatham Tirupathi  Saveetha Dental College and Hospitals   Department of Pediatric and Preventive Dentistry, Clinic 28, Saveetha Dental College, 162, Poonamallee High Rd, Velappanchavadi, Chennai, Tamil Nadu 600077, India
Chennai
TAMIL NADU 
9490549454

dr.priyatham@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Saveetha Dental College - Institutional Human Ethical Committee (SDC-IHEC)   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Endodontic management of decayed mandibular molars in children  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  2% lignocaine   2% lignocaine delivered through a conventional inferior alveolar nerve block (IANB) for inducing pulpal anesthesia in primary mandibular molars 
Intervention  Interdental injection using 4% articaine   An interdental injection with 4% articaine using a fine gauze needle to administer it between the teeth ( in the interdental region ) to provide targeted pain relief. Articaine, a widely used amide-type local anesthetic, is preferred for its rapid onset and strong anesthetic effect. 
 
Inclusion Criteria  
Age From  6.00 Year(s)
Age To  12.00 Year(s)
Gender  Both 
Details  Healthy children who require pulpectomy in mandibular primary molars. 
 
ExclusionCriteria 
Details  Children with systemic disorders, presence of lesions on radiographs, any maxillofacial pain, such as temporomandibular disorder, and known or suspected allergies to lignocaine and articaine, root canal therapy, maxillary pulpectomy, pulpotomy, teeth indicated for extraction and children with special health care needs, and parents who did not given consent are all considered to be excluded.  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Alternation 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Pulpal response after 3 mins , 5 mins using VAS scale and electric pulp tester
 
3 mins and 5 mins
 
 
Secondary Outcome  
Outcome  TimePoints 
operator evaluated flacc scale , heart rate physiologic parameter
 
3mins, 5mins  
 
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   Phase 3/ Phase 4 
Date of First Enrollment (India)   01/01/2026 
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="2"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
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   This study will compare the efficacy of 4% articaine administered via interdental injection with 2% lignocaine delivered through a conventional inferior alveolar nerve block (IANB) for inducing pulpal anesthesia in primary mandibular molars. Using a split-mouth, randomized, single-blinded design, participants received both interventions on different sides of the mandible, allowing direct intra-subject comparison. 
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