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CTRI Number  CTRI/2025/03/082634 [Registered on: 18/03/2025] Trial Registered Prospectively
Last Modified On: 17/03/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry
Behavioral 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effect of medical clown on down syndrome during dental procedures 
Scientific Title of Study   Effects of Clown therapy in children with Down Syndrome: A Randomized controlled 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  Dr Sonal Mali 
Designation  Post graduate student 
Affiliation  D.Y. Patil University School of Dentistry 
Address  Department of Pediatric and Preventive Dentistry, Basement, D.Y.Patil University School of Dentistry, sector 7, Nerul Navimumbai

Thane
MAHARASHTRA
400706
India 
Phone  09969950552  
Fax    
Email  dr.sonalmali97@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Shilpa S Naik 
Designation  Head of Department of Pediatric and Preventive Dentistry 
Affiliation  D.Y. Patil University School of Dentistry 
Address  Department of Pediatric and Preventive Dentistry, Basement, D.Y.Patil University School of Dentistry, sector 7, Nerul Navimumbai

Thane
MAHARASHTRA
400706
India 
Phone  09769600440  
Fax    
Email  shilpa.naik@dypatil.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Shilpa S Naik 
Designation  Head of Department of Pediatric and Preventive Dentistry 
Affiliation  D.Y. Patil University School of Dentistry 
Address  Department of Pediatric and Preventive Dentistry, Basement, D.Y.Patil University School of Dentistry, sector 7, Nerul Navimumbai

Thane
MAHARASHTRA
400706
India 
Phone  09769600440  
Fax    
Email  shilpa.naik@dypatil.edu  
 
Source of Monetary or Material Support  
D Y Patil University school of dentistry, Nerul, Navimumbai - 400706, Maharashtra, India 
 
Primary Sponsor  
Name  D Y Patil University school of dentistry Navimumbai 
Address  sector 7, nerul, Navimumbai, 400706 
Type of Sponsor  Private medical college 
 
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 Shilpa S Naik  D.Y. Patil University School of Dentistry  Postgraduate clinic, Department of Pediatric and preventive Dentistry, Basement, D.Y.Patil university school of dentistry, Sector 7, Nerul, Navimumbai-400706
Thane
MAHARASHTRA 
09769600440

shilpa.naik@dypatil.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Research and Ethical Board  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K036||Deposits [accretions] on teeth,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  control   absence of a medical clown during treatment on dental anxiety of pediatric dental patients with Down Syndrome 
Intervention  medical clown  presence of a medical clown during treatment on dental anxiety of pediatric dental patients with Down Syndrome. clown therapy was carried out throughout treatment of 20 minutes, as and when child wanted to interact with the medical clown during treatment 
 
Inclusion Criteria  
Age From  5.00 Year(s)
Age To  12.00 Year(s)
Gender  Both 
Details  Children of age 5 to 12 years diagnosed with Down Syndrome requiring oral prophylaxis, fluoride varnish application and minor restorations, parents/guardians willing to give consent for the study. 
 
ExclusionCriteria 
Details  History of seizures, convulsion disorders, vertigo, visual or hearing impairments.
Severe or profound intellectual disability
Pain or swelling in the oral cavity
Patients requiring emergency treatment.
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
reduction in dental anxiety assessed using objective assessment of anxiety(pulse rate)  during treatment and post treatment 
 
Secondary Outcome  
Outcome  TimePoints 
subjective assessment of dental anxiety  pre and post treatment 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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)   28/03/2025 
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="1"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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: The aim of the study is to assess the effects of presence of a medical clown on the dental anxiety of children with Down’s Syndrome during dental treatment.
Methodology: Children fulfilling the inclusion criteria will be randomly allocated to one of the two groups and prior to the start of the study, a written consent will be obtained from the parents or guardians after explaining them about the study procedure. For both the groups pulse rate will be recorded at baseline, during treatment, after treatment. Use  of Venham’s anxiety scale by a separate operator before and after treatment will be recorded. Group A (control group) treatment will be delivered without the presence of a medical clown. Group B (intervention group)  treatment will be delivered with the presence of a medical clown; with frequent interaction of the child with the medical clown during the treatment.
 
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