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CTRI Number  CTRI/2025/08/092560 [Registered on: 06/08/2025] Trial Registered Prospectively
Last Modified On: 06/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparison of Buzzy Bee and Vibradent Devices to Reduce Pain and Anxiety in Children During Dental Injections for Tooth Removal 
Scientific Title of Study   Comparative evaluation of acceptability feasibility and satisfaction of buzzy bee and vibradent in relieving pain and anxiety during local anaesthesia administration during dental extraction A randomised 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 shajaratul yakeen nabi 
Designation  Post graduate resident 
Affiliation  Government dental college and hospital srinagar 
Address  2nd floor department of pediatric and preventive dentistry govt dental college and hospital shireen bagh srinagar

Srinagar
JAMMU & KASHMIR
190010
India 
Phone  9469055328  
Fax    
Email  shajaratulyakeen9@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Nazia lone 
Designation  Professor and Head 
Affiliation  Government dental college and hospital srinagar 
Address  2nd floor department of pediatric and preventive dentistry govt dental college and hospital shireen bagh srinagar

Srinagar
JAMMU & KASHMIR
190010
India 
Phone  9419060028  
Fax    
Email  lonenazia1@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Shajaratul yakeen nabi 
Designation  Post graduate resident 
Affiliation  Government dental college and hospital srinagar 
Address  2nd floor department of pediatric and preventive dentistry govt dental college and hospital shireen bagh srinagar

Srinagar
JAMMU & KASHMIR
190010
India 
Phone  9469055328  
Fax    
Email  shajaratulyakeen9@gmail.com  
 
Source of Monetary or Material Support  
Department of pediatric and preventive dentistry, Government dental college and hospital srinagar, Jammu and Kashmir Inida 190010 
 
Primary Sponsor  
Name  Government dental college and hospital srinagar 
Address  SHIREEN BAGH SRINAGAR JAMMU AND KASHMIR 190010 
Type of Sponsor  Other [Govt dental 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 Shajaratul yakeen nabi  Government dental college and hospital   2nd floor department of pediatric and preventive dentistry govt dental college and hospital shireen bagh srinagar
Srinagar
JAMMU & KASHMIR 
09469055328

shajaratulyakeen9@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICAL COMMIITTEE GDC&H SRINAGAR  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K029||Dental caries, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  BUZZY BEE  It is vibrotactile and cryotherapy based device for reducing the pain perception during local anesthesia administration. The intervention duration was approximately 2 to 3 minutes, with the device applied one minute prior to needle insertion and maintained throughout the administration of local anaesthesia. 
Comparator Agent  vibradent  it is a vibrotactile device used to reduce pain perception during local anesthesia administration 
 
Inclusion Criteria  
Age From  7.00 Year(s)
Age To  10.00 Year(s)
Gender  Both 
Details  1) Cooperative patients with positive behaviour according to Frankel behaviour rating scale (FBRS).
2) Should be first visit of the patient to the dental clinic.
3) 7 to 10-year-old children.
4) Patient who needs local anaesthesia, either maxillary infiltration or mandibular nerve block for extraction.
5) Free from any psychological and neurological disorder (Autism, Attention deficit hyperactivity disorder).
 
 
ExclusionCriteria 
Details  1) Patients with congenital diseases.
2) Patients with respiratory diseases.
3) Medically compromised patients.
4) Children with significantly altered emotional state.
5) Children unable to quantify pain.
6) No history of drug allergy.
 
 
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 
1)Compare vibradent and buzzy bee on reducing pain during LA administration in paediatric dental patients using WBFPS FLACC SEM scales at baseline(T0) at needle insertion(Tn) and three minutes after LA(Te)
2)Compare anxiety levels using FIS Heart rate and salivary cortisol
3) Compare their efficacy between local infiltration and nerve block 
10 minutes Before anaesthesia administration
During anaesthesia administration
10 minutes after anaesthesia administration 
 
Secondary Outcome  
Outcome  TimePoints 
1) To evaluate parent & patient acceptance & satisfaction using questionnaire.
2) To assess feasibility of the procedure by calculating time required to complete the procedure.
 
10 mins 
 
Target Sample Size   Total Sample Size="126"
Sample Size from India="126" 
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 
Date of First Enrollment (India)   20/08/2025 
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 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  

The purpose of this randomized controlled trial is to compare the acceptability, feasibility, and satisfaction levels associated with the use of two pain and anxiety management devices—Buzzy® and Vibradent—during local anesthesia administration for dental extractions in children. Given the high prevalence of dental fear and anxiety among pediatric patients and the impact it has on treatment outcomes, this study aims to evaluate how these devices can improve the overall dental experience for both children and their caregivers. It is hypothesized that both Buzzy® and Vibradent will be effective in reducing pain and anxiety during local anesthesia administration, but Buzzy® may provide superior results due to its multimodal action (vibration + cryotherapy) compared to vibration-only intervention with Vibradent. Additionally, the study expects higher acceptability and satisfaction from both children and parents with the use of these devices, particularly Buzzy®

The primary outcome of the study are:

1)To quantify the effect of vibradent and buzzy bee on reducing pain during local anaesthesia administration in paediatric dental patients using self-report by patient using Wong baker faces pain scale (WBFPS) and observer reported pain assessment using Face Legs Activity Cry Consolability scale(FLACC) and Sound Eye Motor scale(SEM) scales at baseline(T0) at needle insertion(Tn) and three minutes after completion of local anaesthesia administration(Te)

2)To assess and compare anxiety levels at all lines of study using subjective (self-reported anxiety using FIS) and objective parameters using heart rate at T0 Tn and Te. Salivary cortisol levels are checked at T0 and T10 (Ten minutes after needle insertion).

3)To evaluate and compare the efficacy of vibrotactile and vibrotactile with cryotherapy in local infiltration and nerve blocks.


 
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