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CTRI Number  CTRI/2025/07/091113 [Registered on: 18/07/2025] Trial Registered Prospectively
Last Modified On: 15/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Effect of virtual reality screened in a child’s mother tongue to reduce pain and anxiety during dental treatment in children 
Scientific Title of Study   Effect of mother tongue based immersive virtual reality distraction on anxiety and pain in pediatric dental patients during pulpectomy: A randomized control trial 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Anupama R 
Designation  Post Graduate Student 
Affiliation  Kannur Dental College 
Address  Department of Pediatric and Preventive Dentistry Room Number 2 Ground Floor Anjarakandy

Kannur
KERALA
670612
India 
Phone  8157012903  
Fax    
Email  dranupamar342@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Faizal CP 
Designation  Professor and HOD 
Affiliation  Kannur Dental College 
Address  Department of Pediatric and Preventive Dentistry Room Number 2 Ground Floor Anjarakandy

Kannur
KERALA
670612
India 
Phone  9746975730  
Fax    
Email  drfaizalcp@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Anupama R 
Designation  Post Graduate Student 
Affiliation  Kannur Dental College 
Address  Department of Pediatric and Preventive Dentistry Room Number 2 Ground Floor Anjarakandy

Kannur
KERALA
670612
India 
Phone  8157012903  
Fax    
Email  dranupamar342@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Department of Pediatric and Preventive Dentistry 
Address  Room Number2 Ground Floor Kannur Dental College Anjarakandy 670611  
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 
Anupama R  Kannur Dental College  Department of Pediatric and Preventive Dentistry Room Number 2 Ground Floor Anjarakandy 670612
Kannur
KERALA 
8157012903

dranupamar342@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee Kannur Dental College  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K040||Pulpitis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  English-language immersive virtual reality distraction  Pediatric patients in this group will be exposed to immersive virtual reality (VR) content in the English language during the pulpectomy procedure. The VR content will be identical in visual experience to the intervention group but delivered in English. The headset will be worn during the entire treatment. Pain and anxiety levels will be recorded using the same scales and physiological parameters for comparison 
Intervention  Mother tongue-based immersive virtual reality distraction   Pediatric patients in this group will be exposed to an immersive virtual reality experience in their native or mother tongue language during the pulpectomy procedure. The VR content will be age-appropriate, non-threatening, and culturally relevant. The headset will be worn throughout the procedure, and anxiety and pain levels will be assessed at multiple intervals using the Facial Anxiety Scale (FAS), Modified Behavioral Pain Scale (MBPS), and physiological parameters (heart rate, respiratory rate, SpO2) 
 
Inclusion Criteria  
Age From  6.00 Year(s)
Age To  8.00 Year(s)
Gender  Both 
Details  6 to 8 year old children with irreversible pulpitis indicated for Pulpectomy in primary lower molars.
Frankles behavioral rating scale 3 and 4.
 
 
ExclusionCriteria 
Details  Hearing and visual impairment.
History of epileptic seizure.
Children consuming anxiolytics.
Claustrophobic Children.
Motion sickness.
Mentally challenged.
Patient who requires any emergency dental 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   Open Label 
Primary Outcome  
Outcome  TimePoints 
Reduction in anxiety and pain levels in pediatric dental patients undergoing pulpectomy using mother tongue-based immersive virtual reality distraction  Before the procedure,
During administration of LA,
At the start of procedure,
10 minutes after start of procedure,
After the procedure
 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="70"
Sample Size from India="70" 
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)   18/08/2025 
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="1"
Months="0"
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 - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report

  3. Who will be able to view these files?
    Response - Anyone

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [dranupamar342@gmail.com].

  6. For how long will this data be available start date provided 26-08-2026 and end date provided 26-08-2027?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary  

This randomized controlled trial aims to evaluate the effectiveness of mother tongue-based immersive virtual reality (VR) distraction in reducing anxiety and pain in pediatric dental patients undergoing pulpectomy. The study compares two groups: one receiving VR content in their native language (mother tongue) and the other receiving the same content in English. Anxiety and pain levels will be assessed using behavioral scales (Facial Anxiety Scale, Modified Behavioral Pain Scale) and physiological parameters (heart rate, respiratory rate, and oxygen saturation).

Primary Purpose:
To Assess the effectiveness of using immersive virtual reality in the child’s mother tongue to reduce anxiety and pain

Study Hypothesis:
The mother tongue-based immersive virtual reality has an effect in reducing anxiety and pain levels, in pediatric dental patients during pulpectomy

 
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