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CTRI Number  CTRI/2025/05/086410 [Registered on: 06/05/2025] Trial Registered Prospectively
Last Modified On: 05/05/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Assessment of Tickle Teddy Technique and Melodic Mouth Magic on Pain and Anxiety in Children Receiving Local Anesthesia 
Scientific Title of Study   Effect of mouth organ therapy and vibration therapy on pain perception and anxiety levels in children receiving local anesthesia - A Randomised controllled 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  PRAGATI PAREEK 
Designation  Postgraduate student 
Affiliation  Saveetha Dental College 
Address  Department of Pediatric and Preventive Dentistry , 5th floor , Saveetha Dental Collge , Poonamallee , chennai , Tamil Nadu

Chennai
TAMIL NADU
600056
India 
Phone  9462779309  
Fax    
Email  152311005.sdc@saveetha.com  
 
Details of Contact Person
Scientific Query
 
Name  Pooja VR 
Designation  SENIOR LECTURER 
Affiliation  SAVEETHA DENTAL COLLEGE 
Address  Department of Pediatric and Preventive Dentistry , 5th floor , Saveetha Dental Collge , Poonamallee , chennai , Tamil Nadu

Chennai
TAMIL NADU
600056
India 
Phone  8940844133  
Fax    
Email  poojvr.sdc@saveetha.com  
 
Details of Contact Person
Public Query
 
Name  Pooja VR 
Designation  SENIOR LECTURER 
Affiliation  SAVEETHA DENTAL COLLEGE 
Address  Department of Pediatric and Preventive Dentistry , 5th floor , Saveetha Dental Collge , Poonamallee , chennai , Tamil Nadu

Chennai
TAMIL NADU
600056
India 
Phone  8940844133  
Fax    
Email  poojvr.sdc@saveetha.com  
 
Source of Monetary or Material Support  
Saveetha Dental College and Hospitals 162 , Poonamallee High Road , Chennai , 600077 India 
 
Primary Sponsor  
Name  Pragati Pareek  
Address  162, Saveetha Dental College , Poonamallee High Road , Chennai 600077 
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 
DRPOOJA VR  Saveetha Dental College  Department of Pediatric and Preventive Dentistry , 5th floor , Saveetha Dental Collge , Poonamallee , chennai , Tamil Nadu
Chennai
TAMIL NADU 
8940844133

poojavr.sdc@saveetha.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Saveetha Dental college -Institutional Human Ethical Comittee  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  Control Group  Routine Local Anesthesia administration without distraction 
Intervention  Melodic Mouth Magic   It is a music distraction with headphone and rhytmic humming during LA. 
Intervention  Tickle Teddy Technique  Vibratory distraction device applied to the site during LA administration 
 
Inclusion Criteria  
Age From  4.00 Year(s)
Age To  10.00 Year(s)
Gender  Both 
Details  ASA I to IV status (Healthy)
Requires local anaesthesia for dental treatment
Frankl behaviour Rating 3 or 4
Parents willing to provide informed consent 
 
ExclusionCriteria 
Details  Systemic illness or behaviour/developmental disorders
allergic to local anesthetic
previous dental injection experience

frankl rating 1 or 2 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Pain perception using Wong Baker FACES Scale   Pain perception using Wong Baker FACES Scale at BASELINE- Pretreatment - Posttreatment 
 
Secondary Outcome  
Outcome  TimePoints 
Anxiety levels (Facial Image Scale and heart rate )  Before, during , and after LA adminstration 
 
Target Sample Size   Total Sample Size="90"
Sample Size from India="90" 
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 1/ Phase 2 
Date of First Enrollment (India)   26/05/2025 
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="6"
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   This randomized controlled clinical trial aims to evaluate the effectiveness of two behavioral distraction techniques—Tickle Teddy Technique (a vibratory device) and Melodic Mouth Magic (music distraction with rhythmic humming)—on pain perception and anxiety levels in children aged 4 to 10 years receiving local anesthesia for dental procedures. A total of 90 healthy children meeting specific inclusion criteria will be randomly assigned to one of three groups: Tickle Teddy, Melodic Mouth Magic, or a control group receiving routine local anesthesia without distraction. Pain will be assessed immediately after anesthesia administration using the Wong-Baker FACES Pain Scale, while anxiety will be measured before, during, and after the procedure using the Facial Image Scale and heart rate monitoring. The study is single-blinded, with the outcome assessor blinded to group allocation, and will be conducted over a period of six months at a single site in India. 
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