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CTRI Number  CTRI/2025/06/088426 [Registered on: 09/06/2025] Trial Registered Prospectively
Last Modified On: 06/06/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   checking whether a drug called midazolam or the use of entertaining audio video would effectively reduce the childs stress before and after undergoing treatment in full anesthesia  
Scientific Title of Study   Comparison of Midazolam Premedication , Audiovisual Distraction and combination in Reducing Pre- and Post-Operative Anxiety in Children Aged 3–6 Years Undergoing Full Mouth Dental Rehabilitation Under General Anesthesia. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Ashish Suresh 
Designation  Post Graduate Student 
Affiliation  Saveetha Dental College and Hospitals 
Address  Clinic 28, Department of Pediatric and Preventive Dentistry, Saveetha Dental college, No 162, poonamalle high road, velappanchavadi, Chennai 600077, Tamil Nadu, India

Thiruvallur
TAMIL NADU
600077
India 
Phone  9884927585  
Fax    
Email  ashishamudha011@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Deepa Gurunathan 
Designation  Professor 
Affiliation  Saveetha Dental College and Hospitals 
Address  Clinic 28, Department of Pediatric and Preventive Dentistry, Saveetha Dental college, No 162, poonamalle high road, velappanchavadi, Chennai 600077, Tamil Nadu, India

Thiruvallur
TAMIL NADU
600077
India 
Phone  9994619386  
Fax    
Email  deepag@saveetha.com   
 
Details of Contact Person
Public Query
 
Name  Deepa Gurunathan 
Designation  Professor 
Affiliation  Saveetha Dental College and Hospitals 
Address  Clinic 28, Department of Pediatric and Preventive Dentistry, Saveetha Dental college, No 162, poonamalle high road, velappanchavadi, Chennai 600077, Tamil Nadu, India

Thiruvallur
TAMIL NADU
600077
India 
Phone  9994619386  
Fax    
Email  deepag@saveetha.com   
 
Source of Monetary or Material Support  
Saveetha Dental college, No 162, poonamalle high road, velappanchavadi, Chennai 600077, Tamil Nadu, India  
 
Primary Sponsor  
Name  Ashish Suresh  
Address  Clinic 28, Department of Pediatric and Preventive Dentistry, Saveetha Dental college, No 162, poonamalle high road, velappanchavadi, Chennai 600077, Tamil Nadu, India  
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 
Dr Ashish Suresh   Saveetha Dental College and Hospitals   Clinic 28, Department of Pediatric and Preventive Dentistry, Saveetha Dental college, No 162, poonamalle high road, velappanchavadi, Chennai 600077, Tamil Nadu, India
Thiruvallur
TAMIL NADU 
9884927585

ashishamudha011@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) Registered under Government of India  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K049||Other and unspecified diseases ofpulp and periapical tissues,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Audio video distraction   Animated videos of the childs favourite show to distract the child  
Intervention  Midazolam Premedication  0.5mg per Kg in oral route, 30 minutes before the procedure 
 
Inclusion Criteria  
Age From  2.00 Year(s)
Age To  6.00 Year(s)
Gender  Both 
Details  1.Children who are between 2 to 6 years old
2.Healthy children (ASA II)
3.Body weight within the Inter Quartile Range (IQR) for this age group as defined by the Centers for Disease Control and Prevention
4.No history of adverse reaction to anesthetic drugs or other medication
5.Children with no Physical or Cognitive disablities
6.Patient reporting to the dental operatory for the first time to minimize behavioural bias
7.Children requiring pulp therapy procedures  
 
ExclusionCriteria 
Details  1.Allergy to lidocaine anesthetic drugs or midazolam
2.Local anesthetic or other drug administered within the week before the session in which they participated
3.Highly symptomatic teeth
4.Localised Lesion at the site of injection
5.Children with prior dental experience
6.Patients with developmental or linguistic disorders who cannot communicate properly
7.Children with medications which affect behaviour
8.Medically and systematically compromised patients
9.Patients with cognitive impairments or special needs  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
stress levels measured using pulse rate, blood pressure and FLACC scores   Baseline and immediately post full mouth rehabilitation under general anesthesia  
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
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)   17/06/2025 
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   This randomized controlled trial aims to evaluate and compare the effectiveness of oral midazolam premedication and audiovisual distraction (AVD) in reducing anxiety levels in children aged 2 to 6 years undergoing full mouth dental rehabilitation under general anesthesia. Children will be randomly assigned to two groups: one receiving oral midazolam premedication and the other receiving audiovisual distraction using animated videos before induction of anesthesia. Anxiety levels will be assessed preoperatively and postoperatively using validated behavioral and physiological measures. The study seeks to determine the more effective method for managing perioperative anxiety in pediatric dental patients to enhance overall patient experience and outcomes. 
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