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CTRI Number  CTRI/2026/03/106440 [Registered on: 17/03/2026] Trial Registered Prospectively
Last Modified On: 17/03/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Other (Specify) [NIL]  
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A Study Comparing Needle and Needle-Free Methods for Giving Palatal Anesthesia in Children Aged 4–9 Years. 
Scientific Title of Study   COMPARATIVE ASSESSMENT OF PAIN PERCEPTION, ANXIETY, COMFORT AND EFFECTIVENESS BETWEEN NEEDLE AND NEEDLE LESS DEVICES DURING THE ADMINISTRATION OF PALATAL BLOCK FOR DIFFERENT DENTAL PROCEDURES IN CHILDREN AGED 4-9 YEARS. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Shibani Tudu 
Designation  Pg Trainee 
Affiliation  SCB dental college and hospital,Cuttack 
Address  Department of Pediatric and Preventive Dentistry,SCB dental college and Hospital,Cuttack

Cuttack
ORISSA
753007
India 
Phone  8114969367  
Fax    
Email  shibangitudu@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ratna Renu Baliarsingh 
Designation  Professor and HOD 
Affiliation  SCB dental college and hospital,Cuttack 
Address  Department of Pediatric and Preventive Dentistry,SCB dental college and Hospital,Cuttack

Cuttack
ORISSA
753007
India 
Phone  9437143994  
Fax    
Email  drrrbaliarsingh@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Shibani Tudu 
Designation  Pg Trainee 
Affiliation  SCB dental college and hospital,Cuttack 
Address  Department of Pediatric and Preventive Dentistry,SCB dental college and Hospital,Cuttack

Cuttack
ORISSA
753007
India 
Phone  8114969369  
Fax    
Email  shibangitudu@gmail.com  
 
Source of Monetary or Material Support  
SCB Dental College and Hospital,Cuttack, Odisha 753007 
 
Primary Sponsor  
Name  Shibani Tudu 
Address  Department of Pediatric and Preventive Dentistry, SCB Dental College and Hospital, Cuttack  
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 
Shibani Tudu  SCB Dental College and Hospital , Cuttack, Odisha  PG Department of Pediatric and Preventive Dentistry
Cuttack
ORISSA 
08114969369

shibangitudu@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE,SCB DENTAL COLLEGE AND HOSPITAL,CUTTACK  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: A499||Bacterial infection, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  INJEX 30   The palatal block was administered using the INJEX 30 where 0.05–0.3 mL of 2% lidocaine with 1:80,000 epinephrine was delivered. 
Comparator Agent  SlowJec CCLAD device  A Lignospan cartridge was loaded into the SlowJec CCLAD device, and a conventional palatal nerve block was administered. After negative aspiration, 0.3–0.5 ml of 2% lidocaine with 1:80,000 epinephrine was deposited palatally. 
 
Inclusion Criteria  
Age From  4.00 Year(s)
Age To  9.00 Year(s)
Gender  Both 
Details  Children requiring palatal infiltration during dental procedures,Children belonging to the age group of 4-9 years,Children displaying Frankl behaviour ratings 3 and 4,Children who had never been administered a palatal infiltration.
 
 
ExclusionCriteria 
Details  a.Children with learning and audio-visual impairment.
b.Children with any underlying systemic diseases.
c.Children with a pacemaker.
d.Children who are allergic to local anesthetic agents.
e. Children whose parents are not willing to participate in the study
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Other 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
1.Pain perception via the WONG-BAKER Faces Pain Rating Scale
2.Evaluation of anxiety using the Modified Child Dental Anxiety Scale  
Before and After LA administration 
 
Secondary Outcome  
Outcome  TimePoints 
1.Heart rate
2.Behavioural response using SEM Scale 
1.Before and after LA Administration
2.During LA Administration 
 
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)   29/03/2026 
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 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  

This parallel-group randomized controlled clinical trial will be conducted at SCB Dental College and Hospital, Cuttack, to compare and evaluate pain perception, anxiety level, comfort, and anesthetic effectiveness between needle-based (SlowJec CCLAD) and needle-free (INJEX 30) devices during the administration of palatal block for various dental procedures in children aged 4–9 years. Eligible children exhibiting Frankl behaviour ratings of 3 and 4 and with no prior history of palatal block  will be randomly allocated into two groups. Pain perception will be assessed subjectively using the Wong–Baker Faces Pain Rating Scale, while anxiety will be evaluated using the Modified Child Dental Anxiety Scale (MCDAS). Objective parameters will include heart rate monitoring and behavioral responses assessed using the Sound-Eye-Motor (SEM) scale. 

 
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