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CTRI Number  CTRI/2026/01/101407 [Registered on: 16/01/2026] Trial Registered Prospectively
Last Modified On: 16/01/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia
Dentistry 
Study Design  Other 
Public Title of Study   Comparison of Lignocaine with & without Magnesium Sulphate for Infraorbital Nerve Block in Upper premolar extraction 
Scientific Title of Study   Comparative evaluation of effectiveness of 2 percent lignocaine HCl, 2 percent lignocaine HCl with 0.2 ml 10 percent magnesium sulfate and 2 percent lignocaine HCl with 1:200,000 adrenaline 0.2 ml 10 percent magnesium sulfate in infraorbital nerve block- a randomized 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 Sandeep khandaitkar 
Designation  Asst Professor 
Affiliation  Ranjeet Deshmukh Dental College & Research Centre Nagpur 
Address  02, Department of Oral & Maxillofacial Surgery, Ranjeet Deshmukh Dental College & Research Centre , Digdoh Hills, Hingna Road , Nagpur

Nagpur
MAHARASHTRA
440019
India 
Phone  9766992263  
Fax    
Email  iprsandeepkhandaitkar@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ramakrishna Shenoi 
Designation  Head of the Department  
Affiliation  Ranjeet Deshmukh Dental College and Research Centre Nagpur 
Address  02 Department of Oral and Maxillofacial Surgery Ranjeet Deshmukh Dental College and Research Centre Digdoh hills Hingna Nagpur

Nagpur
MAHARASHTRA
440019
India 
Phone  9822220505  
Fax    
Email  ramakrishna.shenoi@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Ramakrishna Shenoi 
Designation  Head of the Department  
Affiliation  Ranjeet Deshmukh Dental College and Research Centre Nagpur 
Address  02 Department of Oral and Maxillofacial Surgery Ranjeet Deshmukh Dental College and Research Centre Digdoh hills Hingna Nagpur

Nagpur
MAHARASHTRA
440019
India 
Phone  9822220505  
Fax    
Email  ramakrishna.shenoi@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Ranjeet Deshmukh Dental College & Research Centre Nagpur  
Address  02, Department of Oral & Maxilllofacial Surgery, Ranjeet Deshmukh Dental College & Research Centre Digdoh Hills, Hingna Road Nagpur  
Type of Sponsor  Research institution and hospital 
 
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 Ramakrishna Shenoi  Ranjeet Deshmukh Dental College and Research Centre Nagpur  02 Department of Oral and Maxillofacial Surgery, Ranjeet Deshmukh Dental College and Research Centre ,Digdoh Hills Hingna Nagpur
Nagpur
MAHARASHTRA 
9822220505

ramakrishna.shenoi@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ranjeet Deshmukh Dental College and Research Centre Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K089||Disorder of teeth and supporting structures, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Lignocaine HCl  2 percent lignocaine HCl during extraction of maxillary premolar 
Intervention  Lignocaine with Adrenaline with Magnesium Sulphate  2 percent lignocaine HCl with adrenaline 1 is to 200000 plus 0 point 2 ml 10 percent magnesium sulfate in Infraorbital Nerve block during extraction of maxillary premolar 
Intervention  Lignocaine with Magnesium Sulphate  2 percent lignocaine HCl with 0 point 2 ml 10 percent magnesium sulfate during extraction of maxillary premolar 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  1 Patients above 18 years of age
2 Patients reporting to the department of Oral and Maxillofacial Surgery for extraction of Maxillary premolar 
 
ExclusionCriteria 
Details  1 Patients allergic to Local Anesthesia
2 Patients not willing to give informed consent 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Other 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Assessment of action of anesthesia, duration of action of anaesthesia and pain during procedure  Onset of action of anesthesia duration of action of anaesthesia and pain during procedure will be assessed on the same day during procedure 
 
Secondary Outcome  
Outcome  TimePoints 
Assessment of pulse rate, systolic & diastolic blood pressure  assessment of pulse rate, systolic & diastolic blood pressure before administration of anaesthesia i.e baseline & during procedure  
 
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 3 
Date of First Enrollment (India)   30/01/2026 
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="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 study is a randomized, double-blind, controlled clinical trial designed to compare the effectiveness of different local anesthetic combinations for infraorbital nerve block (IONB) in patients requiring extraction of maxillary premolars. A total of 90 patients, aged 18–60 years, will be randomly allocated into three groups (n = 30 per group).

  • Group A: 2% lignocaine hydrochloride (plain)

  • Group B: 2% lignocaine hydrochloride + magnesium sulfate

  • Group C: 2% lignocaine hydrochloride with adrenaline + magnesium sulfate

The primary outcomes will include:

  1. Onset of anesthesia

  2. Duration of anesthesia

  3. Pain intensity, assessed using the Visual Analog Scale (VAS) and Verbal Rating Scale (VRS)

  4. Post-operative analgesic requirement at predefined time intervals

The study aims to identify the most effective anesthetic combination for achieving optimal pain control during extraction of maxillary premolars.

 
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