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CTRI Number  CTRI/2021/01/030286 [Registered on: 06/01/2021] Trial Registered Prospectively
Last Modified On: 01/02/2022
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Assessment of pain perception in children during LA administration while active, passive and active-passive distraction 
Scientific Title of Study   Comparative Evaluation of Active, Passive and Active- Passive Distraction Methods To Assess Pain Perception in Pediatric Patients Aged 4 to 8 Years During Administration Of Local Anaesthesia - A Randomised Double Blinded Clinical Trial 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Sabreen Gujral 
Designation  PG student 
Affiliation  MRIIRS 
Address  Manav Rachna Dental College,Faculty of Dental Sciences, MRIIRS,Manav Rachna Campus Rd, Gadakhor Basti Village, Sector 43, Faridabad

Faridabad
HARYANA
121004
India 
Phone  9821276216  
Fax    
Email  sabreengujral@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Hind Pal Bhatia 
Designation  Professor 
Affiliation  MRIIRS 
Address  Manav Rachna Dental College,Faculty of Dental Sciences, MRIIRS,Manav Rachna Campus Rd, Gadakhor Basti Village, Sector 43, Faridabad

Faridabad
HARYANA
121004
India 
Phone  9811100192  
Fax    
Email  hindbhatia@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sabreen Gujral 
Designation  PG student 
Affiliation  MRIIRS 
Address  Manav Rachna Dental College,Faculty of Dental Sciences, MRIIRS,Manav Rachna Campus Rd, Gadakhor Basti Village, Sector 43, Faridabad

Faridabad
HARYANA
121004
India 
Phone  9821276216  
Fax    
Email  sabreengujral@gmail.com  
 
Source of Monetary or Material Support  
Manav Rachna Dental College, Faculty of Dental Sciences, MRIIRS 
 
Primary Sponsor  
Name  Dr Sabreen Gujral 
Address  Manav Rachna Dental College, Faculty of Dental Sciences, Manav Rachna International Institute of Research Sciences, Manav Rachna Campus Rd, Gadakhor Basti Village, Sector 43, Faridabad, Haryana 121004  
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 Sabreen Gujral  Manav Rachna Dental College  Faculty of Dental Sciences,Department of Pedodontics and Preventive Dentistry, Room no. 9, Manav Rachna International Institute of Research Sciences, Manav Rachna Campus Rd, Gadakhor Basti Village, Sector 43, Faridabad, Haryana 121004
Faridabad
HARYANA 
9821276216

sabreengujral@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Manav Rachna 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  Active Distractor- Compressible softball, Passive Distractor- VR eyeglasses, Active- Passive Distractor- Combination of both tools.   The distracting tool will be provided to the patient and LA will be administered. Compressible ball will be provided in the hand and child will be asked to compress it while LA is administered. For passive distraction age appropriate video will be played for the child. in combination group both agents will be provided 
Intervention  LA administration and assessing pain perception using FLACC scale.   Distracting tool will be provided, LA will be administered and pain perception will be recorded using FLACC scale, checking face, legs, activity, cry and consolability of the child 
 
Inclusion Criteria  
Age From  4.00 Year(s)
Age To  8.00 Year(s)
Gender  Both 
Details  1. Children aged 4-8 years
2. Presence of teeth with pulp involvement in which need of pulpal therapy necessitates the administration of local anaesthesia.
3. Co-operative patients (Frankl’s Behaviour Rating Scale – Positive + and Definitely Positive ++)
 
 
ExclusionCriteria 
Details  1. Children with sensory disabilities
2. Previous experience with intraoral injections.
3. Allergy to Lignocaine Hydrochloride
4. History of systemic illness
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To find a effective distraction technique for LA administration among VR glasses, softball compression or combination of both.The effectiveness will be measured using FLACC scale.The FLACC scale includes components of Face, Legs, Activity, Cry and Consolability. The primary outcome is to check if the given distraction tool is effectively distracting the child during LA administration which will be observed using the FLACC scale.
 
Baseline 
 
Secondary Outcome  
Outcome  TimePoints 
To compare between active distraction (softball compression), passive distraction (VR eye glasses) and active-passive distraction (VR eye glasses and softball compression) method for LA administration. The secondary outcome includes assessing which group out of the three were effectively distracted with the tool they were provided with.  Baseline 
 
Target Sample Size   Total Sample Size="108"
Sample Size from India="108" 
Final Enrollment numbers achieved (Total)= "108"
Final Enrollment numbers achieved (India)="108" 
Phase of Trial   N/A 
Date of First Enrollment (India)   11/01/2021 
Date of Study Completion (India) 01/04/2021 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="2"
Days="15" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

The aim of the study is to evaluate active, passive and active-passive distraction methods for assessment of pain perception in patients aged 4 to 8 years during administration of local anaesthesia. The objective is to determine the effect of ACTIVE DISTRACTION (SOFTBALL COMPRESSION AND RELAXATION) as a distraction method in assessing dental pain perception during administration of local anaesthesia, the effect of PASSIVE DISTRACTION (VIRTUAL REALITY EYEGLASSES) as a distraction method in assessing dental pain perception during administration of local anaesthesia, the effect of ACTIVE-PASSIVE DISTRACTION (SOFTBALL COMPRESSION AND RELAXATION ALONG WITH VIRTUAL REALITY EYEGLASSES) as distraction method in assessing dental pain perception during administration of local anaesthesia and to compare dental pain perception during administration of local anaesthesia using above three techniques. The children will be grouped in Group A, B and C according to the distraction method to be used. LA will be administered. A second operator of Department of Pediatric and Preventive Dentistry, Manav Rachna Dental College will assess the children’s pain reaction during the injection procedure using FLACC (Face, Legs, Activity, Cry and Consolability) BEHAVIOURAL ANXIETY/PAIN ASSESSMENT SCALE 

 

 
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