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CTRI Number  CTRI/2023/07/055708 [Registered on: 26/07/2023] Trial Registered Prospectively
Last Modified On: 27/07/2023
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A clinical trial for comparing pain alleviating methods to releive anxiety and pain levels in children during local anesthesia injection for dental treatments. 
Scientific Title of Study   A comparative evaluation of pain perception and anxiety levels in children during local anesthesia procedure using intraoral and extraoral vibratory systems and conventional local anesthesia with topical anesthestic gel. 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Mamilla Sai Geeta 
Designation  Post Graduate Student 
Affiliation  SRI SAI COLLEGE OF DENTAL SURGERY 
Address  Department of Paediatric and Preventive Dentistry, Sri Sai College of Dental Surgery, 1-2-64/1&2,Kothrepally,Opposite Shiv sagar lake,Vikarabad,Telangana - 501102

Hyderabad
TELANGANA
501102
India 
Phone  9626473737  
Fax    
Email  mamillageeta@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DrSarada Penmetcha 
Designation  Professor 
Affiliation  SRI SAI COLLEGE OF DENTAL SURGERY 
Address  Department of Paediatric and Preventive Dentistry Sri Sai College of Dental Surgery, 1-2-64/1&2,Kothrepally,Opposite Shiv sagar lake,Vikarabad,Telangana - 501102

Hyderabad
TELANGANA
501102
India 
Phone  8008116618  
Fax    
Email  drsarada9@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  DrSarada Penmetcha 
Designation  Professor 
Affiliation  SRI SAI COLLEGE OF DENTAL SURGERY 
Address  Department of Paediatric and Preventive Dentistry, Sri Sai College of Dental Surgery, 1-2-64/1&2,Kothrepally,Opposite Shiv sagar lake,Vikarabad,Telangana - 501102

Hyderabad
TELANGANA
501102
India 
Phone  8008116618  
Fax    
Email  drsarada9@yahoo.com  
 
Source of Monetary or Material Support  
SRI SAI COLLEGE OF DENTAL SURGERY Department of Peadiatric and Preventive Dentistry, 1-2-64/1&2, Kothrepally, Opposite shiv sagar lake, Vikarabad, Telangana 501102 
 
Primary Sponsor  
Name  Mamilla Sai Geeta 
Address  Sri Sai College of Dental Surgery,1-2-64/1&2,Kothrepally,opposite shiv sagar lake,vikarabad,telangana - 501102 
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 M Sai Geeta  SRI SAI COLLEGE OF DENTAL SURGERY  Department of Paediatric and Preventuve Dentistry, Room no.9,1-2-64/1&2,Kothrepally,Opposite Shiv sagar lake,Vikarabad,Telangana-501102
Hyderabad
TELANGANA 
9247873766

mamillageeta@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUITIONAL ETHICS COMMITTEE 2021-22  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Healthy children requiring dental treatments 
Patients  (1) ICD-10 Condition: K040||Pulpitis,  
 
Intervention / Comparator Agent
Modification(s)  
Type  Name  Details 
Intervention  Conventional topical spray   Application of conventional topical lignocaine spray for 30 seconds as a pain alleviating method during local anesthesia procedure 
Intervention  extraoral vibratory system  Application of buzzy system for 30 seconds as a pain alleviating method during local anesthesia procedure. 
Intervention  Intraoral vibratory system  Application of ultrasonic toothbrush for 30 seconds as a pain alleviating method during local anesthesia procedure. 
Comparator Agent  nil  nil 
 
Inclusion Criteria  
Age From  6.00 Year(s)
Age To  10.00 Year(s)
Gender  Both 
Details  Healthy children with no systemic illness
Children experiencing chronic dental pain
Patients requiring LA administration for dental treatment
Children with informed parental consent 
 
ExclusionCriteria 
Details  Children with known systemic disease
Children without parental consent
Children with acute dental pain 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Not Applicable 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To evaluate pain perception & anxiety levels during local anesthesia administration with conventional technique, intraoral technique and extraoral technique.  baseline 
 
Secondary Outcome  
Outcome  TimePoints 
nil  nil 
 
Target Sample Size   Total Sample Size="120"
Sample Size from India="120" 
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 4 
Date of First Enrollment (India)   19/08/2023 
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="2"
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  

Pain is defined as an unpleasant sensory or emotional experience associated with actual or potential tissue damage or described in terms of such damage.

An important reason for avoidance of dental procedures in children is needle phobia, defined as an extreme fear and anxiety associated with needles. Children with needle phobia are at risk of presenting fear of healthcare professionals and experience higher levels of pain and fear during dental procedures. To alleviate the pain and fear associated with the needle prick several topical anesthetics like ointments, anesthetic sprays, gels, or adhesive patch are recommended.

Other methods like application of cold stimuli on the injection site before local anesthesia (LA) administration were also commonly used as an easy and physiologically effective procedure without any surplus costs. It has been advocated that the cold element might confuse the pain pathway’s reception of signals, allowing for a "masking effect of pain."

In addition to the above-mentioned methods other systems like vibrators are used to reduce the pain associated with local anesthetic injection.

The present study is to compare the efficacy of intraoral and extraoral vibratory systems and conventional local anesthesia with topical anesthetic gel to evaluate pain perception and anxiety levels in children.

 
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