| CTRI Number |
CTRI/2023/08/056173 [Registered on: 07/08/2023] Trial Registered Prospectively |
| Last Modified On: |
07/08/2023 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Drug Dentistry Behavioral |
| Study Design |
Randomized, Parallel Group, Active Controlled Trial |
|
Public Title of Study
|
Comparative evaluation of sedative, anxiolytic and post-operative effects of oral melatonin and
nitrous oxide inhalation sedation in 5 to 8 year old children - an ELISA based study |
|
Scientific Title of Study
|
Comparative evaluation of sedative, anxiolytic and post-operative effects of oral melatonin and
nitrous oxide inhalation sedation in 5 to 8 year old children - an ELISA based study. |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| 406708008860 |
Other |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Dr Shailja Sinha |
| Designation |
PG 1st Year |
| Affiliation |
I.T.S. Centre for Dental Studies and Research |
| Address |
Room no. 7, Department Of Pediatric and Preventive Dentistry, I.T.S. Centre for Dental Studies and Research NH-58 Delhi-Meerut
Road
Ghaziabad UTTAR PRADESH 201206 India |
| Phone |
7001573934 |
| Fax |
|
| Email |
shaily_shailja@hotmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Sakshi Joshi |
| Designation |
Reader |
| Affiliation |
I.T.S. Centre for Dental Studies and Research |
| Address |
Room no. 7, Department Of Pediatric and Preventive Dentistry, I.T.S. Centre for Dental Studies and Research NH-58 Delhi-Meerut
Road
Ghaziabad UTTAR PRADESH 201206 India |
| Phone |
7027082746 |
| Fax |
|
| Email |
dr.sakshijoshi@its.edu.in |
|
Details of Contact Person Public Query
|
| Name |
Dr Shailja Sinha |
| Designation |
PG 1st Yea |
| Affiliation |
I.T.S. Centre for Dental Studies and Research |
| Address |
Room no. 7, Department Of Pediatric and Preventive Dentistry, I.T.S. Centre for Dental Studies and Research NH-58 Delhi-Meerut
Road
Ghaziabad UTTAR PRADESH 201206 India |
| Phone |
7001573934 |
| Fax |
|
| Email |
shaily_shailja@hotmail.com |
|
|
Source of Monetary or Material Support
|
| I.T.S. Centre for Dental Studies and Research NH-58 Delhi-Meerut Road, Ghaziabad-201206,
Uttar Pradesh. |
|
|
Primary Sponsor
|
| Name |
I.T.S. Centre for Dental Studies and Research |
| Address |
NH-58 Delhi-Meerut Road, Ghaziabad-201206, Uttar Pradesh |
| Type of Sponsor |
Other [Dr. Shailja Sinha] |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Shailja Sinha |
ITS Centre for dental studies and research |
Room no.7 ,2nd floor, Department of Pediatric and Preventive Dentistry Ghaziabad UTTAR PRADESH |
7001573934
shaily_shailja@hotmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Ethical Committee Of The I.T.S Centre for Dental Studies And Research |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: K04||Diseases of pulp and periapical tissues, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
Basic behavior modification technique i.e., Tell Show Do |
Children treated under basic behavior modification will be compared with the treatment done under nitrous oxide inhalation sedation or oral melatonin sedation. |
| Intervention |
Nitrous Oxide Inhalation
Sedation |
Nitrous oxide (N2O) inhalation sedation is a commonly used method for managing anxiety and pain during dental procedures, especially for pediatric patients. The sedative and anxiolytic effects of this will be compared to oral melatonin group. |
| Intervention |
Oral Melatonin Syrup |
Melatonin is essential for regulating sleep patterns and circadian rhythms. Its Sedative, as well as anxiolytic effects, will be assessed along with the post-operative complications.
|
|
|
Inclusion Criteria
|
| Age From |
5.00 Year(s) |
| Age To |
8.00 Year(s) |
| Gender |
Both |
| Details |
5 to 8 year old healthy children with parental consent to participate in the study.
Children indicated for extraction of primary mandibular molar involving administration of IANB.
Children with no sensory or cognitive impairment.
Children with Frank l Behaviour Rating 3 and 4. |
|
| ExclusionCriteria |
| Details |
Children with any medical or systemic disease.
Children with mouth breathing habit.
Children with Frankl Behaviour Rating 1 and 2. |
|
|
Method of Generating Random Sequence
|
Coin toss, Lottery, toss of dice, shuffling cards etc |
|
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
|
Blinding/Masking
|
Outcome Assessor Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
The sedative & anxiolytic effect of oral melatonin
can be comparable to Nitrous Oxide inhalation
sedation |
baseline and immediately after intervention |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
Oral Melatonin can be used in pediatric dentistry
to relieve anxiety |
baseline & immediately after intervention |
|
|
Target Sample Size
|
Total Sample Size="78" Sample Size from India="78"
Final Enrollment numbers achieved (Total)= "78"
Final Enrollment numbers achieved (India)="78" |
|
Phase of Trial
|
Phase 3/ Phase 4 |
|
Date of First Enrollment (India)
|
15/08/2023 |
| Date of Study Completion (India) |
20/03/2025 |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Date Missing |
|
Estimated Duration of Trial
|
Years="2" Months="6" Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Completed |
|
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
|
NAME OF PRINCIPAL INVESTIGATOR: Dr. Shailja Sinha
Department of Pediatrics and Preventive Dentistry,
ITS CDSR, MURADNAGAR,
GHAZIABAD,
UP- 201206
You are being invited to participate in a research
study.
Study Title: Comparative
evaluation of sedative, anxiolytic and post-operative effects of oral melatonin
and nitrous oxide inhalation sedation in 5 to 8-year-old children - An
ELISA-based study.
Invitation Paragraph: I would like to invite you to take part in a research study.
Before you take part in this research study, we wish to explain the study to
you and give you the chance to ask questions. Please read carefully the
information provided here. If you agree to participate, please sign the
informed consent form.
Introduction: This information sheet describes the purpose, procedures, benefits, and
discomforts of the study and your right to withdraw from the study at any point
in time.
Purpose: The
purpose of this study is to compare sedative, anxiolytic, and post-operative
effects of oral melatonin and nitrous oxide inhalation sedation in 5 to 8 year
old children immediately after administration of local anesthesia for invasive
dental procedures.
Study Procedure: Your relevant clinical history will be recorded; a clinical
examination will be conducted and findings will be noted. After taking written
informed consent, the child will be administered Oral Melatonin Syrup or
Nitrous Oxide Inhalation Sedation followed by the collection of his/her saliva
for Salivary Cortisol assessment using an ELISA kit both before and immediately
after the administration of IANB for primary mandibular molar indicated for
extraction. The costs of the tests included in the protocol that form the
routine radiological, and clinical investigations for the management of the
patient, shall be borne by the patient. The cost of any additional
investigations that are not part of routine diagnostics shall be borne by the
Principal investigator/ Concerned Department/ Institute and should be free for
the patient.
Risks: There are no
expected risks of saliva collection. The expected risk of Oral Melatonin and
Nitrous Oxide Inhalation Sedation includes minimal side effects such as mild
dizziness and light-headedness. In case of any adverse event/ injuries, the
participants shall be treated without any further charges for the adverse
event. However, there shall be no financial compensation to the patient from
the institution or Principal Investigator.
Benefits: The information obtained shall be used to compare the effects of Oral
Melatonin Syrup and Nitrous Oxide Sedation for the pharmacological behavior
management of the child. This would help to increase our knowledge about the
use of Oral Melatonin in Pediatric Dentistry.
Confidentiality: Records of your participation will be kept confidential. Any publication
of data will not identify you by your name. By signing the consent form, you
authorize the sharing of your study-related records with the regulatory
authorities and the Institutional Ethical Committee.
Information regarding withdrawal: You have the right to withdraw yourself from the study at any time
during the course of study without any prejudice to your or your family’s right
to undergo future treatment at I.T.S. CDSR, Muradnagar.
There is no risk or complications associated with
this study and in case of any doubt, you can contact at 7001573934. |