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CTRI Number  CTRI/2024/05/067040 [Registered on: 08/05/2024] Trial Registered Prospectively
Last Modified On: 07/05/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia
Dentistry 
Study Design  Randomized, Crossover Trial 
Public Title of Study   to check the pain perception of local anesthetics when the injection site is precooled with ice in patients requiring restorative or endodontic treatment of upper left and right molars. 
Scientific Title of Study   Effect of pre-cooling injection site on pain perception during injection of local anesthetic in maxillary molars: a randomized clinical 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  F Rizwan Ahmed 
Designation  Post graduate student 
Affiliation  COORG INSTITUTE OF DENTAL SCIENCES 
Address  Room no 07, Department of Conservative Dentistry and Endodontics, Coorg Institute of Dental Sciences, Virajpet, Kodagu, Karnataka, India - 571218.
Room no 07, Department of Conservative Dentistry and Endodontics, Coorg Institute of Dental Sciences, Virajpet, Kodagu, Karnataka, India - 571218.
Kodagu
KARNATAKA
571218
India 
Phone  07019249337  
Fax    
Email  rizwan8585@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR Girish T N 
Designation  Professor 
Affiliation  Coorg Institute of Dental Sciences 
Address  Room no 07, Department of Conservative Dentistry and Endodontics, Coorg Institute of Dental Sciences, Virajpet, Kodagu, Karnataka, India - 571218.
Room no 07, Department of Conservative Dentistry and Endodontics, Coorg Institute of Dental Sciences, Virajpet, Kodagu, Karnataka, India - 571218.
Kodagu
KARNATAKA
571218
India 
Phone  9845305950  
Fax    
Email  drgirishtn@gmail.com  
 
Details of Contact Person
Public Query
 
Name  F Rizwan Ahmed 
Designation  Post graduate student 
Affiliation  Coorg Institute of Dental Sciences 
Address  Department of Conservative dentistry and Endodontics, Coorg Institute of Dental Sciences, Virajpet, Kodagu, Karnataka - 571218
Coorg Institute of Dental Sciences, Maggula village, Virajpet, Kodagu - 571218
Kodagu
KARNATAKA
571218
India 
Phone  07019249337  
Fax    
Email  rizwan8585@gmail.com  
 
Source of Monetary or Material Support  
Coorg Institute of Dental Sciences, Virajpet, Kodagu, Karnataka, India - 571218. 
 
Primary Sponsor  
Name  DR F RIZWAN AHMED 
Address  Room no 07, Department of Conservative Dentistry and Endodontics, Coorg Institute of Dental Sciences, Virajpet, Kodagu, Karnataka, India - 571218. 
Type of Sponsor  Other [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 F RIZWAN AHMED  coorg institute of dental sciences  Department number 07, department of conservative dentistry and endodontics.
Kodagu
KARNATAKA 
7019249337

rizwan8585@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional review board , coorg institute of dental sciences  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  application of anesthetic gel on injection site prior to administration of anesthetic agent.  Apply anesthetic gel to the injection site before administering 1 mL of local anesthesia, which consists of 2% lignocaine hydrochloride with a 1:80,000 concentration of epinephrine. 
Intervention  application of ice prior to local anesthetic injection  Precooling of the injection site shall be done with ice stick for 15 sec followed by 1 mL of local anesthesia (2% lignocaine hydrochloride with 1:80,000 epinephrine) administration. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  1.Patients with good health in the age group of 18-50 years.
2.Patients scheduled to receive treatment of maxillary first and second molars for either Restorative or Endodontic treatment.
3.Patients with preoperative pain score 0-85mm as measured on HP-VAS scale.
 
 
ExclusionCriteria 
Details  Individuals with systemic and mental illness.
Individuals with known allergy or contraindication to lignocaine.
Pregnant and lactating mothers.
Individuals who have taken analgesics 12hrs before endodontic procedure.
Individuals under barbiturates and benzodiazepine medication.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment    
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
reduction in pain when injection site is precooled prior to the injection of the local anesthetic.  the data will be measured based on the HP-VAS score before and after intervention. 
 
Secondary Outcome  
Outcome  TimePoints 
compare the effect of lignocaine gel in comparison to precooling of the anesthetic site prior to injection of the local anesthetic agent.  the data will be measured based on the HP-VAS score before and after intervention. 
 
Target Sample Size   Total Sample Size="15"
Sample Size from India="15" 
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 1 
Date of First Enrollment (India)   27/05/2024 
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="3"
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  

A total of 15 participants who are scheduled to receive treatment of maxillary first and second molars for either Restorative or Endodontic treatment, will be included in this study, after obtaining ethical clearance and informed consent. Case history shall be recorded and clinical and radiographic examination will be performed to confirm the need for treatment. The selective patients will be taken up for a split mouth study:

·       Group 1: Control

·       Group 2: Experimental

Group I: Control side - 2% lignocaine anesthetic gel will be applied and after 1min, 1 mL of local anesthesia (2% lignocaine hydrochloride with 1:80,000 epinephrine) at room temperature will be administered via buccal infiltration.

 

Group II: Trial Side - Precooling of the injection site shall be done with ice stick for 15 sec followed by 1 mL of local anesthesia (2% lignocaine hydrochloride with 1:80,000 epinephrine) administration.

 

Patients would then be instructed to rate the pain following administration of local anesthesia using HP-VAS which would be recorded as pain on injection.

 
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