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CTRI Number  CTRI/2024/05/068109 [Registered on: 30/05/2024] Trial Registered Prospectively
Last Modified On: 14/05/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Observational study 
Study Design  Other 
Public Title of Study   Assessing laser therapy as topical anesthesia alternative in grade III mobile tooth extraction : An Observational Study 
Scientific Title of Study   Evaluation of the effectiveness of photobiomodulation therapy as an alternative to topical anesthesia for extraction of physiologically mobile teeth (grade III ) : An Observational Study 
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 Sandra Maria Enchackal 
Designation  Postgraduate Student 
Affiliation  Yenepoya Dental College 
Address  Yenepoya dental college First floor Department of pediatric and preventive dentistry Mangalore
Yenepoya dental college First floor Department of pediatric and preventive dentistry Mangalore
Dakshina Kannada
KARNATAKA
575017
India 
Phone  9446628911  
Fax    
Email  98sandramariaenchackal@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Reshma Suvarna 
Designation  Additional Professor  
Affiliation  Yenepoya Dental College 
Address  Department of pediatric and preventive dentistry Yenepoya Dental College Deralakatte,Manglore


KARNATAKA
575017
India 
Phone  9844513258  
Fax    
Email  drreshmasuvarna@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DR Sandra Maria Enchackal 
Designation  Postgraduate Student 
Affiliation  Yenepoya Dental College 
Address  Yenepoya dental college First floor Department of pediatric and preventive dentistry Mangalore


KARNATAKA
575017
India 
Phone  9446628911  
Fax    
Email  98sandramariaenchackal@gmail.com  
 
Source of Monetary or Material Support  
Department of pediatric and preventive dentistry Yenepoya Dental College Deralakatte,Manglore 575017 
 
Primary Sponsor  
Name  Dr Sandra maria Enchackal 
Address  Enchackal(H),Thodupuzha East p.o Vadakkummury,major Sandeep road, PRA 47,IDUKKI,KERALA PIN: 685585 
Type of Sponsor  Other [Self funded] 
 
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 Sandra Maria Enchackal  Yenepoya Dental College,Mangalore   Department of pediatric and preventive dentistry
Dakshina Kannada
KARNATAKA 
9446628911

98sandramariaenchackal@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Yenepoya Ethics Committee 1  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  6to 12 years children 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  6.00 Year(s)
Age To  12.00 Year(s)
Gender  Both 
Details  1. 6-12 year-old children requiring extraction of primary physiologic mobile tooth (grade III mobile)

2. Co-operative children with Frankl behaviour scale of 3/4

3. Participants with informed consent of parents or assent (in older children) 
 
ExclusionCriteria 
Details  Children with special needs and systemic diseases or bleeding disorder
2. Children with known allergic reactions to topical anesthesia
3. Children who had analgesics for a minimum of 24hrs prior to the treatment 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Efficacy of photobiomodulation therapy in extraction of primary grade III physiologic mobile teeth  2-4 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Comparison of photobiomodulation therapy and 2% lignocaine gel in extraction of primary grade III physiologic mobile teeth  2-4 weeks 
 
Target Sample Size   Total Sample Size="26"
Sample Size from India="26" 
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)   01/06/2024 
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="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
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 in dental care, stemming from potential tissue harm, is a major concern, especially in pediatric dentistry where it can significantly impact treatment success. The fear of dental pain often leads to delayed treatments, adversely affecting oral health. Topical anesthesia, is commonly used for extracting mobile teeth in pediatric dentistry, has drawbacks such as disagreeable taste, child discomfort, and potential adverse reactions, prompting the search for alternative pain management methods. 

Photobiomodulation therapy (PBMT) has emerged as a promising solution, offering a non-invasive, non-destructive, and non-thermal approach. PBMT’s anti-inflammatory and analgesic properties, along with its ability to impede nerve impulse conduction, make it integral in dentistry. Near-infrared lasers, falling within the "optimal window," allow effective penetration, highlighting PBMT as a valuable tool for reducing pain and improving therapeutic interventions in dental procedures, especially for pediatric patients undergoing tooth extractions.       

The aim of this study is to evaluate the effectiveness of photobiomodulation for the extraction of primary mobile teeth, assessing factors such as pain reduction, patient comfort, and overall procedural outcomes. Participants who need the extraction of primary mobile teeth in the age group of 6 to 12 years will be recruited for the study. It will be a bilateral split mouth study. The study will be conducted to evaluate the efficacy of photobiomodulationand topical anesthesia for extraction of primary physiologic mobile teeth as photobiomodulation can induce analgesic effect by stimulating cellular activity through exposure to low level light.

 
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