Comparing Crushed Ice and Local Anesthesia for Pain Relief During Root Canal Treatment in Milk Teeth

Comparative evaluation of the effectiveness of intrapulpal crushed ice and lignocaine as an adjunct to inferior alveolar nerve block during pulpectomy of primary molars in children aged 4 to 10 years A randomized controlled trial - NIL

Status

Active, not recruiting

Phases

Phase 3

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2025/03/082169

Enrollment

Registered

2025-03-12

Start date

Unknown

Completion date

Unknown

Last updated

2025-04-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: K040- Pulpitis

Interventions

Intervention1: Intrapulpal Crushed Ice: After deroofing the pulp chamber crushed ice at minus 4 to 0 degrees celsius will be placed inside for 3 to 4 minutes with the temperature verified using a ther

Eligibility

Inclusion criteria

Inclusion criteria: Children between ages 4-10 years old showing Frankl Behavioural Rating scale scores of 3 and 4 Patients diagnosed with SIP [symptomatic irreversible pulpitis] planned for endodontic treatment involving 2nd primary molar in children aged between 4-10 years. Teeth in which IANB fails and requires supplementary anaesthesia. Only vital teeth with active bleeding after access opening will be included in the study. Parents or caretakers who are willing to participate in this study.

Exclusion criteria

Exclusion criteria: Children showing Frankl Behavioural Rating scale scores 1 and 2. Children with systemic diseases or children who require special health care needs. Teeth that do not respond to traditional vitality tests Teeth with acute/chronic apical abscess/periodontitis (TOP positive) with or without sinus Previously filled root canals Cases of necrotic pulp Medically compromised patients, patients with a history of intake of analgesics, steroids, and/or antibiotics in the recent past 48 hr were excluded Parents or caretakers are not willing to participate in this study.

Design outcomes

Primary

Measure	Time frame
Pain Perception during procedure by childTimepoint: at 0 minute at 2 minute at 10 minute	—

Secondary

Measure	Time frame
Time To evaluate & compare Time in minutes for access opening T0 in the Intrapulpal Anesthesia group & in Intrapulpal Crushed Ice group as an adjunct to inferior alveolar nerve block during pulpectomy of primary molar in children of 5-10 years To evaluate & compare Time in minutes during Biomechanical preparation T2 in Intrapulpal Anesthesia group as an adjunct to inferior alveolar nerve block during pulpectomy of primary molar in children of 5-10 years To evaluate & compare Time in minutes at the end of Biomechanical preparation T3 in Intrapulpal Anesthesia group as an adjunct to inferior alveolar nerve block during pulpectomy of primary molar in children of 5-10 years Timepoint: Time in minutes from the start & end of the procedure	—

Measure

Time frame

Time To evaluate & compare Time in minutes for access opening T0 in the Intrapulpal Anesthesia group & in Intrapulpal Crushed Ice group as an adjunct to inferior alveolar nerve block during pulpectomy of primary molar in children of 5-10 years To evaluate & compare Time in minutes during Biomechanical preparation T2 in Intrapulpal Anesthesia group as an adjunct to inferior alveolar nerve block during pulpectomy of primary molar in children of 5-10 years To evaluate & compare Time in minutes at the end of Biomechanical preparation T3 in Intrapulpal Anesthesia group as an adjunct to inferior alveolar nerve block during pulpectomy of primary molar in children of 5-10 years Timepoint: Time in minutes from the start & end of the procedure

—

Countries

India

Contacts

Public ContactDr Snehal Jagtap

Government Dental College and Hospital Nagpur

nupurgovind@gmail.com9923765602

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026