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Reducing dental anxiety in children during local anaesthetic injection: Comparing acupressure alone and acupressure with audiovisual distraction

Comparative Efficacy of Acupressure Versus Acupressure Combined with Audiovisual Distraction for Anxiety Reduction in Children During Inferior Alveolar Nerve Block (IANB): A Single-Blinded Randomised Controlled Trial - NIL

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2025/10/096335
Enrollment
90
Registered
2025-10-22
Start date
Unknown
Completion date
Unknown
Last updated
2025-11-17

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

Conditions

Health Condition 1: K049- Other and unspecified diseases ofpulp and periapical tissues

Interventions

Intervention1: Lignocaine IANB plus acupressure : Acupressure: Points: Shenmen, Shan points Method: Vaccaria seeds on adhesive tape applied after cleaning ear with alcohol swab. Timing: Applied 2 mi
Shenmen, Shan Use vaccaria seeds on adhesive tape applied after cleaning ear with alcohol swab Applied for 2 mins before , kept during injection Gentle pressure for 60-90 secs at placement Age-appro

Sponsors

Dr. Geetanjali Mahajan
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1.Children aged 6 to 12 years requiring IANB for routine dental treatment. 2. ASA I or II (healthy or mild systemic illness). 3. Able to follow instructions and provide assent; parental consent obtained. 4. Willing to undergo acupressure with or without AVD or VR.

Exclusion criteria

Exclusion criteria: 1. Ear infections, skin lesions, or allergy to adhesive materials. 2. Epilepsy, motion sickness, cognitive or communication disorders, or visual/hearing impairments preventing participation. 3. Use of anxiolytics, sedatives, or analgesics within 24 to 48 hrs. 4. Allergy to local anaesthetics or study materials. 5. Acute systemic illness or contraindication for IANB.

Design outcomes

Primary

MeasureTime frame
Change in dental anxiety scores measured using the Modified Child Dental Anxiety Scale (MCDAS) from baseline to post-procedure, compared across the three groups. Timepoint: Dental anxiety (MCDAS) 1. Baseline (T0): Before intervention (while seated, prior to IANB). 2. Post-procedure (T3): After completion of IANB injection.

Secondary

MeasureTime frame
Score on Wong Baker FACES Pain Rating Scale, FLACC scale immediately after IANB.Timepoint: At baseline, during injection & post injection

Countries

India

Contacts

Public ContactGeetanjali Mahajan

Saveetha Dental College and Hospitals, Saveetha University, Chennai

geetanjalimahajan2603@gmail.com8198857999

Outcome results

None listed

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