Ways to Help Children Stay Calm and Feel Less Pain During Dental Injections

Evaluation of two distraction methods in managing anxiety and pain during inferior alveolar nerve block for paediatric patients a randomized clinical trial - NIL

Status

Active, not recruiting

Phases

Phase 4

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2026/01/101916

Enrollment

105

Registered

2026-01-23

Start date

Unknown

Completion date

Unknown

Last updated

2026-02-02

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

Conditions

Health Condition 1: K029- Dental caries, unspecified Health Condition 2: R52- Pain, unspecified Health Condition 3: F402- Specific (isolated) phobias

Interventions

Intervention1: Water Ring Toy Game (Experimental Group 1): Children will play with a handheld water ring toy game for 3 5 minutes before and during administration of local anaesthetic injection. The g

Eligibility

Inclusion criteria

Inclusion criteria: Children aged 4 to 6 years requiring inferior alveolar nerve block for dental treatment. Children who are healthy (ASA I) with no systemic illnesses. Children with no previous experience of local anaesthetic injection. Children whose parents/guardians give informed consent and child provides assent for participation. Cooperative or potentially cooperative children based on Frankl Behaviour Rating 3 or 4 at the initial visit

Exclusion criteria

Exclusion criteria: Children with systemic or mental disorders (ASA II and above). Children with a history of allergy to local anaesthetic agents. Children with hearing or visual impairments (since distraction methods depend on sensory response). Children with acute pain, infection, or abscess at the injection site. Children with previous exposure to similar distraction techniques. Children whose parents or guardians do not consent to participate.

Design outcomes

Primary

Measure	Time frame
Anxiety level of the child assessed using Venham Clinical Anxiety Scale (VCAS)Timepoint: Before local anaesthetic administration (baseline) During local anaesthetic administration (injection phase) After local anaesthetic administration (post-injection recovery phase)	—

Secondary

Measure	Time frame
Pain perception of the child during local anaesthetic injection assessed using Wong Baker Faces Pain Rating Scale (WBFPS)Timepoint: Before local anaesthetic administration (baseline) During local anaesthetic administration (injection phase) After local anaesthetic administration (post-injection recovery phase)	—

Countries

India

Contacts

Public ContactDr Daya Srinivasan

Chettinad Dental College and Research Institute

dayaswathi@gmail.com9884476385

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 7, 2026