Dental Caries, Reversible Pulpitis
Conditions
Keywords
Pediatric Dentistry, Local Anesthesia, Dental Anesthesia Injector, Conventional Syringe, Pain Assessment, Vasual Analogue Scale, Corah Dental Anxiety Scale, Pulse Oximeter, Split-mouth Design, Reversible Pulpitis
Brief summary
This randomized controlled trial is conducted on pediatric dental patients to compare the effectiveness of local anesthesia administered using a dental anesthesia injector device versus the traditional syringe method. The study aims to assess and compare pain and anxiety levels associated with both methods, using both subjective (self-reported) and objective measures. The goal is to identify an alternative technique that minimizes pain and anxiety in pediatric dental patients.
Detailed description
This randomized controlled split-mouth clinical trial aims to assess pain and anxiety in pediatric dental patients during and immediately after the administration of local anesthesia using a dental anesthesia injector device compared to a conventional syringe. The study will include healthy, cooperative children aged 6 to 8 years, each having at least one vital deeply carious maxillary primary molar with signs and symptoms of reversible pulpitis on each side of the maxilla requiring buccal infiltration anesthesia prior to pulpotomy. Each child will receive both injection techniques on separate occasions, with random assignment of the injection method to either the right or left side (split-mouth design). To evaluate pain and anxiety, the following tools will be used: Pain: Visual Analogue Scale (VAS) Anxiety: Corah Dental Anxiety Scale Physiological measures: Heart rate and oxygen saturation levels, recorded using a pulse oximeter Data will be collected during and immediately after the injection. The aim is to determine whether the dental anesthesia injector provides a less painful and less anxiety-inducing experience compared to the traditional syringe method.
Interventions
Topical anesthesia lidocain for 1 minute will be applied on previously dried mucosa. Local anesthesia administration( artican 4% +1/100,000 With extra short needles 30G-10mm ) using Dental Anesthesia Injector.
OTHERconventional syringe
Topical anesthesia lidocain for 1 minute will be applied on previously dried mucosa. Local anesthesia administration( artican 4% +1/100,000 With extra short needles 30G-10mm ) using conventional syringe
Sponsors
Ain Shams University
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
OTHER
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Intervention model description
This randomized, split-mouth clinical trial uses a computerized randomization system (Sealed Envelope) to allocate the two interventions: conventional anesthesia and Dental Anesthesia Injector. For each participant, one side of the mouth will receive local anesthesia via the Dental Anesthesia Injector, while the other side will receive the conventional anesthesia method. The randomization process ensures that the assignment of anesthesia methods to the right or left side is random for each participant. Allocation concealment is maintained by a third party who is not involved in data collection and manages the allocation assignments for each new participant
Eligibility
Sex/Gender
ALL
Age
6 Years to 8 Years
Healthy volunteers
Yes
Inclusion criteria
* normal healthy patients (ASA I) * Undergoing the first dental local anesthesia experience * Presence of one at least vital deeply carious maxillary primary molar indicated for pulpotomy on each side of maxilla * Score 3 or 4 of Frankl scale of child behavior
Exclusion criteria
* Presence of gingivitis, dental abscess, facial trauma/ injury * Administration of analgesic 48 h before randomization * Presence of allergy from local anesthesia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain during injection | The pain felt by patient will be assessed by Visual analogue scale, Pulse rate and Oxygen saturation at day 1 of anesthesia injection. | The pain felt by patient will be assessed by Visual analogue scale which is a subjective scale {rating from 0 (no pain) to 10 (worst pain ) } Pulse rate and oxygen saturation will be assessed also which are objective tools where the normal pulse rate is from 60 to 100 beats per minute, more than normal heart rate for the patient during injection and 1 minute after means anxiety The normal Oxygen saturation of the body is from 95% up to 100% the increase in the rating of the Oxygen saturation during the injection and 1 minute after injection means that the patient feels anxiety |
| Anxiety felt by the patient | the scale will be used at day 1 of anesthesia injection | Anxiety felt by the patient during dental visit will be assessed using Corah Dental Anxiety Scale which is a subjective scale consist of brief questionnaire designed to measure anxiety related to dental visits, each question has 5 answers from a to e (a) answers give rating 1 that mean least anxiety felt and (e) answers give rating 5 that mean sever anxiety. If the total rating of the 4 questions \<9 means that the patient has mild anxiety. If the total rating from 15 to 20 means that the patient has sever anxiety. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Need for additional anesthesia | The assessment will be done during dental visit at day 1 of anesthesia injection | Need for additional anesthesia will be assessed by the operator if the patient feels pain and we have to administer additional anesthesia with the same concentration and the same tool of injection for the second time to treat the same tooth at same dental visit. |
Countries
Egypt
Contacts
Primary ContactSamaa Abdo Mahmoud, Demonstrator
Backup ContactSamaa Mahmoud Abd El Saeed, Demonstrator
Outcome results
None listed