Impact of Local Anesthesia Techniques on Children's Dental Treatment Experience

NCT ID: NCT07106138

Last Updated: 2025-08-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

112 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-04-23

Study Completion Date

2025-03-10

Brief Summary

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compare the effectiveness of several local anesthetic delivery systems in managing pain, anxiety, behavior, and vital signs among pediatric dental patients. A total of 112 children aged 6 to 10 years were included and randomly assigned to receive local anesthesia via one of the following methods: conventional syringe, computer-controlled local anesthetic delivery system (Star Pen), needle-free injector (Comfort-In), or a vibrotactile device (Vibraject). Pain was assessed using the FLACC and Wong-Baker FACES scales, anxiety with the Venham Picture Test, and behavior with the Houpt scale. Vital signs including pulse and oxygen saturation were recorded during treatment. Additionally, satisfaction levels of both the patients and their parents were evaluated using structured questionnaires and Likert scales. The study seeks to determine which technique provides the most comfortable and effective experience for children undergoing dental procedures.

Detailed Description

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Local anesthesia is essential for pain control during pediatric dental procedures, yet its administration can cause significant anxiety and distress in children. Recent innovations aim to improve the delivery of anesthesia to make it less painful and more acceptable. This randomized clinical trial investigated and compared four local anesthetic systems: traditional syringe, computer-controlled local anesthetic delivery (CCLAD) using the Star Pen, needle-free injection using Comfort-In, and vibrotactile stimulation with Vibraject.

A total of 112 healthy children aged 6 to 10 years participated in the study. The children were randomly assigned to one of the four anesthesia groups. Pain perception was measured using both the FLACC scale and the Wong-Baker FACES Pain Rating Scale. Anxiety was evaluated using the Venham Picture Test before and during the procedure. Child behavior was rated using the Houpt Behavioral Scale. Vital signs including pulse rate and oxygen saturation were monitored at baseline and during treatment. In addition, satisfaction levels were assessed for both the pediatric patients and their accompanying parents, using child-friendly satisfaction questionnaires and parent-rated Likert scales.

This study aims to identify the anesthesia delivery method that best minimizes pain and anxiety, optimizes behavior, maintains physiological stability, and maximizes satisfaction, thereby enhancing the quality of care in pediatric dentistry.

Conditions

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Dental Anxiety Pain Management Pediatric Dentistry

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Conventional Syringe Group

28 Child received local anesthesia using a traditional dental syringe with standard technique.

Group Type ACTIVE_COMPARATOR

Conventional syringe injection

Intervention Type DEVICE

Manual injection using a conventional dental syringe and needle to deliver local anesthetic.

CCLAD - Star Pen Group

28 Child received Local anesthesia using the Star Pen computer-controlled delivery system

Group Type EXPERIMENTAL

Star Pen

Intervention Type DEVICE

A computer-controlled local anesthetic delivery system designed to provide slow, controlled injection with improved comfort.

Comfort-In - Needle-Free Group

28 Child received local anesthesia using the Comfort-In needle-free jet injector system.

Group Type EXPERIMENTAL

Comfort-In

Intervention Type DEVICE

A needle-free injection system that delivers anesthetic through high-pressure jet injection, reducing injection-related discomfort.

Vibraject - Vibrotactile Device Group

28 Child received Local anesthesia using a conventional syringe while applying the Vibraject vibrotactile stimulation device.

Group Type EXPERIMENTAL

Vibraject

Intervention Type DEVICE

A vibrating attachment for dental syringes that provides vibrotactile stimulation during injection to distract from pain perception

Interventions

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Conventional syringe injection

Manual injection using a conventional dental syringe and needle to deliver local anesthetic.

Intervention Type DEVICE

Star Pen

A computer-controlled local anesthetic delivery system designed to provide slow, controlled injection with improved comfort.

Intervention Type DEVICE

Comfort-In

A needle-free injection system that delivers anesthetic through high-pressure jet injection, reducing injection-related discomfort.

Intervention Type DEVICE

Vibraject

A vibrating attachment for dental syringes that provides vibrotactile stimulation during injection to distract from pain perception

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Children aged 6-10 years.
2. Physically healthy with no neurological disorders or systemic diseases.
3. Children classified as positive" or "negative-positive" according to the modified Frankl Behavioral Rating Scale.
4. Not taking any sedatives or analgesics drugs

Exclusion Criteria

1. Uncooperative children who exhibit clear behavioral problems.
2. Children with systemic diseases or disorders that may interfere with local anesthesia.
3. Use of any medications that may affect vital signs or pain response.
4. Presence of infection at the injection site.
Minimum Eligible Age

6 Years

Maximum Eligible Age

10 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tishreen University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Abdul Wahab Nourallah, Prof

Role: PRINCIPAL_INVESTIGATOR

Faculty of Dentistry, Tishreen University

Sara Badr, PHD student

Role: PRINCIPAL_INVESTIGATOR

Faculty of Dentistry, Tishreen University

Locations

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Faculty Of Dentistry ,Tishreen University, lattakia, Syria

Latakia, , Syria

Site Status

Countries

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Syria

Other Identifiers

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Tishreen U_pedodontic

Identifier Type: -

Identifier Source: org_study_id

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