Comparing two different methods of anesthesia in children to reduce anxiety

Completed

• Conditions: Disorder of teeth and supporting structures, unspecified,

• Registration Number: CTRI/2022/09/045460
• Lead Sponsor: ITS Dental college hospital and research centre

Brief Summary

Pain management is an important aspect of paediatric dentistrysince it influences the patient’s behavior during the session and maintains compliance for future appointments. Local anesthesia (LA) is required for pain relief during a variety of restorative, endodontic, and small surgical treatments. However, the methods used to alleviate pain may be a source of both discomfort and worry in children and youngsters.

Increased anxiety can alter a child’s sense of pain, making it more difficult for them to receive the best and most required dental care. The degree of pain associated with local anesthetic administration has been ascribed to a variety of parameters  including injection speed, pressure during administration, injection site, pH, volume, and temperature of the anesthetic solution.

Pain relief during injection has been recommended using a variety of ways. Reframing, utilizing distractions, and making positive recommendations are examples of behavioral approaches. Other methods include utilizing topical anesthetics prior to the injection, applying lignocaine patches to the gingiva, using electronic dental anesthetic, or using computerized equipment like the Wand to alleviate discomfort.

The purpose of this randomized controlled trial is to compare and evaluate the effect of transcutaneous electric nerve stimulation (TENS) and Photobiostimulation using diode laser in reducing pain and anxiety prior to administration of local anesthesia and the effect on duration of onset of local anesthesia in Paediatric patients

Detailed Description

Not available

Study Timeline

• Study Start: 2022-09-15
• Last Update Posted: 2024-01-02
• Study Completion: 2024-02-27

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• 1 Patient in ASA-I and ASA-II category.
• 2 Patients who are undergoing bilateral orthodontic extractions of vital teeth 3 Potentially cooperative patients.

Exclusion Criteria

• Patients who have dental caries, infection, trauma.
• Patients with central nervous system disorders, congenital heart diseases and pacemakers.
• Patient with known allergy to any component of local anaesthesia, electrode/tape/gel.
• Allergy to light(photosensitivity) 5.
• Patients with skin conditions (eczema, dermatitis) 6.
• Patients with open wounds or current or recent bleeding.
• Patient unwilling to be part of this study.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Anxiety levels will be measured using- Salivary alpha amylase level, salivary pH ,Pulse rate FLACC SCORE FOR PAIN	Baseline | Pre Operative | Post Operative

Secondary Outcome Measures

Name	Time	Method
level of pain using FLACC pain score, Salivary alpha amylase, Salivary pH and Pulse rate	Baseline

Trial Locations

Locations (1)

I.T.S Dental College Hospital and Research Centre; 🇮🇳 Nagar, UTTAR PRADESH, India

I.T.S Dental College Hospital and Research Centre

🇮🇳Nagar, UTTAR PRADESH, India

Dr Bhawna Saxena

Principal investigator

09769892051

DR.BHAWNASAXENA@GMAIL.COM