Comparison of a Neuromodulation Device and Topical Anesthetic for Reducing Pain and anxiety Before Local Anesthesia in Children

Phase 3

Not yet recruiting

• Conditions: Other and unspecified diseases ofpulp and periapical tissues,

• Registration Number: CTRI/2025/03/082415
• Lead Sponsor: ITS Dental College Hospital and Research Centre

Brief Summary

Pain in children during dental procedures can cause significant anxiety, leading to dental phobia and avoidance of necessary treatment. Local anesthesia (LA) is essential for pain management in pediatric dentistry but is often associated with fear due to the use of needles. This fear can lead to increased anxiety, abnormal physiological responses, and resistance to treatment.

Various methods have been explored to minimize pain during LA administration, including behavioral techniques, topical anesthetics, and advanced delivery systems like computerized injectors. Among these, topical anesthetics are widely used due to their ease of application and ability to reduce needle-related pain. However, they may have limitations such as delayed onset, unpleasant taste, or allergic reactions.

Neuromodulation devices, such as the **Dental Pain Eraser**, offer a promising alternative by delivering mild electrical impulses to block pain signals and stimulate natural pain relief. These devices have shown effectiveness in reducing pain and anxiety during various dental procedures, including orthodontic treatments and extractions. Compared to conventional **transcutaneous electrical nerve stimulation (TENS) devices**, which can be bulky and uncomfortable, portable neuromodulation devices provide a more patient-friendly approach.

This study aims to evaluate and compare the effectiveness of a **neuromodulation device** and a **topical anesthetic agent** in reducing pain and anxiety before local anesthesia administration in children undergoing primary teeth extraction. The findings could help establish a more comfortable and efficient pain management strategy in pediatric dentistry, reinforcing positive dental experiences.

Detailed Description

Not available

Study Timeline

• Last Update Posted: 2025-03-15
• Study Start: 2025-08-28

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 48

Inclusion Criteria

• 1- Patients in ASA-I and ASA-II category.
• 2- Patients who are indicated for primary teeth extraction.
• 3- Patients in the 6-10 yrs of age group.
• 4- Children with Frankel Behaviour ratings 3 and 4.

Exclusion Criteria

• 1- Patients with known allergy to any component of local anesthesia.
• 2- Patients with special health care needs 3- Patients unwilling to be a part of this study.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Assessment of pain and anxiety in child will be measured using- Wong-Baker Faces Pain Rating Scale (WBFPRS), FLACC Scale (Face, Legs, Activity, Cry, Consolability) Pain Assessment Tool, Salivary pH (collected from unstimulated saliva by drooling method), Pulse rate (using a pulse oximeter), and Respiratory Rate (analyzed manually)	At baseline, during needle insertion and local anesthesia deposition

Secondary Outcome Measures

Name	Time	Method
Assessment of pain & anxiety in child will be measured using- Wong-Baker Faces Pain Rating Scale (WBFPRS), FLACC Scale (Face, Legs, Activity, Cry, Consolability) Pain Assessment Tool, Salivary pH (collected from unstimulated saliva by drooling method), Pulse rate (using a pulse oximeter), & Respiratory Rate (analyzed manually)

Trial Locations

Locations (1)

ITS Dental College Hospital and Research Centre; 🇮🇳 Nagar, UTTAR PRADESH, India

ITS Dental College Hospital and Research Centre

🇮🇳Nagar, UTTAR PRADESH, India

Dr Prabhleen Kaur

Principal investigator

6397776526

prabhleendec1@gmail.com