Cold Vibratory Stimuli on Pain Perception Governing Infiltration Anesthesia in in Children
Effectiveness of Cold Vibratory Stimuli on Pain Perception Governing Infiltration Anesthesia in the Maxillary Arch in Children: a Randomized Controlled Clinical Trial
1 other identifier
interventional
48
1 country
1
Brief Summary
Local anesthesia injections are sometimes painful, resulting in antagonistic cooperation, fear, and anxiety in children. This study aims to investigate the effectiveness of vibratory and cold stimulation before the injection to reduce pain. Purpose of the study: Evaluate the effectiveness of Buzzy® in pain reduction during local anesthesia administration compared to the traditional topical anesthetic gel in pediatric patients.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Jan 2023
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 5, 2023
CompletedFirst Submitted
Initial submission to the registry
April 26, 2023
CompletedFirst Posted
Study publicly available on registry
May 12, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 20, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
May 20, 2023
CompletedMay 12, 2023
April 1, 2023
5 months
April 26, 2023
May 10, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Change in pain scores
Visual Analogue Scale is used and it ranges from 0 to 10. the ''0'' point indicates ''no pain'' and ''10'' point indicates the worst possible pain.
Baseline and up to 1 hour
Change in child's behavior
Sound, eye,motor (SEM) scale is used. it assess child's pain perception by observing discomfot levels on SEM during injections. Total scores for SEM range from 0 to 9 based on 0-3 score for each parameter. Score 0: Comfort Score 1: Mild disocomfort Score 2: Moderate discomfort Score 3: Severe discomfort
During the procedure
Study Arms (4)
Direct local anesthesia with Buzzy
EXPERIMENTALIndirect local anesthesia with Buzzy
EXPERIMENTALDirect local anesthesia
ACTIVE COMPARATORIndirect local anesthesia
ACTIVE COMPARATORInterventions
Children are assigned to local anesthesia after using the Buzzy vibration unit extraorally for 2 minutes using buccal and direct palatal injection
Children are assigned to local anesthesia after using the Buzzy vibration unit extraorally for 2 minutes using buccal and indirect palatal injection
Children are assigned to local anesthesia after using topical analgesic gel (benzocaine 20%) intraorally for 1 minute using buccal and direct palatal injection
Children are assigned to local anesthesia after using topical analgesic gel (benzocaine 20%) intraorally for 1 minute using buccal and indirect palatal injection
Eligibility Criteria
You may qualify if:
- Patients who are in need of extraction of maxillary posterior teeth.
- Children free of any systemic disease or special health care needs (ASA I).
- Children with no learning disabilities.
- Positive or definitely positive behavior during preoperative assessments according to the Frankl Scale.
- Patients whose parents will give consent to participate.
You may not qualify if:
- Having active sites of pathosis in the area of injection that could affect the anesthetic assessment.
- Signs of reversible pulpitis.
- Restorable tooth.
- Patients allergic to local anesthesia or having a family history of allergy to local anesthesia.
- Patients with acute oral or facial infection (swelling and/or cellulites )
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Alexandria Faculty of Dentistry
Alexandria, Egypt
Related Publications (1)
Hambouta HM, Sharaf DA, Wahba NA. Effectiveness of cold vibratory stimuli on pain perception governing infiltration anesthesia in the maxillary arch in children: a randomized controlled clinical trial. BMC Oral Health. 2025 Jun 3;25(1):900. doi: 10.1186/s12903-025-06170-4.
PMID: 40462040DERIVED
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 26, 2023
First Posted
May 12, 2023
Study Start
January 5, 2023
Primary Completion
May 20, 2023
Study Completion
May 20, 2023
Last Updated
May 12, 2023
Record last verified: 2023-04