Effectiveness of Intraligament vs IANB Anesthesia in Children Using Electronic Syringe

Tishreen University

Status: Enrolling

Conditions: Effectiveness of Anesthesia Using Electronic Syringe in Children in the Context of Endotopy Treatment

Treatments: Device: Electronic syringe IANB Technique; Device: Electronic Syringe Intraligament Technique

Study type: Interventional

Funder types: Other

Identifiers

NCT07095946

PED-DENT-Tishreen-University

Details and patient eligibility

About

This randomized clinical study aims to evaluate the efficacy and pain response of two local anesthesia techniques in pediatric dental treatment using an electronic syringe: ligament anesthesia and inferior alveolar nerve block (IANB). The study applies both techniques to the same sample, where each child undergoes pulpectomy for two different teeth, each under the influence of a different anesthesia technique, during two separate visits.

This study comes in the context of technological advancements in dentistry, which led to the development of computerized syringes as an alternative to traditional syringes. These devices are characterized by precise control of the anesthetic flow rate, as well as containing musical and auditory systems aimed at distracting the child and reducing feelings of fear and anxiety associated with dental treatment. Additionally, computerized syringes provide audible indicators showing the amount of anesthetic injected and support multiple injection modes such as rapid injection, slow injection, and ligament injection, allowing for more efficient and comfortable anesthetic delivery.

Pain intensity will be assessed during three stages of the treatment procedure: during anesthesia administration, during placement of the rubber dam, and during opening of the pulp chambers. Post-procedure pain will also be evaluated using an age-appropriate validated pain scale, along with assessing the satisfaction level of both the children and their parents regarding the use of the electronic syringe as an alternative anesthesia tool. These combined measures aim to provide a comprehensive understanding of the child's experience during dental treatment and contribute to improving anesthesia practices in pediatric dentistry.

Enrollment: 30 estimated patients

Sex: All

Ages: 6 to 10 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Cooperative children based on Frankl Behavior Rating Scale (Positive or Definitely Positive)
• No clinical signs or symptoms indicating irreversible pulpitis
• No periodontal ligament inflammation of the tooth to be treated
• Children aged between 5 and 9 years
• Children without systemic health problems

Exclusion criteria

• Children who are uncooperative based on Frankl Behavior Rating Scale (Negative or Definitely Negative)
• Presence of spontaneous or nocturnal pain
• Clinical signs and symptoms indicating irreversible pulpitis
• Presence of periodontal ligament inflammation of the treated tooth
• Child age older than 10 years or younger than 3 years
• Children with systemic health problems

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: None (Open label)

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30 participants in 2 patient groups

Electronic Syringe - IANB Technique

Experimental group

Description:

Children receive inferior alveolar nerve block (IANB) using an electronic syringe. The injection is performed with controlled speed and pressure to ensure efficient pulpal anesthesia with minimal discomfort.

Treatment:

Device: Electronic syringe IANB Technique

Electronic Syringe - Intraligamentary Technique

Experimental group

Description:

Children receive intraligamentary anesthesia using an electronic syringe. The anesthetic is administered around the tooth ligament to provide localized anesthesia with minimal invasiveness and reduced discomfort.

Treatment:

Device: Electronic Syringe Intraligament Technique