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CompletedNCT01914250Updated Dec 30, 2014

Pain Associated With Neonatal Frenotomy

An interventional study of Analgesic effect of topical tetracaine 2 % in Pain, sponsored by Rambam Health Care Campus. Completed at 1 site in Israel. Open to participants aged Up to 8 Weeks. Per ClinicalTrials.gov, last updated 2014-12-30.

Sponsored by Rambam Health Care Campus · Not applicable, Interventional, and Diagnostic

Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
Up to 8 Weeks
Sex
All
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Study summary

The present study sought to examine the efficacy of two oral anesthetic drugs in reducing the pain associated with neonatal frenotomy.

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Conditions studied

  • Pain

Keywords

  • Frenotomy
  • Pain
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In context

Lead sponsor

Rambam Health Care Campus is the lead sponsor of 456 studies on the registry; 33 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
Up to 8 Weeks
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

infants diagnosed with ankyloglossia at the nursery of the RHCC, who will be referred by a qualified neonatologist to the OCAD for a routine tongue-tie frenotomy procedure because of breast feeding difficulties.

  • Ankyloglossia type 1 or 2 Exclusion criteria
  • Abnormal oral or nasopharyngeal anatomy
  • Any known congenital malformations
  • Ankyloglossia type 3 or 4

Exclusion criteria

Exclusion Criteria:

-

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Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
40 participants (estimated)

Study arms

  • Active comparator
    2

    Topical Anesthetic, 2% Tetracaine oral gel - Group A Topical Anesthetic, 20% Benzocaine oral gel - Group B

    Drug: Analgesic effect of topical tetracaine 2 %

Interventions

  • DrugAnalgesic effect of topical tetracaine 2 %

    The patient will be held by the parents and comforted after local anesthesia is applied by a research investigator. Then, he will be placed on procedure's board repositioned for clipping, restrained by the parent/nurse (holding both head and arms, keeping with conventional practice). Exactly 5 minutes after the topical anesthetic was applied, the pediatric dentist will press down the chin gently straddling the frenulum while and holding it in place with visualization of tongue base. Then the frenulum will be snipped along the underside of the tongue to its base. The area will be checked to ensure complete release. Bleeding will be controlled by pressuring with a 2x2 gauze pad under the tongue. A study investigator will film the procedure using GO PRO Video Camera mounted on the forehead of the pediatric dentist

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What researchers measure

Primary outcomes

  1. Neonatal Facial Coding System (NFCS)

    Time frame: During procesure

Secondary outcomes

  1. Cry Duration

    Time frame: Post procedure

Other outcomes

  1. Visual Analog Score (VAS)

    Time frame: During procedure

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Study locations

1 site
  • Rambam HealthCare Campus
    Haifa, Israel
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References and documents

Publications

  • Shavit I, Peri-Front Y, Rosen-Walther A, Grunau RE, Neuman G, Nachmani O, Koren G, Aizenbud D. A Randomized Trial to Evaluate the Effect of Two Topical Anesthetics on Pain Response During Frenotomy in Young Infants. Pain Med. 2017 Feb 1;18(2):356-362. doi: 10.1093/pm/pnw097. PubMed 28204733 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 30, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01914250
Lead sponsor
Rambam Health Care Campus
Responsible party
Sponsor
First posted
Aug 2, 2013
Start date
Jan 2013
Primary completion
Dec 2014
Completion
Dec 2014
Last update
Dec 30, 2014

Study contacts

Dror - Aizenbud, Professor
principal investigator · Chairman Craniofecial Department, Rambam Medical Center
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2014. You cannot join it, but the record below documents what was studied.

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