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CompletedNCT03790540Updated Apr 10, 2020

Pain Assessment During Mandibular Nerve Block Injection With the Aid of Dental Vibe Tool in Pediatric Dental Patients

A Phase 2 interventional study of DentalVibe and Topical Benzocaine 20% in Anesthesia, Local, sponsored by Nourhan M.Aly. Completed at 1 site in Egypt. Open to participants aged 5 Years to 7 Years. Per ClinicalTrials.gov, last updated 2020-04-10.

Sponsored by Nourhan M.Aly · Phase 2, Interventional, and Other

Phase
Phase 2
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
5 Years to 7 Years
Sex
All
01

Study summary

The purpose of this study is to valuate the effectiveness of DentalVibe(DV) tool in pain reduction during local anesthetic injection compared to traditional injection without aid of DentalVibe in pediatric patients.

Read the detailed description

This study is a crossover randomized controlled clinical trial where (N=60 ) children will be selected from the outpatient clinic of Pediatric Dentistry and Public Health Department, Faculty of Dentistry, Alexandria University after securing necessary consents. These children will be selected based on a need for local anesthesia for pulpotomy treatment on both sides of the mandible. All selected children will be randomly allocated into 2 groups. Group I (assigned to injection with the aid of DentalVibe tool), Group II(assigned to conventional injection). Each group will receive 2 mandibular nerve block injections with two different injection techniques, with 1-2 weeks apart as a washing out period. Mandibular nerve block injection will be either with vibration using DentalVibe at the injection side or topical analgesic (benzocaine 20%) gel will be applied before the injection of local anesthesia at first the appointment, and the alternative technique will be used at the second appointment . Injection with the aid of DentalVibe tool will act as the experimental group while the control group will be the use of topical analgesic (benzocaine 20%).

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Conditions studied

  • Anesthesia, Local

Keywords

  • DentalVibe
  • Mandibular nerve block injection
  • Consolability Scale
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In context

Lead sponsor

Nourhan M.Aly is the lead sponsor of 48 studies on the registry; 4 are open to participants now.

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

04

Who can participate

Ages eligible
5 Years to 7 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age range from 5-7 years.
  • Patients who are in need of pulpotomy dental treatment requiring bilateral local anesthesia in the mandible.
  • Children free of any systemic disease or special health care needs.
  • Positive or definitely positive behavior during preoperative assessments according to the Frankl Scale.

Exclusion criteria

Exclusion Criteria:

  • Having active sites of pathosis in the area of injection that could affect anesthetic assessment.
  • Signs of irreversible pulpitis or pulp necrosis.
  • Radiographs show periapical or bifurcation radiolucency.
  • 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 cellulitis).
  • Patients refusing to participate.
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Study design

Phase
Phase 2
Primary purpose
Other
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
60 participants (actual)

Study arms

  • Experimental
    Injection with the aid of DentalVibe

    1 mL of Mepivacaine HCl 2%, 1/20000 Levonordefrin will be injected using a 27 gauge dental needle. DentalVibe is a small, handheld cordless device that has a charging docking station. A demonstration of DentalVibe (DV) will be performed by putting it into direct contact with the children's nails before applying the device intraorally. Then, the device will be placed on the oral mucosa to enclose the injection site before administering local anesthesia and Potential subject-expectancy effects and pressure from the placement of DV will be controlled. The device will be turned on to stimulate the area of needle penetration. After 5 seconds of vibration, the needle will be inserted. The device will continue vibrating during needle insertion and anesthetic injection.

    Device: DentalVibe

  • Active comparator
    Injection with topical benzocaine 20%

    Topical anesthesia -Benzocaine gel 20%. Tissues will be dried using (2 X 2) gauze to enhance the absorption of the benzocaine gel 20% around the site of the needle penetration and will be left in contact with the soft tissue for one minute. Then the local anesthetic solution (1 ml Mepivacaine HCl 2%, 1/20000 Levonordefrin) will be injected using a 27 gauge dental needle.

    Drug: Topical Benzocaine 20%

Interventions

  • DeviceDentalVibe

    It is a vibrotactile device that aids in reducing pain during local anesthesia injection in pediatric patients

  • DrugTopical Benzocaine 20%

    Topical benzocaine 20% gel on the mucosal injection site prior to injection

06

What researchers measure

Primary outcomes

  1. Subjective pain reduction during local anesthesia administration.

    Pain will be assessed during local anesthesia injection by means of Wong-Baker faces scale. It consists of faces with different facial expression for happiness and pain and is scored from 0-5 as 0 is very happy and feels no pain and 5 is very painful

    Time frame: during administration of local anesthesia

  2. Objective pain assessment after local anesthesia administration

    After performing all the injections, pain reaction will be evaluated by two investigators independently using recorded video tapes by Face, Leg, Activity, Cry, Consolability Scale (FLACC). The scale comprises the following parameters: (1) Face, (2) Legs, (3) Activity, (4) Cry, and (5) Consolability. Each of the five categories is scored from 0 to 2, which results in a minimum score of 0 and maximum of 10. According to this scale 0 = relaxed and comfortable (no pain), 1-3 = mild discomfort, 4-6 = moderate pain, and 7-10 = severe discomfort or pain, A lower score represents less physical reaction than does a higher number.

    Time frame: after performing all injections

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Study locations

1 site
  • Faculty of Dentistry, Alexandria University
    Alexandria, 21512, Egypt
08

References and documents

Publications

  • Sermet Elbay U, Elbay M, Yildirim S, Kaya E, Kaya C, Ugurluel C, BaydemIr C. Evaluation of the injection pain with the use of DentalVibe injection system during supraperiosteal anaesthesia in children: a randomised clinical trial. Int J Paediatr Dent. 2016 Sep;26(5):336-45. doi: 10.1111/ipd.12204. Epub 2015 Sep 15. PubMed 26369274 ↗
  • Hutchins HS Jr, Young FA, Lackland DT, Fishburne CP. The effectiveness of topical anesthesia and vibration in alleviating the pain of oral injections. Anesth Prog. 1997 Summer;44(3):87-9. PubMed 9481967 ↗
  • Ram D, Peretz B. The assessment of pain sensation during local anesthesia using a computerized local anesthesia (Wand) and a conventional syringe. J Dent Child (Chic). 2003 May-Aug;70(2):130-3. PubMed 14528773 ↗
  • Nanitsos E, Vartuli R, Forte A, Dennison PJ, Peck CC. The effect of vibration on pain during local anaesthesia injections. Aust Dent J. 2009 Jun;54(2):94-100. doi: 10.1111/j.1834-7819.2009.01100.x. PubMed 19473149 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 10, 2020, 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
NCT03790540
Lead sponsor
Nourhan M.Aly
Collaborators
Alexandria University
Responsible party
Nourhan M.Aly (Clinical Instructor, University of Alexandria) — Sponsor-investigator
First posted
Dec 31, 2018
Start date
Dec 1, 2018
Primary completion
Mar 10, 2019
Completion
May 15, 2019
Last update
Apr 10, 2020

Study contacts

Passant H Hassanein, BDS
principal investigator · Alexandria University
Amani M Khalil, PhD
study director · Alexandria University
Dalia AM Talaat, PhD
study director · Alexandria University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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