ClinicalTrials.gg
CompletedNCT07193342Updated Nov 19, 2025

Effect of Computer-controlled vs. Conventional Injection on Pain and Anxiety in Children

An interventional study of computer controlled automatic injection (Star pen® system) and conventional anesthetic syringe in Dental Pain, Dental Anxiety and Child Behavior Are Assess in Response to Dental Injection, sponsored by Future University in Egypt. Completed at 1 site in Egypt. Open to participants aged 6 Years to 9 Years. Per ClinicalTrials.gov, last updated 2025-11-19.

Sponsored by Future University in Egypt · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
48
Allocation
Randomized
Ages
6 Years to 9 Years
Sex
All
01

Study summary

This randomized controlled trial aims to compare the effectiveness of Computer-Controlled automatic injection device versus conventional injection techniques in pediatric dental patients. The study evaluates differences in pain perception, Anxiety levels ,and behavioral responses during dental procedures among children. by using validated pain and behavior assessment scales, this trial seeks to determine whether the use of automated injection system can improve the overall dental experience for children

Read the detailed description

This randomized controlled trial aims to compare the effectiveness of Computer-Controlled automatic injection device versus conventional injection techniques in pediatric dental patients. The study focuses on evaluating and analyzing primary outcome ( pain perception) and secondary outcome ( anxiety levels )

Eligible participants will be healthy children who require dental treatment under local anesthesia. Participants will be randomly assigned to one of two Groups :

Groups A: Will receive The Star pen® system , incorporating battery-powered feedback for controlled pressure.

Group B: will receive conventional anesthetic syringe . pain will be assessed both subjectively using age- appropriate pain rating scales (such as Simplified Faces Pain Scale (S-FPS), and objectively using Sound, Eye, Motor scale .

Anxiety will be evaluated by measuring heart rate (objectively ). Child behavior during the procedure will be monitored and rated using venham's behavior scale.

This study aims to determine whether Star pen® system offers a more comfortable and less anxiety - provoking experience for children compared to the conventional method. The result may guide pediatric dentists in selecting the most suitable delivery technique to improve the dental experience and cooperation in pediatric patients.

02

Conditions studied

  • Dental Pain, Dental Anxiety and Child Behavior Are Assess in Response to Dental Injection

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Keywords

  • dental pain
  • behavior management
  • local anesthesia in children
  • pediatric dentistry
03

In context

Toothache

142 studies on the registry are indexed under Toothache; 28 are open to participants now.

This study's enrollment of 48 is below the median of 84 across 123 interventional studies indexed under Toothache.

Browse Toothache studies →

Lead sponsor

Future University in Egypt is the lead sponsor of 104 studies on the registry; 31 are open to participants now.

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

04

Who can participate

Ages eligible
6 Years to 9 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion criteria:

  • Pediatric patients aged 6-9 years.
  • Participants are required to undergo dental procedures requiring local infiltration anesthesia.
  • Only cooperative patients (scoring 3 or 4 on the Frankl Behavior Scale).
  • No prior dental experiences.
  • Patients need maxillary infiltration anesthesia.
  • No prior symptoms of abscess.
  • Only children with health status (Free from developmental or systemic disorders).
  • Parental consent and child assent required for enrollment.

    - Exclusion criteria:

  • Medical conditions or systemic illnesses.
  • Psychiatric conditions affecting pain or anxiety evaluation.
  • Parental refusal or child unwillingness to participate
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ASA physical status

The anaesthetists’ scale of health before surgery: I is healthy, II has a mild illness that is under control, III a severe one, IV a severe illness that is a constant threat to life. V and VI are used for the critically ill and for organ donors.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
48 participants (actual)

Study arms

  • Experimental
    computer controlled automatic injection ( Star pen® system)

    Children will receive local anesthesia using a computer-controlled delivery system (Star Pen® device).

    Procedure: computer controlled automatic injection (Star pen® system)

  • Active comparator
    conventional anesthetic syringe

    Children will receive local anesthesia using a conventional dental syringe.

    Procedure: conventional anesthetic syringe

Interventions

  • Procedurecomputer controlled automatic injection (Star pen® system)

    local anesthesia will be administered using computer controlled automatic injection(Star pen® system ) to provide slow and consistent anesthetic flow, aiming to reduce pain and anxiety during pediatric dental treatment.

  • Procedureconventional anesthetic syringe

    local anesthesia will be administered using a standard manual dental syringe , following conventional injection techniques for pediatric dental patients.

06

What researchers measure

Primary outcomes

  1. Simplified Faces Pain Scale

    Time frame: Immediately after injection procedure

  2. Sound, eye, motor scale

    Time frame: Starting From point entry of anesthesia till end of injection procedure

Secondary outcomes

  1. pulse oximeter

    Time frame: From sitting of patient on dental chair till the end of the injection procedure

  2. Venham Behavior Rating Scale

    Time frame: Starting From point of entry of anesthesia till end of injection procedure

07

Study locations

1 site
  • Future University in Egypt
    Cairo, Cairo Governorate 11835, Egypt
08

References and documents

Individual participant data

Plan to share: No — No individual participant data will be shared

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 19, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07193342
Responsible party
Nouran Negm ElDin Mahmoud (Master student, Future University in Egypt) — Principal investigator
First posted
Sep 25, 2025
Start date
Sep 1, 2025
Primary completion
Oct 15, 2025
Completion
Nov 1, 2025
Last update
Nov 19, 2025

Oversight

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

Not currently enrolling

This study is completed, as verified in Sep 2025. You cannot join it, but the record below documents what was studied.

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