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RecruitingNCT07717229Updated Jul 21, 2026

Effectiveness of BrightHearts Biofeedback Relaxation and Virtual Reality Distraction During Inferior Alveolar Nerve Block Injection in Children

An interventional study of BrightHearts"biofeedback relaxation tool and Virtual Reality distraction in Dental Anxiety, sponsored by October University for Modern Sciences and Arts. Recruiting at 1 site in Egypt. Open to participants aged 7 Years to 12 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-07-21.

Sponsored by October University for Modern Sciences and Arts · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
39
Allocation
Randomized
Ages
7 Years to 12 Years
Sex
All
01

Study summary

The study is designed to compare the effectiveness of "BrightHearts" biofeedback relaxation tool versus Virtual Reality distraction and Verbal distraction as a distraction methods in reducing dental anxiety and improving behavior during the inferior alveolar nerve block procedure.

02

Conditions studied

  • Dental Anxiety

Keywords

  • dental anxiety
  • inferior alveolar nerve block
  • brighthearts
  • virtual reality
  • biofeedback
03

Who can participate

Ages eligible
7 Years to 12 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  1. Children from 7 to 12 years
  2. Children who have dental procedures that require an inferior alveolar nerve block injection.
  3. Healthy Children.
  4. Children who fall under Frankl's behavioral rating of 2 (negative) or 3 (positive)

Exclusion criteria

Exclusion Criteria:

  1. Children with special health care needs
  2. Children or parents who are unable or unwilling to cooperate with the study protocol or assessment
04

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
39 participants (estimated)

Study arms

  • Experimental
    Group A

    Other: BrightHearts"biofeedback relaxation tool

  • Active comparator
    Group B

    Device: Virtual Reality distraction

  • Active comparator
    Group C

    Behavioral: Verbal distraction technique

Interventions

  • OtherBrightHearts"biofeedback relaxation tool

    Before the inferior alveolar nerve block procedure, Participants will be taught to use the application after given instructions. They will be asked to keep a constant color by focusing on breathing slowly, then they will be allowed to use the application a few minutes before the inferior alveolar nerve block procedure

  • DeviceVirtual Reality distraction

    participants in this group will experience Virtual Reality distraction eyewear. After giving an introduction about it, they will be allowed to accommodate, then they will be wearing it during the inferior alveolar nerve block procedure in an environment designed to distract them during the injection. The Virtual Reality distraction content will be age-appropriate and engaging, and feature interactive (e.g., Fun animations, and Cartoons).

  • BehavioralVerbal distraction technique

    The Verbal distraction method technique involves: patient is given an instruction to do in order to divert his/her attention

05

What researchers measure

Primary outcomes

  1. Evaluation of Dental Anxiety.

    Using Heart rate monitor. Heart Rate (beats per minute \[bpm\]) measured using a heart rate monitor. Higher heart rate values indicate greater physiological anxiety.

    Time frame: - Baseline (5 minutes before injection) - During injection - 2 minutes after injection

Secondary outcomes

  1. Evaluation of Dental Anxiety

    Using Facial Image Scale scores range from 1 to 5, with 1 indicating no anxiety (very happy face) and 5 indicating highest anxiety (very unhappy face). Higher scores indicate greater dental anxiety.

    Time frame: Baseline (5 minutes before injection)and immediately after injection.

  2. Behavior Assessment

    FLACC Rating Scale. Face, Legs, Activity, Cry, Consolability (FLACC) Scale. Scores range from 0 to 10, with higher scores indicating greater pain and distress.

    Time frame: During injection

06

Study locations

1 of 1 sites recruiting
  • October University for Modern Science and Arts
    Giza, 12451, Egypt
    • Naglaa Ibrahim Ezz Eldin, Professor Doctor · Contact · niezz@msa.edu.eg · 00201001984184
    Recruiting
07

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT07717229
Lead sponsor
October University for Modern Sciences and Arts
Responsible party
Sara Ahmed Khira (Master degree candidate, October University for Modern Sciences and Arts) — Principal investigator
First posted
Jul 21, 2026
Start date
Nov 15, 2025
Primary completion
Aug 30, 2026 (estimated)
Completion
Sep 30, 2026 (estimated)
Last update
Jul 21, 2026

Study contacts

Sara Ahmed Khira, Bachelor Degree
Contact
sara.ahmed28@msa.edu.eg
00201012592478

Oversight

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

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