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Not yet recruitingNCT07733011Updated Jul 29, 2026

Comparison of Computer-Assisted and Conventional Local Anesthesia in Children With Molar-Incisor Hypomineralization

An interventional study of Computer-Controlled Local Anesthesia and Conventional Local Anesthesia in Molar-Incisor Hypomineralization, Molar-Incisor Hypomineralization (MIH) and Computer-Controlled Local Anesthesia, sponsored by Marmara University. Not yet recruiting at 1 site in Turkey (Türkiye). Open to participants aged 8 Years to 12 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-07-29.

Sponsored by Marmara University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
54
Allocation
Randomized
Ages
8 Years to 12 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 34 studies in Molar Hypomineralization with a site in Turkey — 7 open to participants now, 10 under way, none of them phase 3. Molar Hypomineralization · Turkey.

Planned enrollment
12th of 26
54 · median 52
Started
2026
with 6 others
No phase
26 of 34
6 open now
Registered
30th of 34
by date
Lead sponsor
6 of 34
Marmara University

Among the 34 studies in Molar Hypomineralization with a site in Turkey, this one is the 12th largest by planned enrollment of the 26 interventional ones, is one of 7 that started in 2026, is one of 26 with no phase, and was the 30th registered.

By phase

34 studies; the count open now beside each. This study's row is marked.

No phasethis study26 · 6 open
Observational8 · 1 open

By the year they started

First in 2018; this study’s year is marked. 7 started in 2026.

Size and results

Median enrollment 52 across the 26 interventional studies, 88 across the 8 observational. Of the 23 that completed or were terminated, 0 (0%) have results posted.

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02

Study summary

The main questions this study aims to answer are:

Does computer-controlled local anesthesia cause less pain and anxiety than conventional local anesthesia in children with molar-incisor hypomineralization (MIH)?

Is there a difference between the two methods in anesthesia onset time, injection duration, physiological responses, and the need for additional anesthesia?

Researchers will compare computer-controlled and conventional local anesthesia in children aged 8-12 years with MIH. Each child will receive both anesthesia methods during separate dental visits, on comparable permanent molar teeth, to determine which method is more comfortable, effective, and preferred by children.

Read the detailed description

This randomized split-mouth clinical trial will compare computer-controlled local anesthesia with conventional local anesthesia in children aged 8-12 years with molar-incisor hypomineralization (MIH).

Each child will receive both anesthesia methods during separate restorative treatment visits on comparable affected permanent molars. Pain will be evaluated using child-reported and behavioral pain scales. Dental anxiety, heart rate, oxygen saturation, anesthesia onset time, injection duration, need for additional anesthesia, and patient preference will also be assessed.

The study aims to determine whether computer-controlled local anesthesia provides a more comfortable and effective option than conventional anesthesia for children with MIH.

03

Conditions studied

  • Molar-Incisor Hypomineralization
  • Molar-Incisor Hypomineralization (MIH)
  • Computer-Controlled Local Anesthesia
04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Children aged 8-12 years
  • Children with no systemic disease
  • Children with no pathology involving the oral region, such as trauma, cysts, or tumors
  • Children who have not used antibiotics within the past month
  • Children who have not used nonsteroidal anti-inflammatory drugs (NSAIDs) within the past month
  • Children with at least two homologous permanent molars affected by molar-incisor hypomineralization (MIH) and indicated for restorative treatment due to dentin caries
  • Children with a Frankl Behavior Rating Scale score of 3 or higher will be included in the study

Exclusion criteria

Exclusion Criteria:

  • Children in whom local anesthesia cannot be administered due to lack of cooperation
  • Children who require pulp treatment after enrollment in the study will be withdrawn from the study.
05

Study design

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

Study arms

  • Experimental
    Computer-Controlled Local Anesthesia

    Local anesthesia will be administered using the SleeperOne computer-controlled local anesthetic delivery system according to the manufacturer's pediatric protocol. The device electronically controls the injection flow rate and pressure. A 4% articaine solution with 1:100,000 epinephrine will be used before restorative treatment of the MIH-affected permanent molar.

    Device: Computer-Controlled Local Anesthesia

  • Active comparator
    Conventional Local Anesthesia

    Local anesthesia will be administered using a conventional dental syringe. Buccal infiltration will be used for maxillary teeth, and an inferior alveolar nerve block will be used for mandibular teeth. A 4% articaine solution with 1:100,000 epinephrine will be administered before restorative treatment of the MIH-affected permanent molar.

    Procedure: Conventional Local Anesthesia

Interventions

  • DeviceComputer-Controlled Local Anesthesia

    Local anesthesia will be administered using the SleeperOne computer-controlled local anesthetic delivery system according to the manufacturer's pediatric protocol. The device electronically controls the flow rate and pressure of the anesthetic solution. A 4% articaine solution with 1:100,000 epinephrine will be administered before restorative treatment of the MIH-affected permanent molar.

    Also known as: SleeperOne, Digital Anesthesia

  • ProcedureConventional Local Anesthesia

    Local anesthesia will be administered using a conventional dental syringe. Buccal infiltration will be used for maxillary teeth, and an inferior alveolar nerve block will be used for mandibular teeth. A 4% articaine solution with 1:100,000 epinephrine will be administered before restorative treatment of the MIH-affected permanent molar.

    Also known as: Traditional Local Anesthesia

06

What researchers measure

Primary outcomes

  1. Injection pain assessed using the Wong-Baker Faces Pain Rating Scale

    Pain intensity will be assessed during local anesthetic injection using the Wong-Baker Faces Pain Rating Scale (score range: 0-10; higher scores indicate greater pain).

    Time frame: Immediately after completion of local anesthetic injection at each treatment visit

  2. Injection pain assessed using the Visual Analog Scale (VAS)

    Pain intensity will be assessed immediately after local anesthetic injection using a 100-mm Visual Analog Scale (0=no pain, 100=worst imaginable pain; higher scores indicate greater pain).

    Time frame: Immediately after completion of local anesthetic injection at each treatment visit

  3. Behavioral pain assessed using the Face, Legs, Activity, Cry, Consolability (FLACC) Scale

    Behavioral pain will be assessed during local anesthetic injection using the Face, Legs, Activity, Cry, Consolability (FLACC) Scale (score range: 0-10; higher scores indicate greater pain).

    Time frame: Periprocedural (during local anesthetic injection at each treatment visit)

  4. Successful local anesthesia during restorative treatment

    Successful local anesthesia will be defined as completion of cavity preparation and restorative treatment without the need for supplemental local anesthesia and without interruption of treatment because of pain. The outcome will be reported as the percentage of treatment visits with successful local anesthesia.

    Time frame: Immediately after completion of restorative treatment at each treatment visit

  5. Absence of response to electric pulp testing

    The proportion of treatment visits in which no response is obtained using an electric pulp tester after local anesthetic administration.

    Time frame: Immediately after completion of local anesthetic injection at each treatment visit

  6. Anesthesia Onset Time

    Anesthesia onset time will be compared between computer-controlled and conventional local anesthesia. It will be defined as the time from completion of the injection until the child reports numbness and no response is obtained with electric pulp testing. The time will be recorded in seconds.

    Time frame: Immediately following local anesthetic injection at each treatment visit.

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Aug 2026; primary completion for Aug 2027, 12 months later.

Of 62 non-industry interventional studies with no phase under Molar Hypomineralization, half reached primary completion within 14 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 25. This study's planned 12 months is below that.

Counting every sponsor, half of 62 studies reached it within 14 months; a quarter within 8 and three quarters within 25.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 16, 2026
First posted
Jul 29, 2026
StartEst.
Aug 11, 2026
Primary completionEst.
Aug 25, 2027
CompletionEst.
Nov 1, 2027
Last update
Jul 29, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 29, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07733011
Lead sponsor
Marmara University
Responsible party
Sponsor
First posted
Jul 29, 2026
Start date
Aug 11, 2026 (estimated)
Primary completion
Aug 25, 2027 (estimated)
Completion
Nov 1, 2027 (estimated)
Last update
Jul 29, 2026

Study contacts

Betül Şen Yavuz, DDS
Contact
dtbetulsen@gmail.com
+905399887646

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 not yet recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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