Different Local Anesthesia Techniques for Mandibular Primary Molar Pulpectomy

Condition(s) studied

Investigational drug(s) / intervention(s)

Computer-Controlled Local Anesthesia: Computer-controlled delivery of local anesthetic for mandibular primary molar pulpectomy.

Conventional Inferior Alveolar Nerve Block: Conventional inferior alveolar nerve block administered with a standard dental syringe for mandibular primary molar pulpectomy.

Articaine hydrochloride with epinephrine 1:100,000: A 4% articaine hydrochloride solution with epinephrine 1:100,000 was used as the local anesthetic solution in both study groups.

Computer-Controlled Local Anesthetic Delivery System: A computer-controlled local anesthetic delivery device was used to deliver the anesthetic solution at a constant, pre-programmed injection rate.

Standard Dental Aspirating Syringe: A conventional dental aspirating syringe was used for manual administration of the local anesthetic solution.

Study summary

This study aims to compare the effects of computer-controlled local anesthesia and conventional inferior alveolar nerve block on dental anxiety and pain in children undergoing pulpectomy of mandibular primary molars. Both anesthesia techniques are routinely used in pediatric dental practice and are considered standard methods of care.

Children aged 6 to 8 years who require bilateral pulpectomy of mandibular primary molars will be included in this split-mouth randomized clinical trial. Each participant will receive both anesthesia techniques during separate treatment sessions. Dental anxiety, pain, and physiological parameters, including heart rate, blood pressure, oxygen saturation, and body temperature, will be assessed before, during, and after treatment using validated pediatric assessment scales and routine clinical measurements.

The findings of this study may help identify the anesthesia technique that provides greater comfort and reduces anxiety and pain during pediatric dental treatment, thereby improving the overall treatment experience for children.

Eligibility

Primary outcome measure(s)

• Dental Anxiety — Baseline and immediately after treatment
  Dental anxiety assessed using the Modified Child Dental Anxiety Scale-faces version (MCDASf). Higher scores indicate higher levels of dental anxiety.
• Behavioral Pain During Local Anesthesia — Immediately after local anesthetic injection
  Behavioral pain assessed using the Face, Legs, Activity, Cry, Consolability (FLACC) scale during local anesthesia administration. Scores range from 0 to 10, with higher scores indicating greater pain.

Trial sites (1)

More Recep Tayyip Erdogan University Training and Research Hospital trials in Turkey

Other trials for the same condition