Feasibility and advantages of using more comfortable combined injection technology in the treatment of deciduous molars

ISRCTN ISRCTN30082181
DOI https://doi.org/10.1186/ISRCTN30082181
Submission date
09/05/2025
Registration date
12/05/2025
Last edited
16/07/2025
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Oral Health
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
To find a local anesthesia has both comfortable and effective advantage in treatment of deep caries in mandibular deciduous molars in children.

Who can participate?
Children aged 4-6 years old (below 7) have deep caries in mandibular deciduous molars.

What does the study involve?
Two types of local anesthesia before the treatment of deep caries in mandibular deciduous molars: regular periodontal ligament injection and intraseptal injection combined with periodontal ligament injection.

What are the possible benefits and risks of participating?
Possible benefits: children received intraseptal injection combined with periodontal ligament injection have lower pain sensation during anesthesia; possible risks: children received intraseptal injection combined with periodontal ligament injection might still have pain sensation during treatment and need supplementary local anesthesia.

Where is the study run from?
Shenzhen Maternity and Child Healthcare Hospital (China)

When is the study starting and how long is it expected to run for?
May 2022 to June 2023

Who is funding the study?
Investigator initiated and funded

Who is the main contact?
Jin Sun, 631589163@qq.com

Contact information

Mr Jin Sun
Public, Scientific, Principal Investigator

Shenzhen Maternity and Child Healthcare Hospital
Shenzhen
518000
China

ORCiD logoORCID ID 0000-0002-5919-0406
Phone +86 15989022970
Email 631589163@qq.com

Study information

Study designInterventional randomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet No participant information sheet available
Scientific titleFeasibility and advantages of using intraseptal injection combined with periodontal ligament injection in the treatment of mandibular deciduous molars
Study objectivesThe anesthetic effect of intraseptal injection combined with periodontal ligament injection and periodontal ligament injection alone were similar, moreover, intraseptal injection combined with periodontal ligament injection had lower pain sensation during the anesthesia.
Ethics approval(s)

Approved 19/05/2022, The Research Ethics Committee of Shenzhen Maternity and Child Healthcare Hospital (Hongli Road, Futian District, Shenzhen, 518000, China; -; szfygcpll@163.com), ref: SFYLS[2022]025

Health condition(s) or problem(s) studiedDeep caries in mandibular deciduous molars
InterventionControl group: group PL: periodontal ligament injection
Intervention group: group IS+PL: intraseptal injection combined with periodontal ligament injection

The total duration of treatment for deep caries is approximately 0.5-1 hour.

Randomization process: we toss a coin before meeting each child. The front of the coin represents the control group, and the back of the coin represents the intervention group.
Intervention typeProcedure/Surgery
Primary outcome measurePain measured using the Wong-Baker FACE® Pain Rating Scale immediately after the anesthesia and immediately after the treatment
Secondary outcome measuresThere are no secondary outcome measures
Overall study start date01/05/2022
Completion date01/06/2023

Eligibility

Participant type(s)Patient
Age groupChild
Lower age limit4 Years
Upper age limit6 Years
SexBoth
Target number of participants60
Total final enrolment60
Key inclusion criteria1. Parents agreed to the experiment.
2. Children aged 4-6 years old (below 7).
3. Can communicate with pediatric dentist or nurse normally.
4. Had eaten food within 2 hours before treatment.
5. Mandibular deciduous molars erupted completely.
6. Had deep caries.
7. No obvious spontaneous, night, or occlusal pain or periapical periodontitis symptoms.
8. X-ray showed low density shadow close to pulp.
9. No obvious low density shadow at root tip.
Key exclusion criteria1. Parents refused the experiment.
2. Children were unable to cooperate.
3. Did not eat within 2 hours before treatment.
4. Had temporary or long-term systemic disease.
5. Allergic to anesthetics.
6. Oral mucosal diseases.
7. Wearing orthodontic appliances.
8. Mandibular deciduous molar did not erupt completely.
9. No deep caries.
10. Had obvious spontaneous, night, or occlusal pain or periapical periodontitis symptoms.
11. X-ray showed low density shadow at root tip or already had root canal therapy.
Date of first enrolment01/06/2022
Date of final enrolment01/05/2023

Locations

Countries of recruitment

  • China

Study participating centre

Shenzhen Maternity and Child Healthcare Hospital
Hongli Road, Futian District
Shenzhen
518000
China

Sponsor information

Shenzhen Maternity and Child Healthcare Hospital
Hospital/treatment centre

Hongli Road, Futian District
Shenzhen
518000
China

Email szfygcpll@163.com
Website http://www.szmch.net.cn/
ROR logo "ROR" https://ror.org/01me2d674

Funders

Funder type

Other

Investigator initiated and funded

No information available

Results and Publications

Intention to publish date01/01/2026
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a peer-reviewed journal.
IPD sharing planThe datasets generated during and/or analysed during the current study will be available upon request from Jin Sun 631589163@qq.com

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 03/07/2025 16/07/2025 Yes No

Editorial Notes

16/07/2025: Publication reference added.
09/05/2025: Trial's existence confirmed by the Research Ethics Committee of Shenzhen Maternity and Child Healthcare Hospital.