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Comparison of Needle-Free Injection and Conventional Syringe for Tooth Extractions in Children
Sponsor: Ondokuz Mayıs University
Summary
The goal of this clinical trial is to learn whether a needle-free injection system can make tooth extraction less stressful for children than a conventional dental syringe. The study will include healthy children 6 to 12 years old who need a primary tooth extraction with buccal and lingual local anesthesia. The main questions are whether the needle-free method can lower anxiety, lower pain, and reduce changes in vital signs compared with the conventional syringe. Researchers will randomly assign participants to 1 of 2 groups. One group will receive local anesthesia with a needle-free jet injection system. The other group will receive local anesthesia with a conventional syringe and a 27-gauge dental needle. In both groups, a topical lidocaine spray will be used before the injection, and the same anesthetic solution will be given. All tooth extractions will be performed by the same clinician using standard clinical procedures. Participants' anxiety, pain, and vital signs will be checked before the procedure, after anesthesia, and after tooth extraction. Anxiety will be measured with the Face Image Scale (FIS). Pain will be measured with the Face, Legs, Activity, Cry, Consolability (FLACC) scale and the Wong-Baker Faces Pain Rating Scale (WBS). Vital signs will include systolic and diastolic blood pressure, heart rate, and oxygen saturation. No blood, saliva, or tissue samples will be collected, and no audio or video recording will be made.
Official title: Comparison of Needle-Free Injection and Conventional Syringe in Tooth Extractions in Children: Effects on Pain, Anxiety, and Vital Signs
Key Details
Gender
All
Age Range
6 Years - 12 Years
Study Type
INTERVENTIONAL
Enrollment
60
Start Date
2026-04-15
Completion Date
2026-12-31
Last Updated
2026-04-29
Healthy Volunteers
No
Interventions
Needle-Free Jet Injection System
Local anesthesia will be administered to the mandibular buccal and lingual regions using a needle-free jet injection system. Topical lidocaine spray will be applied before injection, and 4% articaine with 1:100,000 epinephrine will be used.
Conventional Syringe Injection
Local anesthesia will be administered to the mandibular buccal and lingual regions using a conventional syringe with a 27-gauge dental needle. Topical lidocaine spray will be applied before injection, and 4% articaine with 1:100,000 epinephrine will be used.