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Dental AnaesthesiaNCT06691269

Photobiomodulation and Tooth Analgesia

A study testing Photobiomodulation, Topical Benzocaine and Local Anesthesia in people with Dental Anaesthesia and Dental Pain, run by University of Maryland, Baltimore at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The purpose of this study is to test photobiomodulation (PBM) with a non-invasive light device for reducing discomfort during dental treatments in children. We plan to conduct a series of three clinical studies in 200 school-aged children requiring routine dental treatment. Read more about this study

Who is it for?
Ages 6 to 12 yearsHealthy volunteers can take part
Conditions the study is for
Dental Anaesthesia, Dental Pain, Dental Analgesia
What is being tested?
Photobiomodulation, Topical Benzocaine and Local Anesthesia
Could I receive a placebo?
No, everyone receives an active treatment
How many people
200 participants
Where
1 siteUnited States
Study dates
7 Jul 2025to Jun 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 6 to 12 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Healthy children, aged 6-12 years, requiring routine dental treatment

Who cannot join

  • Children with uncooperative behavior or signficant medical history

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Vineet Dhar, BDS, MDS, PhD contact

410-706-7970

vdhar@umaryland.edu

Kue-Ling Hsu, DDS, MS contact

410-706-7970

khsu@umaryland.edu

United States1 site, 1 recruiting
  • University of Maryland School of Dentistry, Pediatric Clinics

    Baltimore, Maryland, 21201

    Vineet Dhar, BDS, MDS, PhD, 4107067970, VDhar@umaryland.edu

    Kuei Ling Hsu, DDS, MS, Khsu@umaryland.edu

    Recruiting

Other trials in United States

About this study

Official title: Evaluation of a Photobiomodulation Device for Dental Analgesia in Pediatric Patients

The purpose of this study is to test photobiomodulation (PBM) with a non-invasive light device for reducing discomfort during dental treatments in children. We plan to conduct a series of three clinical studies in 200 school-aged children requiring routine dental treatment. The first study aims to test if PBM works for tooth and soft tissue by assessing response to cold testing and probing of gums. The second study aims to test if use of PBM on soft tissues before injection reduces discomfort. The third study aims to test if PBM can be used to do simple dental fillings in baby teeth without numbing injection.

Read the detailed description

Dental anxiety and fear of pain during procedures are major barriers to oral health care, especially among children. Traditional local anesthesia injections can be distressing for pediatric patients. The fear of needle and dental pain are perhaps among the top reasons for avoidance of dental care. Photomodulation (PBM) is a promising non-tissue penetrating (i.e. minimally invasive) approach for achieving tooth and soft tissue anesthesia/analgesia in dental patients.Investigators plan to use an intra-oral PBM device with a tip comprising of a series of photonic emitters with specific wavelengths that can go through the tooth structure and bone, blocking the nerve conduction like local anesthetics. Research has shown that one burst of light application (for about 20 second) can provide up to 15-20 minutes of pain relief. This could significantly reduce dental anxiety and facilitate access to care and the implications of such an alternative to needles will be a gamechanger especially in pediatric dentistry. The proposed randomzied clinical trials will evaluate if photobiomodulation (PBM) with the near-infrared device produces dental analgesia comparable to local anesthetic injection in pediatric patients. This will be a series of three prospective, clinical studies in 200 school-aged children aged 6-12 years requiring routine dental procedures. The first trial will test the effectiveness of PBM in tooth and soft tissue analgesia by assessing response to diagnostic approaches such as cold pulp testing and gingival probing. The second trial will assess the pre-emptive analgesic effect of PBM on soft tissues at the site of injection prior to local anesthesia infiltration to reduce the discomfort of injection, and the third trial will assess effectiveness of PBM in providing tooth analgesia (compared to routinely used topical anesthesia/local infiltration) for simple restorative procedures in primary teeth.

Being tested
Photobiomodulation, Topical Benzocaine, Local Anesthesia
Keywords
photobiomodulation, dental analgesia, dental anesthesia
Medical subject headings
Toothache

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PhotobiomodulationDevice

    Also called Low-level light therapy, near-infrared light

    Photomodulation (PBM) is a promising non-tissue penetrating (i.e. minimally invasive) approach for achieving tooth and soft tissue anesthesia/analgesia in dental patients. A patent pending near-infrared laser technology that aims to provide dental analgesia will be used for PBM. This intra-oral PBM device comes with a tip comprising of a series of photonic emitters with specific wavelengths that can go through the tooth structure and bone, blocking the nerve conduction like local anesthetics. Research has shown that one burst of light application (for about 20 second) can provide up to 15-20 minutes of pain relief. Based on existing research PBM does not present a serious risk to health, safety, or welfare of a subject.

  • Topical BenzocaineDrug

    Topical Benzocaine at injection site to reduce discomfort of local infiltration

  • Local AnesthesiaDrug

    Local infiltration using local anesthetics with epinephrine

Study groups in NCT06691269
Study groupRoleWhat they receive
PBM- Study 1ExperimentalIn PBM group, the selected tooth will receive one burst of light application (20 seconds) before being subjected to sensibility testing and gingival probing.
Receives: Device: Photobiomodulation
no PBM - Study 1No interventionIn the control (no PBM) group, the selected tooth will be subjected to sensibility testing and gingival probing without PBM.
PBM- Study 2ExperimentalPBM (one burst/ 20 seconds application) at injection site (prior to local anesthesia infiltration)
Receives: Device: Photobiomodulation
no PBM- Study 2Active comparatorTopical benzocaine at injection site (prior to local anesthesia infiltration)
Receives: Drug: Topical Benzocaine
PBM- Study 3ExperimentalPBM (one burst/ 20 seconds application) followed by traditional tooth preparation with burs/handpiece and placement of restoration. Additional bursts may be provided every 20 minutes depending on the length of the procedure and patient-reported discomfort.
Receives: Device: Photobiomodulation
no PBM- Study 3Active comparatorTopical benzocaine/Local infiltration followed by traditional tooth preparation with burs/handpiece and placement of restoration.
Receives: Drug: Topical Benzocaine; Drug: Local Anesthesia

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Study 1- Response to Cold Pulp (Pulp sensibility) testing

    Name of measurement: Response to cold pulp testing. Measurement tool: Child's acknowledgement of cold sensation. A small amount of cold spray (Endo Ice/Ethyl Chloride) will be sprayed onto a cotton pellet, and gently place the cotton pellet on the middle third of the buccal surface of the tooth for a few seconds or until the child indicates a sensation. Child will be asked to raise their hand when they feel a cold sensation.

    Unit of measurement: Response will be noted (Yes/No), if the cold sensation is felt by the child on application of cold stimulus. Difference in cold pulp testing between PBM and no PBM group.

    Measured: during the intervention (application of cold stimuli)

  2. Study 1- Anxiety related to routine gingival probing

    Name of the measurement: Assessment of anxiety Measurement tool: Visual analogue scale (VAS)- a 100-mm horizontal line with two extremes "not anxious" (left) to "very anxious" (right).

    Measurement unit: rating scale

    Measured: pre-procedure (baseline) and immediately after the procedure

  3. Study 1- Pain (physician documented) related to routine gingival probing

    Name of the measurement: Heart rate Measurement tool: Pulse oximetry. Unit of measurement: Heart rate per minute

    Measured: pre-procedure (baseline), during procedure, and immediately after procedure

  4. Study 1- Self-reported Pain related to routine gingival probing

    Name of the measurement: Pain/discomfort Measurement tool: Self-reported Wong Baker faces Scale (six-point scale from score 0 (no hurt) to score 10 (hurts worst).

    Unit of measurement: Rating Scale

    Measured: pre-procedure (baseline) and immediately after procedure

  5. Study 2- Anxiety related to local anesthesia injection (local infiltration)

    Name of the measurement: Assessment of procedural anxiety Measurement tool: Visual analogue scale (VAS)- a 100-mm horizontal line with two extremes "not anxious" (left) to "very anxious" (right).

    Measurement unit: rating scale

    Measured: pre-procedure (baseline) and immediately after the procedure

  6. Study 2- Pain (physician documented) related to local anesthesia injection (local infiltration)

    Name of the measurement: Heart rate Measurement tool: Pulse oximetry. Unit of measurement: Heart rate per minute

    Measured: pre-procedure (baseline), during procedure, and immediately after procedure

  7. Study 2- Self-reported Pain related to local anesthesia injection (local infiltration)

    Name of the measurement: Pain/discomfort Measurement tool: Self-reported Wong Baker faces Scale (six-point scale from score 0 (no hurt) to score 10 (hurts worst).

    Unit of measurement: Rating Scale

    Measured: pre-procedure (baseline) and immediately after procedure

  8. Study 2- Cooperative behavior related to local anesthesia injection (local infiltration)

    Name of the measurement: Cooperative behavior Measurement tool: Frankel's Behavior rating scale (definitely negative, negative, positive, definitely positive) Unit of measurement: Rating Scale

    Measured: pre-procedure (baseline), during, and immediately after procedure

  9. Study 3- Anxiety during restorative procedure

    Name of the measurement: Assessment of procedural anxiety Measurement tool: Visual analogue scale (VAS)- a 100-mm horizontal line with two extremes "not anxious" (left) to "very anxious" (right).

    Measurement unit: rating scale

    Measured: pre-procedure (baseline) and immediately after the procedure

  10. Study 3- Pain (physician documented) during restorative procedure

    Name of the measurement: Heart rate Measurement tool: Pulse oximetry. Unit of measurement: Heart rate per minute

    Measured: pre-procedure (baseline), during procedure, and immediately after procedure

  11. Study 3- Self-reported Pain during restorative procedure

    Name of the measurement: Pain/discomfort Measurement tool: Self-reported Wong Baker faces Scale (six-point scale from score 0 (no hurt) to score 10 (hurts worst).

    Unit of measurement: Rating Scale

    Measured: pre-procedure (baseline) and immediately after procedure

  12. Study 3- Cooperative behavior during restorative procedure

    Name of the measurement: Cooperative behavior Measurement tool: Frankel's Behavior rating scale (definitely negative, negative, positive, definitely positive) Unit of measurement: Rating Scale

    Measured: pre-procedure (baseline), during, and immediately after procedure

Secondary outcomes (2)
  1. Study 1- Duration of tooth analgesia in PBM group

    Name of measurement: Duration or time taken for response to cold pulp testing. Measurement tool: Child's acknowledgement of cold sensation. A small amount of cold spray (Endo Ice/Ethyl Chloride) will be sprayed onto a cotton pellet, and gently place the cotton pellet on the middle third of the buccal surface of the tooth for a few seconds or until the child indicates a sensation. Child will be asked to raise their hand when they feel a cold sensation.

    Unit of measurement: Time (measured in seconds) taken for response in PBM group and no PBM groups.

    Measured: baseline and immediately after response is felt

  2. Study 1- Duration of soft tissue analgesia

    Name of measurement: Duration of analgesia or time taken for patient to respond to gingival probing Measurement tool: Yes/No to discomfort experienced during gingival probing Unit of measurement: Time in seconds

    Measured: baseline, immediately after response is felt

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Nov 2024
  2. Study start7 Jul 2025
  3. Primary completionJun 2027 (estimated)
  4. Study completionJun 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Randomised
Intervention model
Sequential
Model description
Study Design: This will be a series of three prospective, clinical studies in school-aged children requiring routine dental procedures. Study Population: Healthy children aged 6-12 years old requiring routine dental treatment at the study sites. Separate cohorts will be recruited for each trial after obtaining parental consent.
Masking
Single blind
Who is masked
Participant
Enrolment
200 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06691269
Sponsor's protocol ID
HP-00112812
Other IDs
Project ID: 30063251
Status last verified
Aug 2026
First submitted
31 Oct 2024
Last updated
12 Aug 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Shrutha SP, Havale R, Aishwarya BG, Raj S, Quazi N, Prasad V, Guttiganur N, Kandalam R. Use of Three Pre-Injection Procedures to Reduce Pain Perception of Intraoral Injections in Eight- to 12-Year-Old Children: Randomized Controlled Trial. Pediatr Dent. 2024 Sep 15;46(5):306-311.

    PubMed 39420491
  • Shekarchi F, Nokhbatolfoghahaei H, Chiniforush N, Mohaghegh S, Haeri Boroojeni HS, Amini S, Biria M. Evaluating the Preemptive Analgesic Effect of Photo-biomodulation Therapy on Pain Perception During Local Anesthesia Injection in Children: A Split-mouth Triple-blind Randomized Controlled Clinical Trial. Photochem Photobiol. 2022 Sep;98(5):1195-1200. doi: 10.1111/php.13605. Epub 2022 Feb 17.

    PubMed 35122442
  • Kulkarni S, George R, Love R, Ranjitkar S. Effectiveness of photobiomodulation in reducing pain and producing dental analgesia: a systematic review. Lasers Med Sci. 2022 Sep;37(7):3011-3019. doi: 10.1007/s10103-022-03590-4. Epub 2022 Jun 14.

    PubMed 35699807

Questions about this trial

What is this clinical trial studying?

A study testing Photobiomodulation, Topical Benzocaine and Local Anesthesia in people with Dental Anaesthesia and Dental Pain, run by University of Maryland, Baltimore at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 12 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Vineet Dhar, BDS, MDS, PhD (410-706-7970, vdhar@umaryland.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Study 1- Response to Cold Pulp (Pulp sensibility) testing (time frame: during the intervention (application of cold stimuli)). The study lists 12 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06691269, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Aug 2026.

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