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Molar Incisor HypomineralizationDIA-MIHNCT07736677

Digital Intraosseous Anesthesia in MIH-Affected Permanent Molars

A study testing Conventional Maxillary Infiltration Anaesthesia and Conventional Inferior Alveolar Nerve Block Anaesthesia in people with Molar Incisor Hypomineralization, run by Ege University at 2 sites in Turkey (Türkiye).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This multicentre, randomized clinical trial compared digital intraosseous anaesthesia with conventional local anaesthetic techniques in children aged 6-12 years receiving restorative treatment for MIH-affected permanent first molars. Read more about this study

Who is it for?
Ages 6 to 12 years
Conditions the study is for
Molar Incisor Hypomineralization
What is being tested?
Conventional Maxillary Infiltration Anaesthesia and Conventional Inferior Alveolar Nerve Block Anaesthesia
Could I receive a placebo?
No, everyone receives an active treatment
How many people
110 participants
Where
2 sitesTurkey (Türkiye)
Study dates
15 Jan 2025to 15 Apr 2026
Phase
Interventional
Are there results?
None posted in the registry

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
  • No healthy volunteers
  • Child

Who may be able to join

  • Children aged 6-12 years.
  • Confirmed diagnosis of molar-incisor hypomineralisation according to the European Academy of Paediatric Dentistry diagnostic criteria.
  • Presence of an MIH-affected permanent first molar classified as MIH-TNI Category 4a or 4b according to the updated Würzburg concept and requiring restorative treatment with either a direct resin composite restoration or a preformed stainless steel crown.
  • Positive or definitely positive behaviour according to the Frankl Behaviour Rating Scale.
  • No known allergy to local anaesthetics.
  • No relevant systemic disease.

Who cannot join

  • Receipt of analgesic, anxiolytic, or sedative medication within 48 hours before the treatment appointment.
  • Previous experience with intraosseous anaesthesia.
  • Presence of an acute dentoalveolar infection at the planned treatment site.

Trial locations and contacts

2 sites in 1 country.

Turkey (Türkiye)2 sites
  • Istanbul Beykent University

    Istanbul

  • Ege University

    Izmir, 35110

Other trials in Turkey (Türkiye)

About this study

Official title: Digital Intraosseous Anesthesia in MIH-Affected Permanent Molars: A Randomized Clinical Trial

This multicentre, randomized clinical trial compared digital intraosseous anaesthesia with conventional local anaesthetic techniques in children aged 6-12 years receiving restorative treatment for MIH-affected permanent first molars. Within the maxillary stratum, digital intraosseous anaesthesia was compared with conventional infiltration anaesthesia; within the mandibular stratum, it was compared with inferior alveolar nerve block. The primary outcome was child-reported pain during restorative treatment. Secondary outcomes included pain during needle penetration and anaesthetic solution delivery, observed pain-related behaviour, change in dental anxiety, and the requirement for supplemental local anaesthesia during restorative treatment.

Read the detailed description

Children with an MIH-affected permanent first molar requiring restorative treatment were randomized separately within the maxillary and mandibular strata. In the maxillary stratum, digital intraosseous anaesthesia was compared with conventional infiltration anaesthesia. In the mandibular stratum, digital intraosseous anaesthesia was compared with conventional inferior alveolar nerve block. Only one MIH-affected permanent first molar was included for each child.

Pain during needle penetration, anaesthetic solution delivery, and restorative treatment was assessed using the Wong-Baker FACES Pain Rating Scale. Pain-related behavioural responses were assessed using the Face, Legs, Activity, Cry, Consolability scale. Dental anxiety was assessed using the Modified Child Dental Anxiety Scale immediately before local anaesthesia administration and immediately after completion of restorative treatment. The requirement for supplemental local anaesthesia during restorative treatment was recorded for each participant.

Being tested
SleeperOne 5 Computer-Controlled Intraosseous Anaesthesia System, Conventional Maxillary Infiltration Anaesthesia, Conventional Inferior Alveolar Nerve Block Anaesthesia
Keywords
Digital intraosseous anesthesia, Pediatric dentistry, Permanent molars, Dental pain, Dental anxiety
Medical subject headings
Molar Hypomineralization, Toothache

What participants receive

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

  • SleeperOne 5 Computer-Controlled Intraosseous Anaesthesia SystemDevice

    Digital intraosseous anaesthesia was administered using the SleeperOne 5 computer-controlled system (Dental Hi Tec, Cholet, France). Initial mucosal anaesthesia was achieved using 0.1-0.2 mL of 4% articaine with 1:100,000 epinephrine (Ultracain D-S forte), followed by intraosseous administration of an additional 1 mL of the same anaesthetic solution at the device-controlled slow flow rate.

  • Conventional Maxillary Infiltration AnaesthesiaProcedure or surgery

    Supraperiosteal infiltration anaesthesia was performed using a standard aspirating dental syringe and a 27-gauge short needle. One millilitre of 4% articaine with 1:100,000 epinephrine (Ultracain D-S forte) was deposited slowly into the buccal sulcus adjacent to the MIH-affected maxillary permanent first molar.

  • Conventional Inferior Alveolar Nerve Block AnaesthesiaProcedure or surgery

    Inferior alveolar nerve block anaesthesia was administered using a standard aspirating dental syringe and a 27-gauge long needle. One millilitre of 4% articaine with 1:100,000 epinephrine (Ultracain D-S forte) was deposited slowly. Adequate anaesthesia was confirmed by patient-reported lip numbness before restorative treatment was started.

Study groups in NCT07736677
Study groupRoleWhat they receive
Maxillary Digital Intraosseous Anaesthesia GroupExperimentalChildren in this arm received computer-controlled digital intraosseous anaesthesia using the SleeperOne 5 system before restorative treatment of one MIH-affected permanent first molar in the maxillary arch.
Receives: Device: SleeperOne 5 Computer-Controlled Intraosseous Anaesthesia System
Conventional Maxillary Infiltration Anaesthesia GroupActive comparatorChildren in this arm received conventional supraperiosteal infiltration anaesthesia in the buccal sulcus adjacent to one MIH-affected maxillary permanent first molar before restorative treatment.
Receives: Procedure: Conventional Maxillary Infiltration Anaesthesia
Conventional Mandibular Inferior Alveolar Nerve Block GroupActive comparatorChildren in this arm received conventional inferior alveolar nerve block anaesthesia before restorative treatment of one MIH-affected mandibular permanent first molar.
Receives: Procedure: Conventional Inferior Alveolar Nerve Block Anaesthesia
Mandibular Digital Intraosseous Anesthesia GroupExperimentalChildren in this arm received computer-controlled digital intraosseous anaesthesia using the SleeperOne 5 system before restorative treatment of one MIH-affected permanent first molar in the mandibular arch.
Receives: Device: SleeperOne 5 Computer-Controlled Intraosseous Anaesthesia System

What is being measured

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

  1. Child-Reported Pain During Dental Treatment Assessed Using the Wong-Baker FACES Pain Rating Scale

    Children rated the pain experienced during the restorative procedure using the Wong-Baker FACES Pain Rating Scale. The scale comprises six faces scored 0, 2, 4, 6, 8, and 10, where 0 indicates no pain and 10 indicates the worst imaginable pain. Higher scores indicate greater pain intensity.

    Measured: During the restorative procedure after local anesthesia administration, within the single treatment visit

Secondary outcomes (5)
  1. Child-Reported Pain During Needle Penetration Assessed Using the Wong-Baker FACES Pain Rating Scale

    Children rated the pain experienced during needle penetration using the Wong-Baker FACES Pain Rating Scale. The scale comprises six faces scored 0, 2, 4, 6, 8, and 10, where 0 indicates no pain and 10 indicates the worst imaginable pain. Higher scores indicate greater pain intensity.

    Measured: At the time of needle insertion into the oral mucosa, immediately before delivery of the local anaesthetic solution, during the single treatment visit

  2. Child-Reported Pain During Local Anaesthetic Solution Delivery Assessed Using the Wong-Baker FACES Pain Rating Scale

    Children rated the pain experienced during delivery of the local anaesthetic solution using the Wong-Baker FACES Pain Rating Scale. The scale comprises six faces scored 0, 2, 4, 6, 8, and 10, where 0 indicates no pain and 10 indicates the worst imaginable pain. Higher scores indicate greater pain intensity.

    Measured: During delivery of the local anaesthetic solution, immediately after needle penetration, during the single treatment visit

  3. Observer-Rated Pain-Related Behaviour During Local Anaesthetic Administration Assessed Using the FLACC Scale

    Pain-related behaviour was independently assessed using the Face, Legs, Activity, Cry, Consolability (FLACC) scale. Each of the five components is scored from 0 to 2, producing a total score ranging from 0 to 10. A total score of 0 indicates a relaxed and comfortable child, 1-3 indicates mild discomfort, 4-6 indicates moderate pain, and 7-10 indicates severe pain. Higher scores indicate greater pain-related behavioural responses.

    Measured: During the local anaesthetic injection sequence, from needle penetration through completion of anaesthetic solution delivery, before commencement of the restorative procedure, during the single treatment visit

  4. Change in Dental Anxiety From Before Local Anaesthesia to After Completion of Restorative Treatment Assessed Using the Modified Child Dental Anxiety Scale

    Dental anxiety was assessed using the eight-item Modified Child Dental Anxiety Scale (MCDAS). Each item is scored from 1 (relaxed) to 5 (extremely anxious), yielding a total score ranging from 8 to 40. Higher scores indicate greater dental anxiety. Change was calculated as the post-treatment score minus the pre-anaesthesia score; negative values indicate a reduction in dental anxiety.

    Measured: Immediately before local anaesthetic administration and immediately after completion of restorative treatment, during the same treatment visit.

  5. Requirement for Supplemental Local Anaesthesia During Restorative Treatment

    The number and proportion of children who required an additional local anaesthetic injection because the pain control provided by the allocated technique was considered insufficient were recorded for each treatment group.

    Measured: During restorative treatment following administration of the allocated anaesthetic technique, within the same treatment visit.

Timeline

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

  1. First posted30 Jul 2026
  2. Study start15 Jan 2025
  3. Primary completion15 Apr 2026
  4. Study completion15 Apr 2026

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
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
110 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07736677
Sponsor's protocol ID
MIH-DIA-RCT-2026
Other IDs
24-11/83
Acronym
DIA-MIH
Status last verified
Sep 2026
First submitted
26 Jul 2026
Last updated
23 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Individual participant data will not be shared. Study findings will be reported only in aggregate form to protect participant privacy, as the study involves children and no external IPD-sharing plan was established in the study protocol.

Publications

  • Smail-Faugeron V, Muller-Bolla M, Sixou JL, Courson F. Evaluation of intraosseous computerized injection system (QuickSleeper) vs conventional infiltration anaesthesia in paediatric oral health care: A multicentre, single-blind, combined split-mouth and parallel-arm randomized controlled trial. Int J Paediatr Dent. 2019 Sep;29(5):573-584. doi: 10.1111/ipd.12494. Epub 2019 Apr 8.

    PubMed 30883951
  • Atesci AA, Korkut Isik B, Yilmaz DO, Gergit B, Kilic MC, Oncag RO. Is Digital Anesthesia a Viable Alternative for Pain and Anxiety Control in Pediatric Dentistry? Int J Paediatr Dent. 2025 Oct 25. doi: 10.1111/ipd.70048. Online ahead of print.

    PubMed 41137566
  • Dogan S, Sahin M, Balci S. Effects of computer-assisted and conventional local anaesthesia on pain and anxiety in children with molar incisor hypomineralisation: a randomized controlled clinical trial. BMC Oral Health. 2026 May 30;26(1):1321. doi: 10.1186/s12903-026-08739-z.

    PubMed 42215951
  • Dixit UB, Joshi AV. Efficacy of Intraosseous Local Anesthesia for Restorative Procedures in Molar Incisor Hypomineralization-Affected Teeth in Children. Contemp Clin Dent. 2018 Sep;9(Suppl 2):S272-S277. doi: 10.4103/ccd.ccd_252_18.

    PubMed 30294157

Questions about this trial

What is this clinical trial studying?

A study testing Conventional Maxillary Infiltration Anaesthesia and Conventional Inferior Alveolar Nerve Block Anaesthesia in people with Molar Incisor Hypomineralization, run by Ege University at 2 sites in Turkey (Türkiye).

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 6 inclusion and 3 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: finished, as of the sponsor's last update on 23 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Turkey (Türkiye). 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Child-Reported Pain During Dental Treatment Assessed Using the Wong-Baker FACES Pain Rating Scale (time frame: During the restorative procedure after local anesthesia administration, within the single treatment visit). 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 NCT07736677, which also lists 4 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 23 Sep 2026.

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