<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20210815052196N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-09-04</date_registration>
      <primary_sponsor>Esfahan University of Medical Sciences</primary_sponsor>
      <public_title>Effect of cold and external vibration in local anesthesia</public_title>
      <acronym></acronym>
      <scientific_title>Comparative evaluation of  effectiveness of using “external cold and vibration” and “cold”  on amount of pain caused by maxillary infiltration in 6-12 year-old children</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-08-25</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>30</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/58150</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Health service research, Randomization description: The randomization method is done by sealing the envelope. The randomization unit is individual. There are two envelopes, one with the word buzzy and the other with the word control. We ask the child to choose an envelope at the beginning of the session. The package that will be chosen will be the treatment method in the first session, Blinding description: The analyzer does not know the data related to intervention and control. Also, in the control session for blinding the participant, the device is placed off on the child's face.</study_design>
      <phase>N/A</phase>
      <hc_freetext>A child has deep caries in the maxillary D and E teeth that requires local anesthesia..</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: The parent places the Buzzy on the skin of the injection site and holds it for two minutes. The dentist applies surface anesthesia gel to the mucusa of the injection site with an ear cleaner, and after 30 seconds of injection, performs the infiltration anesthesia for one minute. The device should be in place during the application of the superficial anesthetic gel and the injection. Intervention 2: Control group: only cold and surface anesthesia gel are used. To blind the baby, we put the Buzzy on the baby's face without turning on the vibration and cold wings, and after two minutes, the surface anesthetic gel is applied by the ear cleaner for 30 seconds and the injection is done.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Yes - There is a plan to make this available</results_IPD_plan>
      <results_IPD_description>What will be shared:
Age and gender, Frankel classification, fear score, children's heart rate after non-identification

When:
Access starts one month after publication

To whom:
General dentists and pediatric dentists , researchers working in academic institutions can apply for it.

Conditions:
The use of data for systematic review and meta analysis will be allowed.

Where to obtain:
Dr. Reyhane Faghihian reyhane.fgh@gmail.com
Fateme shadmanfar. fatemeshd@yahoo.com

How to obtain:
The applicant must submit their application via email. The email must state the reason for the request and the use of it. Data will be sent up to one month after the request is submitted.

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Dr Reyhane Faghihian</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>9th floor, Block 4, Doctors Building, Aref St., Third Moshtaq, Esfahan.</address>
        <city>Esfahan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8158184959</zip>
        <telephone>+98 31 3263 8163</telephone>
        <email>Reyhane.fgh@gmail.com</email>
        <affiliation>Esfahan University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Dr Reyhane Faghihian</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>9th floor, Block 4, Doctors Building, Aref St., Third Moshtaq, Esfahan.</address>
        <city>Esfahan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8158184959</zip>
        <telephone>+98 31 3263 8163</telephone>
        <email>Reyhane.fgh@gmail.com</email>
        <affiliation>Esfahan University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Children who are physically and mentally healthy, they have no underlying disease
they are not currently taking painkillers or sedatives
Children should be positive or completely positive about Frankl's behavioral classification during the dental examination
he child should have no history of previous dental treatment and toothache at the time of referral
they require deep D or E tooth restorations on both sides of the maxilla
they are willing to participate in the study</inclusion_criteria>
      <agemin>6 years</agemin>
      <agemax>12 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Have a history of hospitalization due to dental surgery
children with chronic illnesses (such as asthma, allergies, diabetes, sickle cell disease, cystic fibrosis, dermatitis)
children with behavioral problems (such as autism, ADHD, learning disabilities)
patients with mental health problems, patients Congenital disorders, hearing and speech disorders are also not included in the study
The child will be excluded from the study if the area to be implanted has pathology or if there is inflammation at the injection site
non-working children will not participate in the study.</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>K02</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Dental caries</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Devices</i_code>
      <i_code>Treatment - Devices</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: The parent places the Buzzy on the skin of the injection site and holds it for two minutes. The dentist applies surface anesthesia gel to the mucusa of the injection site with an ear cleaner, and after 30 seconds of injection, performs the infiltration anesthesia for one minute. The device should be in place during the application of the superficial anesthetic gel and the injection.</i_keyword>
      <i_keyword>Control group: only cold and surface anesthesia gel are used. To blind the baby, we put the Buzzy on the baby's face without turning on the vibration and cold wings, and after two minutes, the surface anesthetic gel is applied by the ear cleaner for 30 seconds and the injection is done.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Pain index. Timepoint: Measure of pain index immediately after injection. Method of measurement: Wong-baker index, FLACC index.</prim_outcome>
      <prim_outcome>Heart rate. Timepoint: 5 minutes before injection, during injection, 5 minutes after injection. Method of measurement: Pulse oximeter.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Esfahan University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2021-08-22</approval_date>
        <contact_name>Ethics committee of Esfahan  University of Medical Sciences</contact_name>
        <contact_address>Vice Chancellor for Research and Technology, Building No. 4, Isfahan University of Medical Sciences and Health Services, Hezar Jerib St, Esfahan Esfahan Isfehan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
