Evaluation of Physiologic and non physiologic Effects of Two Adjacent Primary Molars Treatment in One Single Session in5-7 years old children

Different Aspects of Two Adjacent Primary Molars Treatment in One Single In-dental school

Clinical trial, double-blind, randomized, on 58 patients, randomized block method is used for randomization.

The study will be perfumed in year 1402 in the pediatric department of zahedan Dental school, double-blind is perfumed for patients and evaluator.

Inclusion Criteria: Children aged 5-7 years without any physical or mental illnesses, cooperation based on the Frankl behavior rating scale (Frankl 3 or 4), candidates for routine dental treatment at the clinic for the first time, having at least four asymptomatic decayed primary molars requiring pulpotomy and stainless steel crown (SSC), with at least three of them in one jaw. Exclusion Criteria: Children with a history of unfavorable medical or dental conditions, dental emergencies, tooth pain except for food impaction, systemic illness or medication intake, known allergies or contraindications to the anesthesia solution, requiring pharmacological behavior management techniques, unusual bleeding during pulp exposure or pulp chamber removal, requiring complete pulpal anesthesia, non-cooperative children (Frankl 1: definitely negative)

Intervention group: treatment of two adjacent molars in a child and investigation of its physiological and non-physiological effects (experimental arc). Control group: treatment of a single molar tooth and investigation of the physiological and non-physiological effects (control group).

Primary recorded outcomes include systolic blood pressure, diastolic blood pressure, heart rate, oxygen saturation, child behavior, child's self-reported discomfort, treatment duration, pain after treatment and its duration, opposition to the next treatment session. and parental consent.

Allocation of samples will be done using quadruple blocks, where half of the individuals are assigned to group one and the other half to group two. All possible quadruple scenarios are as follows: Where 'A' belongs to group one and 'B' belongs to group two. 1. A A B B 2. A B A B 3. A B B A 4. B B A A 5. B A B A 6. B A A B In the next step, each of these quadruple combinations will be assigned a number from 1 to 6. Following that, approximately 15 random quadruple blocks will be selected based on the total sample size and the sample size for each group. The order of these selected blocks will be determined, and the allocation of individuals to groups one and two will be based on these chosen orders. By continuing this process, we ensure that the difference between the two groups will not exceed two individuals at most.

The assessor of the physiological and non-physiological measures is currently blinded to which side (adjacent treatment of two decayed primary molars in one session under the experimental group and treatment of one decayed primary molar in one session under the control group) is being performed. The participant is unaware of how to check the sequence of sessions.

information about the main outcome and its comparison with different groups can be shared.

Access period starts 6 months after the results are published.

Researchers working in academic and scientific institutes, dental students, dentists.

The ultimate goals are providing adequate dental services, creating a good experience, consolidating good communication between the individual child and dental team and avoiding any fear and anxiety throughout future life and improve treatment results. all dental researchers will be able to access the data.

Dr.nahid ramazani ramazani77@gmail.com +989155009085

please send an email to the respondent and state the resume and purpose of accessing the data for the respondent.The respondent will respond to the initial email within a week, and if documents need to be sent, the documents will be sent to the applicant within a month.