<?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>IRCT20191002044953N2</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2020-06-03</date_registration>
      <primary_sponsor>Yazd University of Medical Sciences</primary_sponsor>
      <public_title>The effect of breathing exercise using bubble blower on anxiety, behaviour and pain during mandibular anaesthesia injection in children aged 7 to 10 years</public_title>
      <acronym></acronym>
      <scientific_title>The effect of breathing exercise using bubble blower on anxiety, behaviour and pain during inferior alveolar nerve block in children aged 7 to 10 years</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2020-09-28</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>40</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/46228</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Crossover, Purpose: Treatment, Randomization description: Randomization: Simple. Randomization unit: mandibular quadrant . Randomization tool: Statistical Software. For allocation concealment, the numbers in the software list are separately put into envelopes. For each patient in the first visit, a sealed envelop is used to determine whether the breathing exercise is going to be used in the first or second pulp therapy visit. Another sealed envelop is used in the first pulp therapy visit to determine the first quadrant(left or right) undergoing treatment.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Condition 1: Dental pain. Condition 2: Anxiety.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: practising the breathing exercise one week before the pulp therapy with bubble blower, four times practice before the injection and repeating the exercise during injection(without blower). Intervention 2: Control group: Routinely inferior alveolar nerve block injection using topical anaesthetic gel.</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:
Undetectable information such as age, sex and previous dental treatments history will be published. Study outcomes will also be published, including changes in pulse rate and data regarding Facial Image Scale, Wong-Baker Facial Pain Scale, Face Leg Activity Cry Consolability Scale and Frankle behaviour rating scale .

When:
9 months after publication

To whom:
The data are only available for investigators working in academic and scientific institutions.

Conditions:
Use of this data is permitted for systematic review and meta-analysis. Similar clinical trials can also use the data to criticize the present study and its results in their Discussion.

Where to obtain:
1. Send an email to nahidmaghsoodi@yahoo.com 2. Send an email to zbahrololoom@yahoo.com 3. Telephone Call with Dr. Zahra Bahrololoomi, No. 983536214257.

How to obtain:
After the request via one of the three methods listed above, if the request matches the sharing information mentioned before, this information will be available to the applicant within one month.

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Nahid Maghsoudi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No. 1, Imam Reza Blvd., Imam Reza Square., Yazd, Iran</address>
        <city>Yazd</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>89148-15669</zip>
        <telephone>+98 35 3621 4257</telephone>
        <email>nahidmaghsoodi@yahoo.com</email>
        <affiliation>Yazd University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Nahid Maghsoudi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No. 1, Imam Reza Blvd., Imam Reza Square., Yazd, Iran</address>
        <city>Yazd</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>89148-15669</zip>
        <telephone>+98 35 3621 4257</telephone>
        <email>nahidmaghsoodi@yahoo.com</email>
        <affiliation>Yazd University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Healthy children without any history of local anaesthestic drugs allergy or learning disabilities
Children with grade 3,4 or 5 of FIS who require bilateral pulp therapy of mandibular primary molars
Children with capable of communication in Farsi
Children not requiring emergency treatment
Children without major psychologic disorders like Seperation Anxiety Disorder, General Anxiety Disorder and Obsessive-Compulsive Disorder</inclusion_criteria>
      <agemin>7 years</agemin>
      <agemax>10 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Necrotic teeth
Parental uncooperation</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>k08.8</hc_code>
      <hc_code>F41.9</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Toothache NOS</hc_keyword>
      <hc_keyword>Anxiety NOS</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Treatment - Other</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: practising the breathing exercise one week before the pulp therapy with bubble blower, four times practice before the injection and repeating the exercise during injection(without blower)</i_keyword>
      <i_keyword>Control group: Routinely inferior alveolar nerve block injection using topical anaesthetic gel.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Anxiety level in Facial Image Scale. Timepoint: In the begining of the study in the first visit, also in both pulp therapy visits before the anasthesia injection. Method of measurement: Facial Image Scale.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Pulse rate. Timepoint: 5 minutes before and after and during anaesthesia injection in pulp therapy visits. Method of measurement: Pulse rare measurement.</sec_outcome>
      <sec_outcome>Pain. Timepoint: Immediately after anaesthesia injection in pulp therapy visits. Method of measurement: Subjective evaluation using Wong Baker Facial Pain Scale.</sec_outcome>
      <sec_outcome>Pain. Timepoint: During anaesthesia injection in pulp therapy visits. Method of measurement: Objective evaluation using Face Leg Activity Cry Consolobility Scale.</sec_outcome>
      <sec_outcome>Behaviour. Timepoint: During anaesthesia injection in pulp therapy visits. Method of measurement: Objective evaluation using Frankl Behaviour Rating Scale.</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>Yazd University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2020-05-03</approval_date>
        <contact_name>Ethics Committee of Shahid Sadoughi University of Medical Sciences</contact_name>
        <contact_address>Dahe Fajr Ave , Imam Reza Square , Dentistry Faculty Yazd Yazd Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
