<?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>IRCT20250522065846N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2025-05-29</date_registration>
      <primary_sponsor>Zahedan University of Medical Sciences</primary_sponsor>
      <public_title>Investigating the Effect of Lavender Aroma on Pain Levels, Anxiety, and Cooperation in Children Aged 7 to 10 During the Use of Conventional and Computerized Anesthesia: A Randomized Clinical Trial</public_title>
      <acronym></acronym>
      <scientific_title>Investigating the Effect of Lavender Aroma on Pain Levels, Anxiety, and Cooperation in Children Aged 7 to 10 During the Use of Conventional and Computerized Anesthesia: A Randomized Clinical Trial</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2025-05-24</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>72</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/83769</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Crossover, Purpose: Treatment, Randomization description: Random allocation of all individuals in groups (N=72) using the block randomization method, considering the sequence (AB, BA) for conventional anesthesia (A = with lavender fragrance, B = without lavender fragrance). Sequence (CD, DC) for computer-assisted anesthesia (C = with lavender fragrance, D = without lavender fragrance) is performed, considering a block size of 8. For this purpose, the randomizeBE package in R software is used, Blinding description: In this study, the participants, the dentist, and the evaluator are blind to the type of anesthesia used.</study_design>
      <phase>N/A</phase>
      <hc_freetext>children anesthesia.</hc_freetext>
      <i_freetext>Intervention group :Group 1: Exposed to lavender aromatherapy, receiving digital anesthesia on one side in the second session and conventional anesthesia on the opposite side in the third session.Group 2: Exposed to lavender aromatherapy, receiving conventional anesthesia on one side in the second session and digital anesthesia on the opposite side in the third session.Group 3: Not exposed to lavender aromatherapy, receiving digital anesthesia on one side in the second session and conventional anesthesia on the opposite side in the third session.Group 4: Not exposed to lavender aromatherapy, receiving conventional anesthesia on one side in the second session and digital anesthesia on the opposite side in the third session..</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>Undecided - It is not yet known if there will be a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for indecision in sharing IPD is Im not yet known</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Bahare Davvaz</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Zahedan Faculty of Dentistry</address>
        <city>Zahedan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9817699693</zip>
        <telephone>+98 51 3341 4005</telephone>
        <email>baharedvz@gmail.com</email>
        <affiliation>Zahedan University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Bahare Davvaz</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Zahedan Faculty of Dentistry</address>
        <city>Zahedan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9817699693</zip>
        <telephone>+98 51 3341 4005</telephone>
        <email>baharedvz@gmail.com</email>
        <affiliation>Zahedan University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Children in the 7 to 10 year age range.
Healthy children physically and mentally (without a history of serious physical or mental illnesses that may affect anxiety or pain perception).
Children who demonstrate the ability to cooperate with the dentist in the initial evaluation (level 3 or 4 on the Frankl Behavior Rating Scale).
Children who are in the moderate or mild range in the initial dental anxiety assessment.
Participants who do not have a history of sensitivity or allergy to herbal scents, especially lavender.
Children who require similar treatment on both sides of the lower jaw and require anesthesia with an alveolar nerve block injection.
Children who, at the time of the study, are not taking sedatives, anti-anxiety medications, or painkillers that can affect anxiety or pain levels.
Children with sufficient cognitive skills to complete the self-report scale.
Parents or legal guardians must sign a written consent form for the child to participate in the study.
Children who do not score above 25 on the SCARED questionnaire.</inclusion_criteria>
      <agemin>7 years</agemin>
      <agemax>10 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Children whose parents refuse to allow their child to participate in this study.
Children with mental and physical disabilities.
Children who have used NSAIDs, painkillers, or opioids in the past 8 hours.
Children who did not attend after the second session.</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code></hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword></hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Devices</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group :Group 1: Exposed to lavender aromatherapy, receiving digital anesthesia on one side in the second session and conventional anesthesia on the opposite side in the third session.Group 2: Exposed to lavender aromatherapy, receiving conventional anesthesia on one side in the second session and digital anesthesia on the opposite side in the third session.Group 3: Not exposed to lavender aromatherapy, receiving digital anesthesia on one side in the second session and conventional anesthesia on the opposite side in the third session.Group 4: Not exposed to lavender aromatherapy, receiving conventional anesthesia on one side in the second session and digital anesthesia on the opposite side in the third session.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Cooperation:  in children in dentistry refers to a child's ability to actively and calmly participate in dental treatment processes, such as examinations or anesthesia injections, without resistance or negative behaviors.2.4s. Timepoint: Assessment of cooperation after anesthesia injection. Method of measurement: based on Venham Clinical Cooperation Scale (VCCS).</prim_outcome>
      <prim_outcome>Pain: in pediatric dentistry refers to physical discomfort or distress caused by treatment procedures, such as anesthesia injections or dental treatments, which psychological and environmental factors can influence.4.8s. Timepoint: Assessment of pain after anesthesia injection. Method of measurement: based on Wong Baker index.</prim_outcome>
      <prim_outcome>Anxiety: An abnormal fear or unwarranted anxiety about visiting the dentist for dental treatment procedures is described. Timepoint: Assessment of anxiety after anesthesia injection. Method of measurement: based on Venham Clinical Cooperation Scale (VCCS).</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Heart rate: Heart rate is the number of heartbeats per minute, measured in beats per minute (bpm), indicating heart health or responses to factors like stress or anesthesia. Timepoint: Measurement of heart rate before and after anesthesia injection. Method of measurement: Finger pulse oximeter.</sec_outcome>
      <sec_outcome>Oxygen saturation (SpO2) measures the percentage of hemoglobin bound to oxygen in the blood, assessed by a finger pulse oximeter, typically 95–100% in healthy individuals. Timepoint: Measurement of pulse oximeter saturation before and after anesthesia injection. Method of measurement: Finger pulse oximeter.</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>Zahedan University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2025-05-17</approval_date>
        <contact_name>Ethics Committee of Zahedan University</contact_name>
        <contact_address>Zahedan Faculty of Dentistry Zahedan Sistan-va-Balouchestan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
