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CTRI Number  CTRI/2024/04/065636 [Registered on: 15/04/2024] Trial Registered Prospectively
Last Modified On: 13/04/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Single Arm Study 
Public Title of Study   Evaluation of the effect of vitamin D levels on bone changes in the mouth of young adults undergoing braces treatment 
Scientific Title of Study   A comparative evaluation of effect of vitamin D status on orthodontic bone remodelling using biomarkers in gingival crevicular fluid among young adults seeking orthodontic treatment- an in-vivo study. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Ayushi Toley 
Designation  Post Graduate Student 
Affiliation  Chhattisgarh dental college and research institute 
Address  Department of orthodontics and dentofacial orthopedics, room no 6, Chhattisgarh dental college and research institute, Sundra, Rajnandgaon, Chhattisgarh, India. Pincode- 491441

Rajnandgaon
CHHATTISGARH
491441
India 
Phone  9595372181  
Fax    
Email  ayushitoley8@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Javed Sodawala 
Designation  Professor and Head of the Deparment 
Affiliation  Chhattisgarh dental college and research institute 
Address  Department of orthodontics and dentofacial orthopedics, room no 6, Chhattisgarh dental college and research institute, Sundra, Rajnandgaon, Chhattisgarh, India. Pincode- 491441

Rajnandgaon
CHHATTISGARH
491441
India 
Phone  7000858658  
Fax    
Email  drjavedazher@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Ayushi Toley 
Designation  Post Graduate Student 
Affiliation  Chhattisgarh dental college and research institute 
Address  Department of orthodontics and dentofacial orthopedics, room no 6, Chhattisgarh dental college and research institute, Sundra, Rajnandgaon, Chhattisgarh, India. Pincode- 491441

Rajnandgaon
CHHATTISGARH
491441
India 
Phone  9595372181  
Fax    
Email  ayushitoley8@gmail.com  
 
Source of Monetary or Material Support  
Chhattisgarh dental college and research institute, Sundra, Rajnandgaon, Chhattisgarh, India. Pincode- 491441 
 
Primary Sponsor  
Name  Dr. Ayushi Toley 
Address  Department of orthodontics and dentofacial orthopedics, room no 6, Chhattisgarh dental college and research institute, Sundra, Rajnandgaon, Chhattisgarh, India. Pincode- 491441 
Type of Sponsor  Other [self] 
 
Details of Secondary Sponsor  
Name  Address 
not applicable  not applicable 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Ayushi Toley  Chhattisgarh dental college and research institute  Department of orthodontics and dentofacial orthopedics, room no 6, Chhattisgarh dental college and research institute, Sundra, Rajnandgaon, Chhattisgarh, India. Pincode- 491441
Rajnandgaon
CHHATTISGARH 
9595372181

ayushitoley8@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Chhattisgarh dental college and research institute  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K038||Other specified diseases of hard tissues of teeth,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  nil  nil 
Comparator Agent  nil  nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  25.00 Year(s)
Gender  Both 
Details  1. Patients with no gross skeletal dysplasia.
2. Patients with Angles Class I malocclusion with bimaxillary protrusion and minimal or no crowding requiring fixed orthodontic treatment indicated for bilateral maxillary first premolar extraction.
3. Fully erupted set of permanent dentition except third molars. 
 
ExclusionCriteria 
Details  1. Patients requiring treatment with functional jaw orthopedics or orthognathic surgery.
2. Presence of craniofacial anomalies.
3. presence of any signs and symptoms of gingival and periodontal diseases.
4. Presence of significant medical history and medication known to affect the normal bone remodeling process like chemotherapy, radiation therapy, hormonal replacement therapy or bisphosphonate therapy, skeletal and bone disorders.
5. Patients seeking medication for vitamin D deficiency. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
1. To assess the Vitamin D levels of young adults seeking orthodontic treatment.
2. To classify patients according to their Vitamin D status.
3. To assess, evaluate and compare the concentration of NTx and P1NP biomarkers in gingival crevicular fluid of Vitamin D deficient, Vitamin D insufficient and Vitamin D sufficient patients before and after 21 days of force application 
The concentration of Vitamin D will be assessed in serum at the beginning (T0). The concentration of P1NP and NTx biomarker will be assessed in gingival crevicular fluid at the beginning (T0) and 21 days after force application (T1). 
 
Secondary Outcome  
Outcome  TimePoints 
1.Assessment of the baseline concentration of P1NP and NTx biomarkers in gingival crevicular fluid of Vit D Deficient, Vit D Insufficient and Vit D Sufficient subjects.
2.Assessment of the correlation between P1NP and NTx biomarkers before and after orthodontic force application among Vit D Deficient, Vit D Insufficient and Vit D Sufficient groups.
3.Determination of prevalence of Vit D Deficiency among the sample population.
4.Determination of the demographical differences in Vit D status among the sample population. 
The concentration of Vitamin D will be assessed in serum at the beginning (T0). The concentration of P1NP and NTx biomarker will be assessed in gingival crevicular fluid at the beginning (T0) and 21 days after force application (T1). 
 
Target Sample Size   Total Sample Size="45"
Sample Size from India="45" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   24/04/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="1"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   45 patients fulfilling inclusion and exclusion criteria will be recruited for this study and Vitamin D level will be assessed in the serum before the start of maxillary canine retraction (T0). The patients will be classified into 3 groups- Vitamin D sufficient, insufficient, and deficient. Gingival crevicular fluid will be also collected from maxillary canines just before the start of maxillary canine retraction  (T0). The retraction of the maxillary canine will be done using closed NiTi coil springs using 150 gms force and Gingival crevicular fluid will be collected again after 21 days of force application (T1). Gingival crevicular fluid samples will be analyzed for biomarkers NTx and P1NP levels responsible for bone remodeling using ELISA kits and compared among the three groups. 
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