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CTRI Number  CTRI/2024/06/069443 [Registered on: 25/06/2024] Trial Registered Prospectively
Last Modified On: 15/03/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Diagnostic
Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   To evaluate which sealer shows good healing outcome and less post operative pain. 
Scientific Title of Study   Effect of bioceramic sealers on healing outcome and post operative pain: 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 Ankita Sharma 
Designation  MDS( post graduate) 
Affiliation  ITS dental college hospital and research centre, greater noida  
Address  Room no. 7, department of conservative dentistry and endodontics, ITS dental college hospital and research centre, 47, knowledge park 3 Gautam Buddha nagar uttarpradesh 201308 india

Gautam Buddha Nagar
UTTAR PRADESH
201308
India 
Phone  9811646919  
Fax    
Email  ankitarakeshsharma2016@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Rohit Kochhar 
Designation  Professor and head of the department 
Affiliation  ITS dental college hospital and research centre, greater noida  
Address  room no.7 department Of conservative dentistry And endodontics ITS dental college greater noida,47, knowledge park-3 gautam buddha nagar uttar pradesh 201308 india

Gautam Buddha Nagar
UTTAR PRADESH
201308
India 
Phone  9810034451  
Fax    
Email  hod.cons.gn@its.edu.in  
 
Details of Contact Person
Public Query
 
Name  Dr Rohit Kochhar 
Designation  Professor and head of the department 
Affiliation  ITS dental college hospital and research centre greater noida  
Address  room no.7 department Of conservative dentistry And endodontics ITS dental college greater noida,47, knowledge park-3 gautam buddha nagar uttar pradesh 201308 india

Gautam Buddha Nagar
UTTAR PRADESH
201308
India 
Phone  9810034451  
Fax    
Email  hod.cons.gn@its.edu.in  
 
Source of Monetary or Material Support  
room no.7, department of conservative dentistry and endodontics,ITS dental college, greater noida, 47 knowledge park 3,201308, uttarpradesh, india  
 
Primary Sponsor  
Name  ITS dental college hospital and research centre 
Address  room no 7 department of conservative dentistry and endodontics ITS dental college greater noida,47, knowledge park 3,201308,uttar Pradesh, India  
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Ankita Sharma  its dental college hospital and research centre greater noida  room no 7,department of conservative and endodontics, its dental college hospital and research centre greater noida gauttam buddha nagar uttar pradesh
Gautam Buddha Nagar
UTTAR PRADESH 
9811646919

ankitarakeshsharma2016@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
ITS dental college hospital and research centre institutional ethics committee   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K049||Other and unspecified diseases ofpulp and periapical tissues,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Bio ceramic sealers   Bio ceramic sealers is used for obturation to check the status of healing at 3 months, 6 months and 12 months and post operative pain at 4 hours, 24 hours and 48 hours 
Comparator Agent  Resin based sealer  Resin based sealers is used for obturation to check the status of the healing at 3 months, 6 months and 12 months and post operative pain at 4 hours, 24 hours and 48 hours. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1.Both male and female genders.
2.Age of patient between 18-60 years.
3.Teeth with fully formed apices requiring root canal therapy.
4.Posterior teeth.
5.Horizontal supracrestal root fracture.
6.Good health(AMERICAN SOCIETY OF ANESTHESIOLOGISTS CLASSIFICATION I AND II.)
7.Presence of periapical radiolucency upto 5mm.
8.Irreversible pulpitis
( SYMPTOMATIC/ ASYMPTOMATIC)
9. Patient consenting to be part of this study. 
 
ExclusionCriteria 
Details  1. Use of any analgesic, anti inflammatory or antibiotics before treatment.
2. Previous endodontic intervention.
3. Evidence of vertical root fracture.
4. Non restorable teeth.
5. Patient who were unable to communicate their symptoms because of psychological disorders.
6. Tooth was affected by cracks, severe periodontal bone loss due to chronic periodontitis accompanying mobility of tooth.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Other 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1.To evaluate healing outcome of bioceramic sealer
2. to evaluate healing outcome of resin based sealer
3. to compare healing outcome of bioceramic sealer
4. to compare healing outcome of resin based sealer.  
healing will be checked at base line 3 months 6 months and 12 months interval 
 
Secondary Outcome  
Outcome  TimePoints 
To evaluate and compare the intensity of pain after obturation using BC sealer and Resin based sealer.2.To evaluate and compare the intensity of pain after obturation using BC sealer and Resin based sealer.

 
pain will be measured by NRS scale. observation will be done at 4hr 24hr 48hr 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
Final Enrollment numbers achieved (Total)= "100"
Final Enrollment numbers achieved (India)="100" 
Phase of Trial   Phase 2/ Phase 3 
Date of First Enrollment (India)   10/07/2024 
Date of Study Completion (India) 28/11/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="10"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
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
Modification(s)  

       A clinical diagnosis for the patient reporting to the Department of Conservative Dentistry and Endodontics will be made and patients will be selected according to the inclusion criteria mentioned in the study.  A preoperative radiograph and CBCT will be taken to assess the extent of caries and the size of periapical radiolucency which should be upto 5mm.Pulp vitality test(cold: ENDO ICE) and EPT will be performed to confirm the irreversible  of the pulp.

        Included patients will be informed about the study and explained in detail about the procedure of the study and requirement for the same. A solution of 2% lidocaine HCL and 1:100000 epinephrine will be used to anaesthetize each subject. Occlusal reduction will be done to avoid postoperative pain.

      A sterile round bur #2 will be used to get access to the pulp chamber coronally after debriding the tooth structure of any old restoration and secondary decay  around the access opening site. To establish the working length,  radiographic method will be employedAn initial glide path will be prepared with a hand file after the working length has been established. Canal orifice enlargement will be done with  SX hand protaper file for each patient.

         Continue with the root canal treatment by doing further biomechanical preparation with                

         size F1 until the projected working length is reached, irrigation with 2.5 percent NaOCl and

         saline will be performed as per gold standard, and the final rinse will be done using 3ml of

          17% EDTA. The canal will then be dried using paper points.  Depending upon the type of  

           sealer used 100 patients will be randomly allocated into 2 groups of 50 patients each.

Group 1 (n=50): Bioceramic sealer(bio c sealer, Angelus)

Group 2 (n=50): Resin based sealer (AH plus, Dentsply)

 Both the sealers will be mixed as per manufacturers instruction. Root canal walls will be coated with the sealer with the help of master cone GP followed by lateral compaction with accessory GP cone. Gutta percha cone will be cut at orifice level. After obturation teeth will be assessed for

        Post operative pain

             Healing of apical radiolucency

 If patient complains of pain after obturation a escape drug (diclofenac sodium tablets 40mg)will be given. Post Operative Pain will be checked at 4 hr, 24 hr and 48 hr. Pain will be measured by NRS Scale. Healing will be checked by Periapical Radiograph & CBCT. Periapical Radiograph Will Be Taken At:

            pre operative

           3 months

           6 months

           12 months

CBCT Will Be Done At:

Pre operative

      After 12 months

Healing will be checked by Periapical Index (PAI) Score and Cone-beam computed tomography – Periapical index (CBCT-PAI)

 

 
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