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CTRI Number  CTRI/2025/02/080523 [Registered on: 13/02/2025] Trial Registered Prospectively
Last Modified On: 04/02/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparision of clinical and radiographic changes in gums and tooth bone in patients with caries below the gum margin filled with glass ionomer cement and composite cement during gum surgery 
Scientific Title of Study   Comparative evaluation of clinical and radiographic changes in periodontal tissues of patients with subgingival carious lesions restored with resin modified glass ionomer cement versus resin composite with simultaneous open flap debridement : A randomized clinical trial 
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 Kruti Nayak 
Designation  PG student 
Affiliation  Government Dental College and Hospital Jamnagar 
Address  Room no.6, dept of Periodontia, !st floor,Government Dental College and Hospital Main Road Rameshwar Nagar Government Dental College and Hospital Main Road Rameshwar Nagar Jamnagar GUJARAT 361008 India

Jamnagar
GUJARAT
361008
India 
Phone  9409178214  
Fax    
Email  krutinayak6999@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Nayana Patel 
Designation  PG guide 
Affiliation  Government Dental College and Hospital Jamnagar 
Address  101, 1st floor Gulab Avenue Near Park Colony Jamnagar 361008 Government Dental College and Hospital Main Road Rameshwar Nagar Jamnagar GUJARAT 361008 India

Jamnagar
GUJARAT
361008
India 
Phone  9825191911  
Fax    
Email  drnayanagpatel@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Nayana Patel 
Designation  PG guide 
Affiliation  Government Dental College and Hospital Jamnagar 
Address  101,1st floor Gulab Avenue Near Park Colony Jamnagar 361008 Government Dental College and Hospital Main Road Rameshwar Nagar Jamnagar GUJARAT 361008 India

Jamnagar
GUJARAT
361008
India 
Phone  9825191911  
Fax    
Email  drnayanagpatel@gmail.com  
 
Source of Monetary or Material Support  
Dept. of periodotia,Government Dental College and Hospital, Navagam ghed, Jamnagar,Gujarat,India 361008 
 
Primary Sponsor  
Name  Dr Kruti Nayak 
Address  Government Dental College and Hospital Main Road Rameshwar Nagar Government Dental College and Hospital Main Road Rameshwar Nagar Jamnagar GUJARAT India 361008 
Type of Sponsor  Other [Self] 
 
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 Kruti Nayak  Government Dental College and Hospital Jamnagar  Room no.6, Department of Periodontia, 1st floor, Government Dental College and Hospital Main Road Rameshwar Nagar Government Dental College and Hospital Main Road Rameshwar Nagar Jamnagar GUJARAT 361008 India
Jamnagar
GUJARAT 
9409178214

krutinayak6999@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee MP Shah Medical College and Guru Govind Singh Government Hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K053||Chronic periodontitis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  RESIN COMPOSITE   After endodontic treatment if needed and phase 1 therapy patients will be recalled and evaluated.Baseline data of clinical and radiographic parameters will be recorded. Patient preparation will be done and local anesthesia will be given.Flap surgery will be performed for assisting the restorative procedure since it could aid in establishing a proper access to the operative site, debriding the area and rendered attachment at a desirable area favoring less recession post-operatively. Group B will be restored with resin composite. 4-0 suture will be passed through buccal and lingual papilla and suture will be placed.Post-operative instructions will be given. Patient will be prescribed with antibiotics and analgesics for 5 days.Sutures will be removed one week post operatively.Follow up after 3 months and 6 months will be taken and clinical changes which are plaque index gingival index probing pocket depth and clinical attachment level and radiographic changes which is bone height will be recorded 
Intervention  Resin modified glass ionomer cement  After endodontic treatment if needed and phase 1 therapy patients will be recalled and evaluated.Baseline data of clinical and radiographic parameters will be recorded. Patient preparation will be done and local anesthesia will be given.Flap surgery will be performed for assisting the restorative procedure since it could aid in establishing a proper access to the operative site, debriding the area and rendered attachment at a desirable area favoring less recession post-operatively. Group A will be restored with resin modified glass ionomer cement. 4-0 suture will be passed through buccal and lingual papilla and suture will be placed.Post-operative instructions will be given. Patient will be prescribed with antibiotics and analgesics for 5 days.Sutures will be removed one week post operatively.Follow up after 3 months and 6 months will be taken and clinical changes which are plaque index gingival index probing pocket depth and clinical attachment level and radiographic changes which is bone height will be recorded  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  No systemic conditions that would contraindicate routine periodontal procedures
The sites having radiographic evidence of subgingival caries and probing depth of equal to or greater than 4 mm 
 
ExclusionCriteria 
Details  Patients with deleterious oral habits such as smoking, tobacco chewing.
Pregnant and lactating mothers.
Patients who were on anti inflammatory drugs consumption within the past 3 months
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Alternation 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Probing pocket depth  Baseline 3 months 6 months 
 
Secondary Outcome  
Outcome  TimePoints 
Plaque index (PI)
Gingival index (GI)
Clinical attachment level(CAL)
Bone height
 
Baseline 3rd month 6th month 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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   Phase 4 
Date of First Enrollment (India)   17/03/2025 
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="1"
Months="6"
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   Patient referred to the department of periodontia, will be screened for subgingival carious lesions. After fulfilling the inclusion and exclusion criteria patient will be informed. After informing the patient about the study and completing the formalities in the consent form, the patients will be enrolled and data collection in the proforma will be done. After endodontic treatment if needed and phase 1 therapy patients will be recalled and evaluated. Baseline data of clinical parameters which are Plaque index (PI) Gingival index (GI) Probing pocket depth (PD) Clinical attachment level (CAL) and radiographic parameters which is bone height will be recorded. Patient preparation will be done and local anesthesia will be given. Flap surgery will be performed for assisting the restorative procedure since it could aid in establishing a proper access to the operative site, debriding the area and rendered attachment at a desirable area favoring less recession post-operatively. Group A will be restored with resin modified glass ionomer cement group. Group B will be restored with resin composite. 4-0 suture will be passed through buccal and lingual papilla and suture will be placed. Post-operative instructions will be given. Patient will be prescribed with antibiotics and analgesics for 5 days. Sutures will be removed one week post operatively. Follow up after 3 months and 6 months will be taken and clinical and radiographic changes will be recorded. 
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