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CTRI Number  CTRI/2024/07/070005 [Registered on: 04/07/2024] Trial Registered Prospectively
Last Modified On: 20/07/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Comparing the Effectiveness of Two Bio-Ceramic Sealers in Treating Necrosed Teeth: A 6-Month Study Using CBCT-Advanced Imaging Technology  
Scientific Title of Study   A comparative 6 months evaluation of clinical and radiographic outcome of necrotic single rooted teeth obturated using two different bioceramic sealers : A CBCT-based randomized clinical 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 Riddhi Vasa 
Designation  PG Student 
Affiliation  K.M. Shah dental college and hospital 
Address  Department of Conservative Dentistry and Endodontics, K.M. SHAH Dental College and Hospital Sumandeep Vidyapeeth Waghodia, Vadodara 391760

Vadodara
GUJARAT
391760
India 
Phone  8583097772  
Fax    
Email  vasariddhi1@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ajay Singh Rao 
Designation  Professor 
Affiliation  K.M. Shah dental college and hospital 
Address  Department of Conservative Dentistry and Endodontics, K.M. SHAH Dental College and Hospital Sumandeep Vidyapeeth Waghodia, Vadodara 391760

Vadodara
GUJARAT
391760
India 
Phone  8385017307  
Fax    
Email  drajayinendo@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Ajay Singh Rao 
Designation  Professor 
Affiliation  K.M. Shah dental college and hospital 
Address  Department of Conservative Dentistry and Endodontics, K.M. SHAH Dental College and Hospital Sumandeep Vidyapeeth Waghodia, Vadodara 391760

Vadodara
GUJARAT
391760
India 
Phone  8385017307  
Fax    
Email  drajayinendo@gmail.com  
 
Source of Monetary or Material Support  
Department of Conservative dentistry and endodontics K.M. Shah dental college and hospital 
 
Primary Sponsor  
Name  Dr Riddhi Vasa 
Address  8, Department of Conservative Dentistry and Endodontics, K.M. SHAH Dental College and Hospital Sumandeep Vidyapeeth Waghodia, Vadodara 391760 
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 Ajay Singh Rao  K.M. SHAH DENTAL COLLEGE AND HOSPITAL  8, Department of Conservative Dentistry and Endodontics, K.M. SHAH Dental College and Hospital Sumandeep Vidyapeeth Waghodia, Vadodara 391760
Vadodara
GUJARAT 
08385017307

drajayinendo@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Sumandeep Vidyapeeth Instituitional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K041||Necrosis of pulp,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Angelus Bio-C Sealer  COMPOSITION: Tricalcium silicate, Dicalcium silicate, Tricalcium Aluminate, Calcium Oxide, Silicon Oxide, Zirconium Oxide, Polyethylene Glycol and Iron Oxide ROUTE OF ADMININSTRATION: IT WILL BE USED AS AN INTRACANAL MEDICAMENT FREQUENCY AND DOSE: WILL BE PLACED ONCE IN THE ROOT CANAL AT THE TIME OF TREATMENT WITH A DOSE OF 0.05mg per canal. 
Comparator Agent  Ceraseal Bio-ceramic Sealer  Composition: zirconium dioxide, 40%, tricalcium silicate 20-30%, dicalcium silicate 1-10%, tricalcium aluminate 1-10% ROUTE OF ADMINISTRATION: IT WILL BE USED AS AN INTRACANAL MEDICAMENT FREQUENCY AND DOSE: IT WLL BE PLACED ONCE IN THE ROOT CANAL AT THE TIME OF TREATMENT WITH A DOSE OF 0.05 mg per canal. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Inclusion criteria
1.Systemically healthy patients (Category: American Society of Anesthesiologists Class 2 or less than 2) 25 between 18 – 65 years of age.
2.Maxillary or mandibular single rooted teeth diagnosed with Pulpal necrosis with symptomatic or asymptomatic apical periodontitis with lesions that show periapical radiolucency with (CBCTPAI) Score 323 will be included in the study.
3.Re-treatment cases with periapical lesions with CBCTPAI Score 3 will be included in the study.
4.A written informed consent will be taken from all the patients and only those patients ready to sign the consent form will be included in the study.
 
 
ExclusionCriteria 
Details  Exclusion criteria
1.Pregnant and lactating women will be excluded.
2 Patients having teeth with poor prognosis, open apices, internal/external resorption, fractured Roots or visibly cracked tooth, grade 3 mobility, severe periodontal bone loss will be excluded from the study
3.Patients having teeth with complex root canal morphology such as Calcified canals, extreme curvatures or anomalies will be excluded from the study.
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Healing of Periapical lesions is expected to be better than Cera seal bio-ceramic sealer in approximately 20 samples  Healing of periapical lesions will be assessed at baseline and after 6 months. 
 
Secondary Outcome  
Outcome  TimePoints 
PERIAPICAL HEALING WILL BE ASSESED ON CBCT AT BASELINE AND AFTER 6 MONTHS  At baseline & after 6 months interval. 
 
Target Sample Size   Total Sample Size="48"
Sample Size from India="48" 
Final Enrollment numbers achieved (Total)= "60"
Final Enrollment numbers achieved (India)="60" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   01/08/2024 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  01/08/2024 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
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   The present study aims to compare the clinical and radiographic outcome of single rooted teeth obturated using hydraulic condensation technique with two different bio-ceramic sealer (Angelus Bio- C Sealer and Ceraseal Bio-ceramic Sealer) on a CBCT in patients with Periapical lesions having CBCTPAI score of 3 or above. 

It will be a 6 month follow-up study.
 
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