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CTRI Number  CTRI/2024/12/078661 [Registered on: 27/12/2024] Trial Registered Prospectively
Last Modified On: 26/12/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Efficacy of biosynthetically developed nanosilver coated elastomeric orthodontic modules 
Scientific Title of Study   Green synthesised silver nanoparticle coated elastomeric ligatures on patients undergoing orthodontic treatment 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Anjusha Divakar 
Designation  Postgraduate  
Affiliation  Saveetha Dental College and Hospitals 
Address  Clinic no 27 Dept of Orthodontics 169, Saveetha Dental College and Hospital, Poonamallee High Road, Velappanchavadi, Chennai. Thiruvallur TAMIL NADU 600077 India

Chennai
TAMIL NADU
600077
India 
Phone  9790440604  
Fax    
Email  anjusharao@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ashwin Mathew George 
Designation  Professor 
Affiliation  Saveetha Dental College and Hospitals 
Address  Clinic 27 Department of Orthodontics 169, Saveetha Dental College and Hospital, Poonamallee High Road, Velappanchavadi, Chennai. Thiruvallur TAMIL NADU 600077 India

Chennai
TAMIL NADU
600077
India 
Phone  9840032771  
Fax    
Email  ashwin.george10@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Ashwin Mathew George 
Designation  Professor 
Affiliation  Saveetha Dental College and Hospitals 
Address  Clinic 27 Department of Orthodontics 169, Saveetha Dental College and Hospital, Poonamallee High Road, Velappanchavadi, Chennai. Thiruvallur TAMIL NADU 600077 India

Chennai
TAMIL NADU
600077
India 
Phone  9840032771  
Fax    
Email  ashwin.george10@gmail.com  
 
Source of Monetary or Material Support  
Dental matrix,Authorised distributor of Ormco,No 601,HMT Layout ,RT Nagar,Bengaluru 560032 
 
Primary Sponsor  
Name  D.Divakar 
Address  Kalladi Assainar road,Perimbadari,Mannarkkad,Palakkad,Kerala 678582 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
Saveetha Dental college and Hospital  No 162, Poonamallee High Road Velappanchavadi Chennai 600077 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DrAnjusha Divakar  Saveetha Dental college and hospital  Clinic 27 Department of Orthodontics No 162, Poonamallee High Road Velappanchavadi Chennai 600077
Chennai
TAMIL NADU 
9790440604

anjusharao@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Saveetha Dental College-Institutional Human Ethical Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K039||Disease of hard tissues of teeth,unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Elastomeric ligatures  Patients undergoing fixed orthodontic treatment,orthodontic wires are secured within the brackets with elastomeric ligatures for 4 weeks and it will be replaced by next set of ligatures in the following visit. 
Intervention  Elastomeric ligatures coated with green synthesised silver nanoparticles  On patients undergoing orthodontic treatment, green synthesised silver nanoparticle coated elastomeric ligatures to be used for holding the arch wire in place within the brackets for 4 weeks and it will be replaced by next set of ligatures in the following visit. 
 
Inclusion Criteria  
Age From  15.00 Year(s)
Age To  35.00 Year(s)
Gender  Both 
Details  Patients undergoing Orthodontic treatment with fixed appliance.
MBT brackets
 
 
ExclusionCriteria 
Details  Self lighting brackets
Clear aligner technique
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   On-site computer system 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Enamel demineralisation
 
3 months 
 
Secondary Outcome  
Outcome  TimePoints 
Anti microbial property
Physical properties-Tensile strength,modulus of elasticity ,Colour stability 
3 months 
 
Target Sample Size   Total Sample Size="20"
Sample Size from India="20" 
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 1 
Date of First Enrollment (India)   15/01/2025 
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="0"
Months="3"
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 - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Clinical Study Report

  3. Who will be able to view these files?
    Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.

  4. For what types of analyses will this data be available?
    Response - For individual participant data meta-analysis.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [anjusharao@gmail.com].

  6. For how long will this data be available start date provided 01-06-2025 and end date provided 31-12-2025?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - No
Brief Summary   Green synthesised silver nanoparticle coated elastomeric ligatures on patients undergoing orthodontic treatment-A split mouth study

Aim-The aim of the study is to prepare, develop and test green synthesised nano silver coated elastomeric ligatures

Objective and rationale-Commercially available elastomeric ligature have disadvantages with regards to excessive plaque accumulation resulting in demineralisation of enamel manifesting as white spot lesions. Also,there is a constant degradation of its elasticity with time, exposure to oral fluids.Therefore the incorporation of silver nano coating in elastomeric modules to study the antibacterial effect, extent of demineralisation and other physical properties.

Sample size-20 patients

A split mouth study 

Methodology-

The methodology involves synthesizing and characterizing silver nanoparticles using plant extracts from clove and cardamom. These nanoparticles will then be coated to elastomeric ligatures through an electron beam sputtering process. The sample size, determined using G*Power version 3.0.1 with a power of 0.8, consists of 20 patients undergoing fixed orthodontic treatment with the MBT system. The study adopts a split-mouth design in patients undergoing fixed orthodontic treatment with the MBT system, focusing on cases requiring the extraction of all premolars or upper premolars. On one side, commercially available elastomeric ligatures will be used, while on the contralateral side, elastomeric ligatures coated with green synthesis silver nanoparticles (synthesized using clove and cardamom extracts via electron beam sputtering) will be applied. After 3 months, the designated premolars from both sides will be extracted and analyzed using scanning electron microscopy (SEM) to evaluate enamel demineralization. Additional assessments will include the antibacterial properties, tensile strength, modulus of elasticity, and color stability of the elastomeric ligatures. Informed consent will be obtained from all participants for the use of their case records and extracted teeth in research and publication.These patients will have their ligatures coated with silver nanoparticles. Informed consent will be obtained from all participants for the use of their case records in scientific research and publication.
 
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