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CTRI Number  CTRI/2024/09/074517 [Registered on: 27/09/2024] Trial Registered Prospectively
Last Modified On: 27/09/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Biological
Dentistry 
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   Study of the underlying changes in bone when tooth movement is brought about by orthodontic treatment  
Scientific Title of Study   Clinical implications of biological markers of orthodontic tooth movement (OTM) using two different aligners 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Pooja Lakshmanan 
Designation  post graduate student 
Affiliation  Ragas Dental College and Hospital, 
Address  Department of Periodontics, Ragas Dental College and Hospital, 2/102, East Coast Road, Uthandi, Chennai

Chennai
TAMIL NADU
600119
India 
Phone  8072510279  
Fax    
Email  poojayoona1197@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr BShivakumar 
Designation  Professor and Head 
Affiliation  Ragas Dental College and Hospital, 
Address  Department of Periodontics, Ragas Dental College and Hospital, 2/102, East Coast Road, Uthandi, Chennai

Chennai
TAMIL NADU
600119
India 
Phone  9840479181  
Fax    
Email  shivabaskaran@rediffmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr BShivakumar 
Designation  Professor and Head 
Affiliation  Ragas Dental College and Hospital, 
Address  Department of Periodontics, Ragas Dental College and Hospital, 2/102, East Coast Road, Uthandi, Chennai

Chennai
TAMIL NADU
600119
India 
Phone  9840479181  
Fax    
Email  shivabaskaran@rediffmail.com  
 
Source of Monetary or Material Support  
Ragas dental college and hospital - Infrastructural support 
 
Primary Sponsor  
Name  Pooja Lakshmanan 
Address  Room No:6,Department of periodontics,Ragas dental college and hospital,2/102,, SH 49, Uthandi, Tamil Nadu 600119  
Type of Sponsor  Other [SELF FUNDED ] 
 
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 Pooja Lakshmanan  Ragas Dental College and Hospital  Room no:6,Department of periodontics,Ragas dental college and hospital,2/102, East Coast Road, Uthandi, Chennai-600119
Chennai
TAMIL NADU 
8072510279

poojayoona1197@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE, RAGAS DENTAL COLLEGE AND HOSPITAL  Approved 
RAGAS DENTAL COLLEGE AND HOSPITAL  Submittted/Under Review 
 
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 
Comparator Agent  orthodontic treatment for maloscclusion by CPA Graphy  Patients with malocclusion are treated with Graphy aligners, and bone remodeling will be assessed at 7, 14, 21, 28, and 42 days. 
Intervention  orthodontic treatment for maloscclusion by CPA Invisalign  Patients with malocclusion are treated with Invisalign aligners, and bone remodeling will be assessed at 7, 14, 21, 28, and 42 days. 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  1.Periodontally healthy adult patients who require orthodontic treatment.
2.Those patients who meet the criteria to be treated by aligners in the age group of 20 -40 years 
 
ExclusionCriteria 
Details  1.Patients who have taken any drugs that might alter bone metabolism in the last 6 months.
2.Patients with systemic conditions viz. DM, Hypertension etc. and known allergy.
3.Pregnant/ lactating women.
4.Smokers 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Changes in the level of biomarkers at various time points of the othodontic treatment  7,14,21,28 and 42 DAYS 
 
Secondary Outcome  
Outcome  TimePoints 
Changes in the tooth movement at various time points of the orthodontic treatment  7,14,21,28 & 42 DAYS 
 
Target Sample Size   Total Sample Size="6"
Sample Size from India="6" 
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 3/ Phase 4 
Date of First Enrollment (India)   01/11/2024 
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="1"
Months="0"
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   Induction of biologically active compounds occur inside the periodontium during orthodontic tooth movement (OTM). The spatiotemporal events that happen during OTM can be assessed / illustrated by evaluation of these and hence known as biomarkers. Biomarkers are quantifiable criteria of biological processes that provide indications objectively. During the orthodontic procedure, the analysis of saliva and gingival crevicular fluid (GCF) may be examined to monitor biological process/progress. They also have the features of specificity and sensitivity which would correlate objectively with the biological events that occur during OTM. Adequate knowledge about the cellular and biological processes makes it easier to understand the biological mechanics that can shorten the treatment time avoiding the detrimental effects linked to the orthodontic treatment due to its objective characteristics.  Does orthodontic forces with the two different aligner systems impact bone remodeling differentially ? 
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