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CTRI Number  CTRI/2024/06/068626 [Registered on: 10/06/2024] Trial Registered Prospectively
Last Modified On: 07/06/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Effect of spray in the nose in the reduction of swelling after the lower jaw wisdom tooth removal 
Scientific Title of Study   Efficacy of Intranasal Ketamine and Dexmedetomidine on Postoperative Pain and Swelling Following Impacted Mandibular Third Molar Surgery A Randomized Controlled Trial 
Trial Acronym  NILL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Bandi Sreenivasulu 
Designation  Post Graduate Student 
Affiliation  Vishnu Dental College 
Address  Room no.2,Block no.3, Department of Oral and Maxillofacial Surgery, Vishnu Dental College, Vishnupur, Bhimavaram

West Godavari
ANDHRA PRADESH
534202
India 
Phone  9063321966  
Fax    
Email  sreenivasulu.b@vdc.edu.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr U Shivaji Raju 
Designation  Professor 
Affiliation  Vishnu Dental College 
Address  Room no.2,Block no.3, Department of Oral and Maxillofacial Surgery, Vishnu Dental College, Vishnupur, Bhimavaram

West Godavari
ANDHRA PRADESH
534202
India 
Phone  9966351997  
Fax    
Email  shivajiraju.u@vdc.edu.in  
 
Details of Contact Person
Public Query
 
Name  Dr U Shivaji Raju 
Designation  Professor 
Affiliation  Vishnu Dental College 
Address  Room no.2,Block no.3, Department of Oral and Maxillofacial Surgery, Vishnu Dental College, Vishnupur, Bhimavaram

West Godavari
ANDHRA PRADESH
534202
India 
Phone  9966351997  
Fax    
Email  shivajiraju.u@vdc.edu.in  
 
Source of Monetary or Material Support  
Vishnu Dental College Vishnupur Bhimavaram-534202,West Godavari District,AP 
 
Primary Sponsor  
Name  Dr Bandi Sreenivasulu 
Address  Room no.2,Block no.3, Department of Oral and Maxillofacial Surgery Vishnu Dental College Vishnupur Bhimavaram-534202,West Godavari,Andhra Pradesh 
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 Bandi Sreenivasulu  Vishnu Dental College  Room no.2, Block no.3, Department of Oral and Maxillofacial Surgery, Vishnu Dental College, Vishnupur Bhimavaram-534202
West Godavari
ANDHRA PRADESH 
9063321966

sreenivasulu.b@vdc.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Vishnu Dental College  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K011||Impacted teeth,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Intranasal dexmedetomidine  1µg/kg of Dexmedetomidine will be given intranasally using mucosal atomization device(MAD)following surgical removal of impacted mandibular third molars 
Intervention  Intranasal ketamine  0.2-1 mg/kg Ketamine will be given intranasally once using mucosal atomization device(MAD)following the surgical removal of impacted mandibular third molars  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  1. Patients with bilaterally similar impacted mandibular third molars
2. Systemically healthy patients, ASA class I & II
3.Patients willing to give an informed consent .
4. Patients not receiving any pain medication.
 
 
ExclusionCriteria 
Details  1. Allergic to Ketamine and Dexmedetomidine
2. Patients not willing to give an informed consent
3. Acute inflammation or infection at the site of surgery
4. Allergic rhinitis, nasal pathologies
5. Pregnant and lactating women
6. Bradycardia
7. Renal or hepatic disease
8. Patients with a BMI of more than 27 kg/m2
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Alternation 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To evaluate the reduction in Pain and Swelling after impacted mandibular third molar surgery

 
Reduction in Pain-1,6,12,24,48 hrs postoperatively.
Reduction in Swelling- 2nd and 7th postoperative day. 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
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   N/A 
Date of First Enrollment (India)   18/06/2024 
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="6"
Days="1" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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  

The aim of this study is to “Evaluate the effect of intranasal Ketamine and intranasal Dexmedetomidine on Pain and Swelling in patients undergoing impacted mandibular third molar surgery .”To evaluate the  clinical outcomes of intranasal Ketamine and intranasal Dexmedetomidine on Pain, Swelling, Trismus after third molar surgery, to evaluate the sedative effect of intranasal Ketamine and intranasal  Dexmedetomidine during third molar surgery and to evaluate the effect on perioperative hemodynamic parameters  like Blood pressure, Pulse rate, Respiratory rate and Sp02.

Inclusion criteria:Patients of age 18 - 40 years, patients  with bilaterally similar impacted mandibular third molars, systemically healthy patients, ASA class I & II, patients willing to give an informed consent, patients not receiving any  pain medication.

Using a split mouth study design ,bilaterally impacted third molars shall be removed in two different appointments. [2 weeks]


 
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