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CTRI Number  CTRI/2024/10/075708 [Registered on: 23/10/2024] Trial Registered Prospectively
Last Modified On: 18/10/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   EFFICIANCY OF COVENTIONAL BURS, SMART BURS AND BRIX 3000 IN CARIES REMOVAL  
Scientific Title of Study   COMPARATIVE EVALUATION OF THE EFFICACY OF BRIX3000, SMART BURS, AND CONVENTIONAL METHOD IN CARIES EXCAVATION. 
Trial Acronym  caries removal 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Akanksha shah 
Designation  2nd yr post graduate student  
Affiliation  H.K.E. SOCIETY’S S. NIJALINGAPPA INSTITUTE OF DENTAL SCIENCES AND RESEARCH, KALABURAGI- 585105. 
Address  Arihant Building 8th cross, Vitthal nagar, Kalaburagi.

Gulbarga
KARNATAKA
585103
India 
Phone  8951888201  
Fax    
Email  akankshashah1997@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr. Supriya Patil  
Designation  Reader 
Affiliation  H.K.E. SOCIETY’S S. NIJALINGAPPA INSTITUTE OF DENTAL SCIENCES AND RESEARCH, KALABURAGI- 585105. 
Address  Patil building, Khuba Plot, Brahampur, Kalaburagi, Karnataka 585105

Gulbarga
KARNATAKA
585105
India 
Phone  8951888201  
Fax    
Email  akankshashah1997@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Akanksha shah 
Designation  2nd yr post graduate student  
Affiliation  H.K.E. SOCIETY’S S. NIJALINGAPPA INSTITUTE OF DENTAL SCIENCES AND RESEARCH, KALABURAGI- 585105. 
Address  Arihant building, 8th cross, Vitthal nagar, Kalaburagi.

Gulbarga
KARNATAKA
585103
India 
Phone  8951888201  
Fax    
Email  akankshashah1997@gmail.com  
 
Source of Monetary or Material Support  
HKES, s S NIJALINGAPPA COLLEGE OF DENTAL SCIENCE AND RESEARCH INSTITUTE, KALABURGI - 585105, INDIA  
 
Primary Sponsor  
Name  Akanksha shah 
Address  Arihant Building, 8th cross, Vitthal nagar, Kalaburagi. 
Type of Sponsor  Other [SELF] 
 
Details of Secondary Sponsor  
Name  Address 
ANUPAM   SUDESHNAVIHAR APTS BEHIND GANDHI TVS SHOWROOM, RAILWAY LINES SOLAPUR - 413001 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DR AKANKSHA SHAH  H.K.E. SOCIETY’S S. NIJALINGAPPA INSTITUTE OF DENTAL SCIENCES AND RESEARCH, KALABURAGI- 585105.  Department No:4, Department of Conservative Dentistry and Endodontics
Gulbarga
KARNATAKA 
8951888201

akankshashah1997@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
S. Nijalingappa Institute of Dental Sciences and Research  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  patient with class 1 dental caries on molars (caries which are only involving enamel and dentin on occlusal surface) 
Patients  (1) ICD-10 Condition: K025||Dental caries on pit and fissure surface,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  BRIX3000 POLYMER BURS  BRIX3000 - is a papain-based chemo mechanical agent, with a proteolytic enzyme and works on the bio encapsulation technology POLYMER BURS - They are paddle shaped burs and have a unique flute design The cutting edges will go blunt when in contact with harder materials, such as healthy dentin. 
Comparator Agent  ROUND BUR   no 2- 4 small round bur along with normal aerotar 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  1.Wide Class 1 deep carious lesion on permanent molars
2.No pulpal involvement as evident on a radiograph
3.Good oral hygiene
4.Patient willing for voluntary participation and have signed the informed consent
 
 
ExclusionCriteria 
Details  1.Pulpal exposure or bleeding during the excavation procedure
2.Patients with underlying systemic diseases.
3.Teeth with any developmental anomalies
4.Teeth with any previous restorations
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Alternation 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Colony forming unit will be checked to determine the efficacy of caries removal of these products  1 week  
 
Secondary Outcome  
Outcome  TimePoints 
Shapiro Wilk test will be used to check which all variables will follow normal distribution
colony forming units will be calculated to determine the most efficient method  
24-48hrs incubation will be done prior to calculation of colony forming unit  
 
Target Sample Size   Total Sample Size="66"
Sample Size from India="66" 
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)   11/11/2024 
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="0"
Months="6"
Days="0" 
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  

In this era of “Minimal Invasive Dentistry” preserving tooth structure, is increasingly becoming a standard in dental practice.  Conventional caries removal and cavity preparation entails the use of high-speed handpiece and burs which undoubtedly improved the speed and efficiency of cavity preparation but has many inevitable disadvantages. To overcome these, various newer caries excavation techniques have been suggested like air abrasion, air polishing, ultrasonic, Sono abrasion, lasers and the chemomechanical caries removal technique.

Chemomechanical caries removal (CMCR) is a non-invasive technique of removal of caries via eliminating infected dentin. BRIX-3000, papain-based chemical mechanical agent, with a proteolytic enzyme obtained from leaves latex and fruits of green papaya (Carica Papaya) that acts as a chemical debriding agent.

Another minimally invasive method of caries removal is by using polymer burs. The cutting edges will wear down in contact with harder materials, such as healthy dentin.

The recruited patients will be distributed equally into three groups

ü  Group I – Conventional method (n=22)

ü  Group II – BRIX3000 (n=22)

ü  Group III - Smart Burs (n=22)

Caries excavation will be done with respective agents, and the working time will be calculated. Microbial analysis will be carried out, thus all the samples will be evaluated for a total reduction in the bacterial count (CFU) and mean working time 

study hypothesis is that minimal invasive technique can prove that they can effectively remove all the caries as well preserve tooth structure 

 
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