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CTRI Number  CTRI/2024/08/072016 [Registered on: 07/08/2024] Trial Registered Prospectively
Last Modified On: 20/01/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A study comparing tiny particles of hydroxyapatite alone and with herbal gel for treating bony defects using clinical and radiographic methods.  
Scientific Title of Study   Comparative evaluation of hydroxyapatite nanoparticles with and without herbal gel in the treatment of periodontal intrabony osseous defects: A Clinico-Radiographic 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. Surekha Rathod 
Designation  Professor and Guide 
Affiliation  Ranjeet Deshmukh Dental College and Research Centre, Nagpur. 
Address  Department of Periodontics and Implant Dentistry Ranjeet Deshmukh Dental College and Research Centre, Nagpur.

Nagpur
MAHARASHTRA
440019
India 
Phone  9011071477  
Fax    
Email  drsurekhar@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR. SUREKHA RATHOD 
Designation  Professor and Guide 
Affiliation  Ranjeet Deshmukh Dental College and Research Centre, Nagpur. 
Address  DEPARTMENT OF PERIODONTICS AND ORAL IMPLANTOLOGY RANJEET DESHMUKH DENTAL COLLEGE AND RESEARCH CENTRE, NAGPUR.

Nagpur
MAHARASHTRA
440019
India 
Phone  9011071477  
Fax    
Email  drsurekhar@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr. Surekha Rathod 
Designation  Professor and Guide 
Affiliation  Ranjeet Deshmukh Dental College and Research Centre, Nagpur. 
Address  Department of Periodontics and Implant Dentistry Ranjeet Deshmukh Dental College and Research Centre, Nagpur.

Nagpur
MAHARASHTRA
440019
India 
Phone  9011071477  
Fax    
Email  drsurekhar@gmail.com  
 
Source of Monetary or Material Support  
Ranjeet Deshmukh Dental College and Research Centre, Nagpur-440019, India. 
 
Primary Sponsor  
Name  Nil 
Address  Nil 
Type of Sponsor  Other [None] 
 
Details of Secondary Sponsor  
Name  Address 
None  None 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Surekha Rathod  Ranjeet Deshmukh Dental College and Research Centre, Nagpur:440019   104, Department of Periodontics and Implant Dentistry.
Nagpur
MAHARASHTRA 
9011071477

drsurekhar@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ranjeet Deshmukh Dental College and Research Centre Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K053||Chronic periodontitis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Novel Composite graft  Pectin, bromelain, hydroxyapatite nanoparticles, propyl paraben, palaxomer 407 and deionized water. 
Comparator Agent  Standard control  Hydroxyapatite nanaoparticles 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1) Patients with stage III periodontitis assessed by probing pocket depth (PPD) ≥ 6mm, interdental clinical attachment loss (CAL) ≥ 5mm.
2) Patients with two or three wall intraosseous defects in either maxillary or mandibular arch or interarch.
 
 
ExclusionCriteria 
Details  1) Patients with history of systemic diseases, allergy or drug usage.
2) Patients who have undergone periodontal treatment in previous 6 months.
3) Pregnant or lactating women.
4) Smokers, tobacco chewers and patients with poor oral hygiene index will be excluded from the study.
5) In addition, tooth with caries, mobility greater than grade II will be excluded.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To evaluate and compare the efficacy of hydroxyapatite nanoparticles with and without herbal gel in the treatment of periodontal intrabony osseous defects, clinically and radiographically by CBCT.   Baseline, 3 months and 6 months. 
 
Secondary Outcome  
Outcome  TimePoints 
1) To assess Clinical attachment loss (CAL), probing pocket depth (PPD) in intraosseous bony defects when treated with herbal gel with hydroxyapatite nanoparticles at baseline, 3 months and 6 months post operatively.
2) To assess Clinical attachment loss (CAL), probing pocket depth (PPD) in intraosseous bony defects when treated with hydroxyapatite nanoparticles at baseline, 3 months and 6 months postoperatively.
3) To assess radiographic bone fill obtained in intraosseous bony defects when treated herbal gel with hydroxyapatite nanoparticles at baseline and 6 months post operatively by Cone Beam Computed Tomography (CBCT).
4) To assess radiographic bone fill obtained in intraosseous bony defects when treated with hydroxyapatite nanoparticles at baseline and 6 months post operatively by Cone Beam Computed Tomography (CBCT).
 
Baseline, 3 months and 6 months. 
 
Target Sample Size   Total Sample Size="16"
Sample Size from India="16" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="0" 
Phase of Trial   Phase 3/ Phase 4 
Date of First Enrollment (India)   24/08/2024 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="11"
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
Modification(s)  

Comparative evaluation of hydroxyapatite nanoparticles with and without herbal gel in the treatment of periodontal intrabony osseous defects: A Clinico-Radiographic Study

Periodontitis is a polymicrobial disease where the inflammatory process results in progressive tissue destruction. Destructive periodontitis caused by bacterial plaque involves resorption of alveolar bone supporting the teeth. The ultimate goal of periodontal therapy is to arrest the disease progression and to promote the regeneration of the lost tissues. A synthetic nanocrystalline hydroxyapatite (NHA) paste, containing 65% water and 35% nanostructured apatite particles has been introduced for augmentation procedures in osseous defects. Advantages of this material are the close contact with surrounding tissues, quick resorption characteristics, and the large number of molecules on the surface. There are many natural or herbal powders in research for their benefits over synthetic materials. This high popularity in applying complementary and alternative medicine can be due to its advantages such as widespread availability, no or fewer side effects, moderate efficacy, and low cost as compared with synthetic drugs. Kepok banana peel (Musa paradisiaca linn. Kepok) contains active ingredients such as ­avonoids, tannins, saponins, and gallocatechinese. These active ingredients possess antioxidant, antibacterial, anti-inflammatory and analgesic activities. Bromelain, an extract derived from Ananas comosus (popularly known as pineapple), contains proteinases that exhibits anti-inflammatory properties. To our knowledge the current randomized clinical trial is the first to explore the adjunctive effect of combining herbal gel with hydroxyapatite nanoparticles in the surgical treatment of intraosseous bony defects by Cone Beam Computed Tomography (CBCT). So, this study is designed to evaluate and compare the efficacy of hydroxyapatite nanoparticles with and without herbal gel in the treatment of periodontal intrabony osseous defects by CBCT.

 


 
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