| CTRI Number |
CTRI/2024/07/070947 [Registered on: 22/07/2024] Trial Registered Prospectively |
| Last Modified On: |
19/07/2024 |
| 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 a gel containing 5 percent melatonin with platelet rich fibrin versus just platelet rich fibrin for treating bony defects a study using clinical and radiographic exam. |
|
Scientific Title of Study
|
Comparative evaluation of 5 percent Melatonin gel in combination with Platelet rich Fibrin and Platelet Rich Fibrin alone in the treatment of Intrabony 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 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 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 |
|
|
Primary Sponsor
|
| Name |
None |
| Address |
None |
| Type of Sponsor |
Other [None] |
|
|
Details of Secondary Sponsor
|
|
|
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 |
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
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: K053||Chronic periodontitis, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
5% melatonin in combination with PRF |
One time 0.5-1 mL Local drug delivery at the site of intrabony defect. |
| Comparator Agent |
Standard Control |
PRF- single time at the site of intrabony defect. |
|
|
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 intrabony defects in either maxillary or mandibular arch.
|
|
| ExclusionCriteria |
| Details |
1) Patients with history of systemic diseases, allergies 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 |
| Bone fill |
Baseline, 3 and 6 months. |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
1) To assess Clinical attachment loss (CAL), probing pocket depth (PPD) in intrabony defects when treated with 5% Melatonin gel in a combination with PRF at baseline, 3 months and 6 months postoperatively.
2) To assess Clinical attachment loss (CAL), probing pocket depth (PPD) in intrabony defects when treated with PRF alone at baseline, 3 months and 6 months postoperatively.
3) To assess radiographic bone fill obtained in intrabony defects when treated with 5% Melatonin gel in a combination with PRF at baseline and 6 months post operatively by Cone Beam Computed Tomography (CBCT).
4) To assess radiographic bone fill obtained in intrabony defects when treated with PRF alone at baseline and 6 months post operatively by Cone Beam Computed Tomography (CBCT).
|
Baseline, 3 and 6 months. |
|
|
Target Sample Size
|
Total Sample Size="21" Sample Size from India="21"
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)
|
23/08/2024 |
| 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="11" 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
|
Comparative evaluation of 5% Melatonin gel in combination with Platelet rich Fibrin and Platelet Rich Fibrin alone in the treatment of Intrabony defects: A Clinico-Radiographic Study. Periodontitis is a chronic as well as multifactorial disease and if it left untreated then there are higher chances of destruction of periodontal apparatus which include, cementum, periodontal ligament and alveolar bone as a sequel of subgingival plaque accumulation which leads to inflammatory condition, caused by microbial infection and unbalanced host immune responses. Melatonin has been reported to promote osteoblastic differentiation and formation of a bone. Melatonin accelerates the synthesis of type I collagen fibers in human osteoblasts. It also improves the gene expression of bone sialoprotein, alkaline phosphatase, osteopontin, and osteocalcin in preosteoblasts. Choukroun et al described that platelet-rich fibrin (PRF), is a second-generation platelet concentrate incorporates platelets and growth factors within fibrin membranes. Previously very few evaluations were studied to detect 5% Melatonin gel in combination of PRF and PRF alone in the treatments of intrabony defects by Cone Beam Computed Tomography (CBCT). So this study is designed to evaluate and compare the efficacy of 5% Melatonin gel in combination with PRF and PRF alone in the amount of bone fill obtaining as a treatment modality in intrabony defects in Periodontitis by CBCT.
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