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CTRI Number  CTRI/2024/04/065383 [Registered on: 08/04/2024] Trial Registered Prospectively
Last Modified On: 10/05/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Crossover Trial 
Public Title of Study   knotless wound closure vs silk suture in third molar surgery -controlled clinical trial. 
Scientific Title of Study   Evaluation of efficacy of v-loc knotless wound closure system vs silk suture in impacted third molar surgery -a split mouth randomised controlled clinical trial. 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  krithic chitra banu 
Designation  student 
Affiliation  Meenakshi ammal dental college 
Address  Meenakshi Ammal Dental Colllege and Hospital, Allapakam main road, Janaki nagar,Madurovoyal,Chennai 600095 Department oral and maxillofacial surgery room no:5

Chennai
TAMIL NADU
600095
India 
Phone  9500645604  
Fax    
Email  krithickchitrabanu@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  krithic chitra banu 
Designation  student 
Affiliation  Meenakshi ammal dental college 
Address  Meenakshi Ammal Dental Colllege and Hospital, Allapakam main road, Janaki nagar,Madurovoyal,Chennai 600095 Department of oral maxillofacial surgery room no:5

Chennai
TAMIL NADU
600095
India 
Phone  9500645604  
Fax    
Email  krithickchitrabanu@gmail.com  
 
Details of Contact Person
Public Query
 
Name  krithic chitra banu 
Designation  student 
Affiliation  Meenakshi ammal dental college 
Address  Meenakshi Ammal Dental Colllege and Hospital, Allapakam main road, Janaki nagar,Madurovoyal,Chennai 600095 Department of oral and maxillo facial surgery. room no:5

Chennai
TAMIL NADU
600095
India 
Phone  9500645604  
Fax    
Email  krithickchitrabanu@gmail.com  
 
Source of Monetary or Material Support  
meenakshi ammal dental college allapkam main road, madurovoyal chennai 600095, department of oral maxillo facial surgery , room no;5 c 
 
Primary Sponsor  
Name  Dr Geetha sridaran 
Address  5091 8th floor, tower 5, Prestige Bella vista, Iyyapan Hangal chennai 600056.  
Type of Sponsor  Private hospital/clinic 
 
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 Geetha Sridharan  Meenakshi Ammal Dental College  mennakshi ammal dental college, allapakam main road. janaki nagar. madurovoyal ,chennai, 600095 department of oral maxillofacial surgery room no:5
Chennai
TAMIL NADU 
9677449227

drgeethaomfs@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethical commitee of Meenakshi Ammal 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  Conventional suturing techniques  non resorbable 3-0 silk suture material, braided filament  
Intervention  knotless tissue control device  BARB-E(V-Loc) 3-0 spiral poly(p-dioxanone), unidirectional with end loop , total intervention time for a sample:15 minutes 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  patient with nil oral habits, examples: smoking, pan chewing.
patient with co-morbid conditions, example: diabetes, hypertension, bleeding disorders.
patient who require therapeutic removal of third molar. 
 
ExclusionCriteria 
Details  patients with prosthetic valves and stents.
patients with any cysts ,abscess and developmental disorders.
patients on anti-platelet and anti- coagulants.
patients who are pregnant and lactating. 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
This study is expected to have an impact on the field of maxillofacial surgery when a new V-Loc knotless wound closure systems proved to be efficient in the terms of infection control rate, wound healing and time taken for wound closure is reduced and less technique sensitive.
to analyze patient comfort and interpret the results and incorporate them in our daily dental practice.  
This study is expected to have an impact on the field of maxillofacial surgery when a new V-Loc knotless wound closure systems proved to be efficient in the terms of infection control rate, wound healing and time taken for wound closure is reduced and less technique sensitive.
to analyze patient comfort and interpret the results and incoporate them in our daily dental practice. With a follow up of baseline ,3 day ,5 day, one week and second week. 
 
Secondary Outcome  
Outcome  TimePoints 
nil  nil 
 
Target Sample Size   Total Sample Size="34"
Sample Size from India="34" 
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 4 
Date of First Enrollment (India)   20/04/2024 
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="2"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Open to Recruitment 
Recruitment Status of Trial (India)  Open to Recruitment 
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   OBJECTIVES: 1. To check the efficacy and feasibility of V-Loc knotless wound closure systemin the field of maxillofacial surgery. 2. To compare the potential difference between V-Loc knotless wound closure system with silk sutures. 3. To compare the wound healing and infection rate between both the groups. 
METHEDOLOGY: This is a split mouth randomised controlled clinical trial to compare the efficacy of V-Loc knotless wound closure system and silk sutures.Based on the inclusion criteria patients will be taken into the study. An approximate of 20 patients will be subjected to the study with orthopantomogram to confirm and identify bilateral symmetrically impacted third molar teeth, patients will be divided and allocated to the study and control group randomly. All the patients will be operated by single surgeon. Patients will be operated on both sides on the same day under local anaesthesia by following standard surgical protocol. Wound closure will be done by V-Loc knotless wound closure system on one side and 3-0 silk sutures on the other side.Following the procedure patients will be assessed based on these post operative findings like pain (VAS), swelling (3point value), wound healing (Laundry’s scale), Maximum inter incisal opening (mouth opening), time taken to achieve wound closure and haemostasis and rate of infection. Patients will be reviewed on post operative day 3, 5,7 and 14, values will be recorded and will be analysed statistically accordingly. 
INCLUSION CRITERIA: 1. 2. Subjects between the age group of 18-40 years. Subjects with nil oral habits (Example: Smoking, Pan chewing) 3. Subjects with no co-morbid conditions (Example: Diabetes, Hypertension and bleeding disorders etc.) 4. Subjects who require therapeutic removal of 3" molars.
EXCLUSION CRITERIA: 1. Subjects who are pregnant and lactating.2. Subjects with prosthetic valves and stents. 3. Subjects on anti-platelet and anti-coagulants. 4. Subjects with any cysts, abscess, and or developmental disorders.
IMPLICATIONS: This study is expected to have an impact on the field of maxillofacial surgery when new V-Loc knotless wound closure system is proved to be efficient in controlling haemorrhage, infection, enhance wound healing, wound closure time is reduced and less technique sensitive. To prove the efficiency of V-Loc knotless wound closure system over silk sutures.
 
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