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CTRI Number  CTRI/2024/04/065264 [Registered on: 05/04/2024] Trial Registered Prospectively
Last Modified On: 03/08/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Repeated immersion in sodium hypochlorite solution to reduce microbial contamination during denture adjustments 
Scientific Title of Study   Efficacy of repeated immersion of maxillary acrylic dental prostheses in sodium hypochlorite solution before trimming in controlling microbial load - a randomized controlled 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  Kavitha Janardanan 
Designation  Associate Professor 
Affiliation  Govt Dental College, Thiruvananthapuram 
Address  Department of Prosthodontics, Govt Dental College, Thiruvananthapuram
Medical College Campus Thiruvananthapuram
Thiruvananthapuram
KERALA
695011
India 
Phone  9495928859  
Fax    
Email  kavithajanardanan@yahoo.co.in  
 
Details of Contact Person
Scientific Query
 
Name  Kavitha Janardanan 
Designation  Associate Professor 
Affiliation  Govt Dental College, Thiruvananthapuram 
Address  Department of Prosthodontics, Govt Dental College, Thiruvananthapuram
Medical College Campus Thiruvananthapuram
Thiruvananthapuram
KERALA
695011
India 
Phone  9495928859  
Fax    
Email  kavithajanardanan@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Kavitha Janardanan 
Designation  Associate Professor 
Affiliation  Govt Dental College, Thiruvananthapuram 
Address  Department of Prosthodontics, Govt Dental College, Thiruvananthapuram
Medical College Campus Thiruvananthapuram
Thiruvananthapuram
KERALA
695011
India 
Phone  9495928859  
Fax    
Email  kavithajanardanan@yahoo.co.in  
 
Source of Monetary or Material Support  
Govt Dental College, Thiruvananthapuram, 695011, Kerala State, India 
 
Primary Sponsor  
Name  Dr Kavitha Janardanan 
Address  Associate Professor Dept of Prosthodontics Govt Dental College Medical College Campus Thiruvananthapuram 695011 
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 Kavitha Janardanan  Govt Dental College Thiruvananthapuram  Department of Prosthodontics, Room No 301
Thiruvananthapuram
KERALA 
9495928859

kavithajanardanan@yahoo.co.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Government Dental College, Thiruvananthapuram  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Dentures immersed in 0.5% sodium hypochlorite for 20 min prior to trimming. In the interventional group dentures will be subjected to 1 min immersion in 1% sodium hypochlorite. 
Patients  (1) ICD-10 Condition: K081||Complete loss of teeth,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Conventional Protocol  One time immersion in 0.5% sodium hypochlorite solution for 20 min prior to 3 trimming cycles  
Intervention  Repeated immersion  Repeated immersion in 1% sodium hypochlorite solution for one minute prior to each of the 3 trimming cycles.  
 
Inclusion Criteria  
Age From  40.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  Patients wearing Maxillary Acrylic Dental Prostheses for a continuous period of more than 2 months  
 
ExclusionCriteria 
Details  Patients who have been treated with systemic antibiotics during the past 2 months
Patients with acute and chronic respiratory illness.
Patients with infections of the soft tissues of the oral cavity, sinonasal cavity, nasopharynx and larynx.
Patients with uncontrolled chronic systemic diseases like diabetes, immunosuppressive states like retroviral infection, chemotherapy for malignancy, individuals who received organ transplant and are on immunosuppresants, individuals who have undergone irradiation for oromaxillofacial malignancies.
Patients with xerostomia
Patients with Maxillofacial prostheses
Patients who require less than 3 cycles of trimming and insertion  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Microbial load in terms of colony count on the surface of acrylic dental prosthesis   2 hours 
 
Secondary Outcome  
Outcome  TimePoints 
Identifying the individual organisms on maxillary acrylic prosthesis & evaluation of how their count varies following conventional & repeated immersion protocols  2 hours 
 
Target Sample Size   Total Sample Size="36"
Sample Size from India="36" 
Final Enrollment numbers achieved (Total)= "36"
Final Enrollment numbers achieved (India)="36" 
Phase of Trial   Phase 2/ Phase 3 
Date of First Enrollment (India)   15/04/2024 
Date of Study Completion (India) 02/08/2024 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="3"
Months="0"
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 - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form

  3. Who will be able to view these files?
    Response - Researchers who provide a methodologically sound proposal.

  4. For what types of analyses will this data be available?
    Response - For individual participant data meta-analysis.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [kavithajanardanan@yahoo.co.in].

  6. For how long will this data be available start date provided 20-07-2024 and end date provided 14-07-2027?
    Response - Beginning 3 months and ending 5 years following article publication.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary  

Materials and Methods:

Completely and partially edentulous patients wearing maxillary prosthesis requiring denture adjustments, who satisfy the inclusion and exclusion criteria will be selected for the study. The acrylic denture prostheses will be randomly assigned to two groups - Group 1 and Group 2. Group 1 will be subjected to Conventional disinfection protocol and Group 2 to modified disinfection protocol. Care is taken to keep the number of each type of prostheses ( RPD and CD) equal in both the groups for comparability.

Conventional Disinfection Protocol

The dental personnel after donning appropriate personal protective gears, including gloves, masks, goggles, apron and face shield, will remove the acrylic prosthesis from the patients mouth and swab the palatal intaglio surface to estimate the contamination level of the prosthesis. Patient is then instructed to clean the denture with a soft toothbrush. Following which the prostheses will be disinfected by immersion in 0.5% sodium hypochlorite solution for 20 min. Patients will be instructed to rinse the mouth for 30 seconds with 10ml of 1% povidone iodine mouthwash followed by insertion of the prosthesis in the mouth for 1 min to address patient complaint.  The dental personnel will perform the trimming on dental lathe using tungsten carbide cross cut acrylic trimmer for 1 min at 6500rpm followed by washing in sterile distilled water  for 30 sec to remove acrylic debris. This cycle of insertion and trimming  will be repeated twice more. At the end of third cycle  swab will be collected again.

Modified Disinfection Protocol

Preparation of the patient and the prosthesis is done as in the Conventional disinfection protocol.  Unlike the conventional protocol, the acrylic denture prosthesis will be immersed in 1.0 % sodium hypochlorite solution for one minute and thereafter washed in sterile distilled water  for 30 seconds before it is trimmed. This cycle of insertion, disinfection, washing and trimming is repeated twice more. At the end of third cycle  swab will be collected again.

Collection of Samples for Microbiology

Samples will be  collected with sterile cotton-tipped swabs from the acrylic prosthesis along a 1.5inch x 1.5inch flat  surface of the intaglio in a rolling fashion for 60 seconds and then plated onto the culture media. The co-investigator will use a stop watch for monitoring the time. 


Microbiological Analysis

Microbiological analysis will be performed to isolate and identify common oral gram positive and gram negstive  bacteria and Candida species. Swabs will cultured onto blood agar (BA) for microbial count and MacConkey agar for aerobic Gram-negative bacteria (AGNB).

 
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