| 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
|
|
|
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
|
|
|
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
- What data in particular will be shared?
Response - All of the individual participant data collected during the trial, after de-identiļ¬cation.
- What additional supporting information will be shared?
Response - Study Protocol Response - Statistical Analysis Plan Response - Informed Consent Form
- Who will be able to view these files?
Response - Researchers who provide a methodologically sound proposal.
- For what types of analyses will this data be available?
Response - For individual participant data meta-analysis.
- By what mechanism will data be made available?
Response - Proposals should be directed to [kavithajanardanan@yahoo.co.in].
- 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.
- 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). |