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CTRI Number  CTRI/2024/05/067411 [Registered on: 15/05/2024] Trial Registered Prospectively
Last Modified On: 10/05/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effectiveness of Scalpel and Microneedling in managament of Gingival depigmentation 
Scientific Title of Study   “Comparative Evaluation of Gingival Depigmentation By Scalpel And Microneedling With Ascorbic Acid”  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Swarna Meenakshi p 
Designation  Post Graduate Student 
Affiliation  saveetha dental college, SIMATS Universitychennai 
Address  Clinic 25, 4th floor, Department of Periodontics, Saveetha Dental College and Hospital, No 162, Poonamalle high road, Velappanchavadi, Chennai-600077
Clinic 25, 4th floor,Department of Periodntics, Saveetha Dental College, No-162, Poonamalle High road, Velappanchavadi, Chennai-600077, Tamil Nadu
Chennai
TAMIL NADU
600077
India 
Phone  09578983680  
Fax    
Email  swarnameenakshi1996@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Swarna Meenakshi p 
Designation  Post Graduate Student 
Affiliation  saveetha dental college, SIMATS University chennai 
Address  Clinic 25, 4th floor,Department of Periodntics, Saveetha Dental College, No-162, Poonamalle High road, Velappanchavadi, Chennai-600077, Tamil Nadu

Chennai
TAMIL NADU
600077
India 
Phone  09578983680  
Fax    
Email  swarnameenakshi1996@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Subasree S 
Designation  Senior Lecturer 
Affiliation  saveetha dental college, chennai 
Address  Clinic 25, 4th floor,Department of Periodntics, Saveetha Dental College, No-162, Poonamalle High road, Velappanchavadi, Chennai-600077, Tamil Nadu

Chennai
TAMIL NADU
600077
India 
Phone  09710632868  
Fax    
Email  subasrees.sdc@saveetha.com  
 
Source of Monetary or Material Support  
Saveetha Dental College, Saveetha Institute of Medical and technical sciences, Saveetha University, no 162, poonamalle high road, Velappanchavadi, Chennai-600077. 
 
Primary Sponsor  
Name  Saveetha dental college and hospital SIMATS University 
Address  Clinic 25, 4th floor,Department of Periodontics, Saveetha Dental College, No-162, Poonamalle High road, Velappanchavadi, Chennai-600077, Tamil Nadu 
Type of Sponsor  Research institution and hospital 
 
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 
swarna meenakshi  Saveetha dental college, simats University, Chennai  Clinic 25, 4th floor,Department of Periodntics, Saveetha Dental College, No-162, Poonamalle High road, Velappanchavadi, Chennai-600077, Tamil Nadu
Chennai
TAMIL NADU 
09578983680

swarnameenakshi1996@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Human Ethical Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K055||Other periodontal diseases,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Microneedling  microneedling done with ascorbic acid 
Comparator Agent  Scalpel  Gingival depigmentation is done with conventional technique scalpel 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  35.00 Year(s)
Gender  Both 
Details  1)Patients aged 18 and above; 2) demonstrated systemic health; and 3) exhibited physiologic gingival hyperpigmentation within the aesthetic zone 
 
ExclusionCriteria 
Details  1) systemic disorders, particularly patients with bleeding disorders; 2) individuals undergoing chemotherapy; 3) pregnant women 4) smokers; and 5) gingivitis and periodontitis patients 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Intensity of pigmentation  baseline, 1 month, 3 months 
 
Secondary Outcome  
Outcome  TimePoints 
wound healing  1st day, 7th day 
 
Target Sample Size   Total Sample Size="16"
Sample Size from India="16" 
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   N/A 
Date of First Enrollment (India)   30/05/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  30/05/2024 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)   Completed 
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  

Background: Gingival pigmentation, characterized by the presence of melanin in the gingival tissues, is a common aesthetic concern in dental practice. While it poses no inherent health risks, the visible discoloration may cause psychological distress for individuals seeking optimal dental aesthetics. Understanding the efficacy of various methods is essential for refining treatment strategies and enhancing patient satisfaction in the realm of gingival depigmentation.

Aim: The objective of the study is to compare the effectiveness of scalpel and microneedling with ascorbic acid in the treatment of gingival depigmentation.

Materials and Methods: Sixteen patients who had a complaint of gingival pigmentation were included in the study, out of which 8 patients were allocated for scalpel group and the other 8 patients were treated with microneedling technique with ascorbic acid. Postoperative wound healing scores were evaluated at the 1st and 7th day respectively. Intensity of depigmentation was assessed at baseline, 1st month and at the end of 3rd month respectively.

Results: The mean DOPI score in the baseline were 2.65±0.16 and 2.61± 0.17 in the surgical and MN with ascorbic acid groups respectively. The mean DOPI score at the end of 3rd month was 1.67 ±0.39 and 0.87± 0.17 in the surgical and MN with ascorbic acid groups respectively. There was a statistically significant difference between the scalpel and MN & ascorbic acid groups at the end of 1st month and 3rd month respectively with MN & ascorbic acid showing esthetically pleasing outcomes. Patients treated with scalpel technique showed incomplete healing and ulceration on 1st and 7th day after the procedure when compared to the microneedling technique with ascorbic acid. Healing index scores were statistically significant in the MN & ascorbic acid group.

Conclusion: Microneedling technique with ascorbic acid is a successful technique in treating gingival depigmentation. It showed esthetically gratifying outcomes when compared to the conventional surgical technique.

 
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