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CTRI Number  CTRI/2024/09/073715 [Registered on: 10/09/2024] Trial Registered Prospectively
Last Modified On: 09/09/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Difference in artificial bone material and naturally obtained bone material in terms of new bone formation following removal of infection  
Scientific Title of Study   Comparative Evaluation of the Efficacy of Eggshell Derived Hydroxyapatite (EHA) with Commercial Available Synthetic Hydroxyapatite (SHA) In Bone Regeneration following Periapical Cyst Enucleation.  
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DrNeha Agarwal 
Designation  Post graduate student 
Affiliation  Dr.DY Patil dental college and hospital,Dr.DYPatil vidyapeeth,Pune 
Address  Department of Oral and Maxillofacial surgeryOPD 9,Dr.DY Patil dental college and hospital,Dr.DYPatil vidyapeeth,Pune

Pune
MAHARASHTRA
411018
India 
Phone  7585952765  
Fax    
Email  nehu.agarwal1999@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DrBMRudagi 
Designation  HOD and professor 
Affiliation  Dr.DY Patil dental college and hospital,Dr.DYPatil vidyapeeth,Pune 
Address  Department of Oral and Maxillofacial surgery OPD 9,Dr.DY Patil dental college and hospital,Dr.DYPatil vidyapeeth,Pune

Pune
MAHARASHTRA
411018
India 
Phone  9673494111  
Fax    
Email  drbmr17@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DrBMRudagi 
Designation  HOD and professor 
Affiliation  Dr.DY Patil dental college and hospital,Dr.DYPatil vidyapeeth,Pune 
Address  Department of Oral and Maxillofacial surgery OPD 9,Dr.DY Patil dental college and hospital,Dr.DYPatil vidyapeeth,Pune

Pune
MAHARASHTRA
411018
India 
Phone  9673494111  
Fax    
Email  drbmr17@gmail.com  
 
Source of Monetary or Material Support  
Dr.DY Patil dental college and hospital,Dr.DYPatil vidyapeeth, Pimpri Pune 411018 India 
 
Primary Sponsor  
Name  Dr.DY Patil dental college and hospital,Dr.DYPatil vidyapeeth,Pune 
Address  Department of Oral and Maxillofacial surgery OPD 9,Dr.DY Patil dental college and hospital,Dr.DYPatil vidyapeeth,Pune 
Type of Sponsor  Private medical college 
 
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 
DrNeha Agarwal  Dr.DY Patil dental college and hospital,Dr.DYPatil vidyapeeth,Pune  Department of Oral and Maxillofacial surgery OPD 9,Dr.DY Patil dental college and hospital,Dr.DYPatil vidyapeeth,Pune
Pune
MAHARASHTRA 
7585952765

nehu.agarwal1999@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Sub Committee Dr.DY Patil Dental college and hospital ,Dr.DY Patil Vidyapeeth ,Pune  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Egg shell derived hydroxyapatite bone graft  To evaluate the efficacy of Egg shell derived hydroxyapatite bone graft in bone regeneration following periodical cyst enucleation at 3,6,9 months 
Comparator Agent  Commercially Available Synthetic Hydroxyapatite (SHA) bone graft  Efficacy of Commercially Available Synthetic Hydroxyapatite (SHA) In Bone Regeneration following Periapical Cyst Enucleation at 3,6,9 months  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details 
1. Patients with periapical cystic lesions (1.5-2 cm in diameter) of the maxilla and mandible involving up to three teeth, as confirmed by clinical and radiological evaluations, will be included in the study.
2. Patients in the age group of 18-40 years.
3. Patients who will give written informed consents.
 
 
ExclusionCriteria 
Details  1. Immunocompromised individuals including those with severe debilitating diseases,
2. Pregnant and lactating female participants.
3. Individuals with endocrine disorders.
4. Patients in which satisfactory endodontic treatment cannot be done.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Centralized 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
The effect of grafting will be evaluated using digital radiographic imaging technique and computer densitometry in bone regeneration at time intervals of 3,6 and 9 months following periapical cyst enucleation.  The effect of grafting will be evaluated using digital radiographic imaging technique and computer densitometry in bone regeneration at time intervals of 3,6 and 9 months following periapical cyst enucleation. 
 
Secondary Outcome  
Outcome  TimePoints 
The effect of grafting will be evaluated using digital radiographic imaging technique and computer densitometry in bone regeneration at time intervals of 3,6 and 9 months following periapical cyst enucleation.  4,7,10 months 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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)   10/11/2024 
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="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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  

To promote healing of large bone defects using graft material is well known. Missing bone is

replaced traditionally with material either from patient or donor. Clinicians and scientists are

in search of alternative bone graft substitutes because of factors like donor site morbidity, time,

and skill required for second surgery to harvest graft, inadequate quantity available with respect

to auto grafts, and so. Multiple sources and different forms of bone grafts have been used for

bone augmentation and reconstruction in oral maxillofacial and orthopedic surgery to stimulate

bone healing since long time. In recent years, use of synthetic or processed bone graft substitute

has gained popularity over traditional grafting methods.

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Hydroxyapatite (HA) is apatite calcium phosphate Ca10(PO4)6(OH)2. In many disciplines of

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surgery HA is being used as graft material successfully. In particular, HA shows highest level

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of bioactivity and forms a quick bond with bone.

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The eggshell formulations are being used since beginning as trace element and mineral

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supplying agents. Few studies show surface modified eggshell powder as osteoconductive bone

Objective of the study:

  1. To assess the efficacy of eggshell derived hydroxyapatite in terms of bone regeneration by densitometer after 3,6 and 9 months following periapical cyst enucleation in maxilla and mandible

  2. To assess the efficacy of synthetic hydroxyapatite in terms of bone regeneration by densitometer after 3,6 and 9 months following periapical cyst enucleation in maxilla and mandible

  3. To compare the efficacy of eggshell derived hydroxyapatite (EHA) with commercially available synthetic hydroxyapatite (SHA)in terms of bone regeneration by densitometer after 3,6 and 9 months following periapical cyst enucleation in maxilla and mandible

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