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CTRI Number  CTRI/2024/11/076988 [Registered on: 19/11/2024] Trial Registered Prospectively
Last Modified On: 19/11/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Evaluation of increase in hard tissue formation by two different indirect pulp capping agents in primary molars- a randomized controlled trial 
Scientific Title of Study   Evaluation of the increase in dentinal barrier thickness formed by indirect pulp treatment with two different indirect pulp capping agents in primary molars- 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  Janaki Shaji 
Designation  MDS resident 
Affiliation  Amrita School of Dentistry 
Address  Room no:5, Department of pediatric and preventive dentistry, Amrita School of Dentistry, Kochi

Ernakulam
KERALA
682041
India 
Phone  7558898250  
Fax    
Email  janakishaji99@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Balagopal Varma R 
Designation  professor and head of the department 
Affiliation  Amrita School of Dentistry 
Address  Department of Pediatric and Preventive dentistry, Amrita School of Dentistry, Kochi

Ernakulam
KERALA
682041
India 
Phone  9447032358  
Fax    
Email  balagopalvarma@aims.amrita.edu  
 
Details of Contact Person
Public Query
 
Name  Balagopal Varma R 
Designation  professor and head of the department 
Affiliation  Amrita School of Dentistry 
Address  Department of Pediatric and Preventive dentistry, Amrita School of Dentistry, Kochi

Ernakulam
KERALA
682041
India 
Phone  9447032358  
Fax    
Email  balagopalvarma@aims.amrita.edu  
 
Source of Monetary or Material Support  
Amrita School of Dentistry, Amrita institute of medical sciences, Edappally, Kochi, pin: 682041 
 
Primary Sponsor  
Name  Janaki Shaji 
Address  Amrita School of Dentistry Edapally Kochi pin:682041 
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 Janaki Shaji  Amrita school of dentistry  Room no:5 Department of Pediatric and Preventive dentistry
Ernakulam
KERALA 
7558898250

janakishaji99@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Amrita Vishwa Vidyapeetham Institute of Medical Sciences Healthcare, Education & Research  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K029||Dental caries, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  SafeEndo BioStructure MTA putty  composition is Tricalcium Silicate, Dicalcium silicate, Tricalcium Aluminate, Zirconium oxide, Paste forming agents it is an indirect pulp capping agent 
Comparator Agent  VOCO Calcimol LC  composition is Light-curing radiopaque calcium hydroxide paste. it is an indirect pulp capping agent 
 
Inclusion Criteria  
Age From  5.00 Year(s)
Age To  8.00 Year(s)
Gender  Both 
Details  Primary molars meeting the following criteria will be included in the study:
On clinical examination, large carious lesions involving either occlusal or proximal surfaces, with normal appearances of the gingiva will be identified.
Participants with a history of tolerable dull intermittent pain and mild discomfort associated with eating will be included.
On radiographic evaluation, primary molars with carious lesions involving more than 2/3rd thickness of dentin approximating the pulp, normal lamina dura and periodontal ligament space, and more than 2/3rd of the root present without periapical changes will be included.
 
 
ExclusionCriteria 
Details  Primary molars with the following criteria will be excluded from the trial:
Having history of sharp, penetrating pulpalgia indicating acute pulp inflammation and necrosis, prolonged pain at night.
On Clinical examination, presence of mobility of tooth, discoloration of tooth, negative reaction to electric pulp testing, sinus opening or abscessed tooth.
On radiographic evaluation, carious lesion with definite pulp exposure, interrupted or broken lamina dura, widened periodontal ligament space, periapical radiolucency, internal or external resorption.
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare the increase in dentinal barrier thickness formed by two types of Indirect pulp capping agents used in the treatment of carious lesions in primary molars over a period of 12 months.  3,6,12 months 
 
Secondary Outcome  
Outcome  TimePoints 
follow up  3,6,12 months 
 
Target Sample Size   Total Sample Size="28"
Sample Size from India="28" 
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)   14/12/2024 
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 Applicable 
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  

Primary molars to be selected from patients aged 5 to 8 years attending the OP of the Department of Pediatric and Preventive dentistry in Amrita school of dentistry. Primary teeth with carious lesion approaching the pulp and indicated for indirect pulp capping will be chosen. Local anesthesia will be administered following which rubber dam application will be done. Caries excavated and Indirect pulp treatment will be done with: Group 1: SafeEndo BioStructure MTA  and Group 2: Light curing Calcium hydroxide (VOCO Calcimol LC). Resin modified GIC base (RMGIC) given subsequently and Composite restoration will be placed on top of base material after etching and bonding. Baseline radiograph will be taken on the same day. Patient will be recalled for review at 3 months, 6 months and 12 months. Tooth will be clinically examined and radiographically evaluated. Radiographs will be taken at 3 months, 6 months and 12 months and subsequently scanned and transferred to the computer for digital analysis. The increase in dentin thickness measured using Corel Draw software, Version 13

 
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