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CTRI Number  CTRI/2024/11/076512 [Registered on: 08/11/2024] Trial Registered Prospectively
Last Modified On: 08/11/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparative Study Of Direct And Indirect Filling Methods For The Decay On Smooth Surfaces Of The Teeth-An 18 Months Follow-Up Study 
Scientific Title of Study   Comparative Clinical Evaluation Of Class II Direct And Indirect Composite Restorations-An 18 Months Longitudinal Study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Aneetta Joseph 
Designation  Junior resident 
Affiliation  Government dental college,Kozhikode 
Address  Junior resident,Room no:60,Department of conservative dentistry and endodontics,Government dental college,Kozhikode,Kerala

Kozhikode
KERALA
673008
India 
Phone  9995631053  
Fax    
Email  annumaria001@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr JAYASREE S 
Designation  Head of the department 
Affiliation  Government dental college,Kozhikode 
Address  Head of the department,Room no:60,Department of conservative dentistry and endodontics,Government dental college,Kozhikode,Kerala

Kozhikode
KERALA
673008
India 
Phone  9447276940  
Fax    
Email  jsree21@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Dr JAYASREE S 
Designation  Head of the department 
Affiliation  Government dental college,Kozhikode 
Address  Head of the department,Room no:60,Department of conservative dentistry and endodontics,Government dental college,Kozhikode,Kerala

Kozhikode
KERALA
673008
India 
Phone  9447276940  
Fax    
Email  jsree21@yahoo.co.in  
 
Source of Monetary or Material Support  
Govt.Dental College,Kozhikode, Calicut Medical College Po, Kerala, India - 673008.  
 
Primary Sponsor  
Name  Dr Aneetta Joseph 
Address  Junior resident,Room no:60,Department of conservative dentistry and endodontics,Government dental college,Kozhikode,Calicut medical college po,Kerala,India,673008 
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 Aneetta Joseph  Government dental college Kozhikode  Room No:60,Department Of Conservative Dentistry And Endodontics,Government Dental College,Kozhikode,Calicut Medical College Po,Kozhikode, Kerala,India,673008
Kozhikode
KERALA 
9995631053

annumaria001@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITEE GOVERNMENT DENTAL COLLEGE KOZHIKODE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K026||Dental caries on smooth surface,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Direct Composite Restorations  Evaluation Of Clinical Performance Of Class II Direct Restorations Over A Period Of 18 Months 
Comparator Agent  Inirect Composite Restorations  Evaluation Of Clinical Performance Of Class II Indirect Restorations Over A Period Of 18 Months 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  Moderate to deep class II cavities with ICDAS clinical scoring 4 and 5 and with Radiographic scoring RB 4
Cavities with isthmus size at least half of the inter cuspal distance
No clinical signs and symptoms of pulpal or periapical pathology
The carious tooth should have adjacent and antagonistic teeth
In occlusion to antagonistic teeth
Good oral hygiene
 
 
ExclusionCriteria 
Details  Patients with Severe systemic diseases and allergies,
Severe periodontal problems and subgingival caries,
Parafunctional habits like bruxism or clenching,
Restricted mouth opening 
 
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 and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Comparative clinical evaluation of class II direct and indirect composite
restorations over a period of 18 months. 
18 months 
 
Secondary Outcome  
Outcome  TimePoints 
Evaluating the clinical performance of direct and indirect restoration methods using revised FDI criteria,at the end of 1 month,6 months and 18 months  1 month to 18 months 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
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)   20/11/2024 
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="6"
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 - 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
    Response - Clinical Study Report

  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 (Others) -  Requested data will be mailed

  6. For how long will this data be available start date provided 01-11-2026 and end date provided 01-11-2029?
    Response - Beginning 9 months and ending 36 months following article publication.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - nil
Brief Summary  
      Proximal surfaces are the second, following the occlusal surfaces as being the most exposed places to the carious process.A successful class II restoration always remains a nightmare to the dentist as it requires proper interproximal contacts and contours, and marginal adaptation which is necessary for a healthy periodontium.Adhesive restorative materials like COMPOSITE RESINS have strong bond to enamel and dentin facilitating proper contacts and contours.The polymerization shrinkage, improper marginal sealing, post operative sensitivity, recurrent caries are some of the challenges that have to be addressed in direct technique.The remains of uncured resin in deeper portions of cavity elute further and cause severe pulpal irritation in direct composite restorations.Indirect resin composite restorations mitigate some of the drawbacks of the direct technique and theoretically ensure a relatively longer life span of the restorations.There are only fewer data available on clinical comparison between direct and indirect class II composite restorations.Hence this study is intended to compare the clinical performance of direct and indirect class II composite restorations using the FDI criteria as the main evaluation tool
 
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