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CTRI Number  CTRI/2025/04/085196 [Registered on: 21/04/2025] Trial Registered Prospectively
Last Modified On: 16/04/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   To compare the bone forming potential of Hyaluronic acid and bisphosphonate 
Scientific Title of Study   Comparative evaluation of Hyaluronic acid plus Gelatin sponge, Risedronate plus Gelatin sponge and Gelatin sponge on healing of Periapical lesion using CBCT - An Invivo 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  Akshaya S P 
Designation  PG Student 
Affiliation  Tamilnadu Government Dental College and Hospital 
Address  Department of Conservative Dentistry and Endodontics, Tamilnadu Government Dental College and Hospital, Chennai Esplanade, George Town, Chennai Tamil Nadu 600003 India

Chennai
TAMIL NADU
600003
India 
Phone  9445436123  
Fax    
Email  akshayasp98@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr M Kavitha 
Designation  Professor and HOD 
Affiliation  Tamilnadu Government Dental College and Hospital 
Address  Department of Conservative Dentistry and Endodontics, Tamilnadu Government Dental College and Hospital, Chennai Esplanade, George Town, Chennai Tamil Nadu 600003 India

Chennai
TAMIL NADU
600003
India 
Phone  9841161131  
Fax    
Email  kavithaendo@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Akshaya S P 
Designation  PG Student 
Affiliation  Tamilnadu Government Dental College and Hospital 
Address  Department of Conservative Dentistry and Endodontics, Tamilnadu Government Dental College and Hospital, Chennai Esplanade, George Town, Chennai Tamil Nadu 600003 India

Chennai
TAMIL NADU
600003
India 
Phone  9445436123  
Fax    
Email  akshayasp98@gmail.com  
 
Source of Monetary or Material Support  
Tamil Nadu Government Dental College and Hospital, Esplanade, George Town, Chennai, Tamil Nadu, India, Chennai - 600003 
 
Primary Sponsor  
Name  Akshaya S P 
Address  Tamil Nadu Government Dental College and Hospital, Muthusamy salai, Esplanade George Town,Chennai - 600003 
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 AKSHAYA S P  Tamilnadu government dental college and hospital  Department of conservative dentistry and Endodontics, Room No. 1- 10 Chennai TAMIL NADU
Chennai
TAMIL NADU 
9445436123

akshayasp98@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
TamilNadu Government Dental College and Hospital Institutional ethical committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K047||Periapical abscess without sinus,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  absorbable gelatin sponge  commercially available sterile absorbable gelatin sponge (GelSpon) 
Intervention  hyaluronic acid  commercially available hyaluronic acid gel (gengigel). After placing the hyaluronic gel in the bone defect, patient will be followed for 1 year 
Intervention  Risedronate  Risedronate gel was prepared using the coacervation phase separation method. Accurately, 25 mg of Risedronate was dissolved in 20 ml of ethanol. Further, 3 grams of Carbopol 934 was used to prepare the gel. After Placing the Risedronate gel in the bone defect, the Patient will be followed for 1 year. 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  Patients between 20-40 years of age from both the gender, Periapical lesions involving maxillary and mandibular incisors of strictly endodontic
origin, The diameter of the bone defect of 10 -20 mm, Patients willing for voluntary participation & have signed informed consent, Patients with good oral hygiene, Systemically healthy patients. 
 
ExclusionCriteria 
Details  periodontal tooth with poor prognosis, tooth with pathosis with vertical root fracture, patients with bleeding disorders, patients showing poor oral hygiene maintenance, Patients with use of tobacco or tobacco related products, Pregnant / Lactating patients, Patients with known systemic diseases, Patients with any known allergies, Patients with any known metabolic disorders. 
 
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 
Absence of swelling, pain, pus discharge, sinus opening, Mobility, Tenderness to percussion  1,3,6,9 and 12 months 
 
Secondary Outcome  
Outcome  TimePoints 
Bone density evaluation of the Periapical region was done after surgery using CBCT  6 and 12 months 
 
Target Sample Size   Total Sample Size="25"
Sample Size from India="25" 
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)   30/04/2025 
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  

This study is a randomized, double blinded, parallel arm design comparing the effect of hyaluronic acid and Risedronate gel with gelatin sponge on healing of periapical lesions using cone beam computed tomography (CBCT) carried out in Tamil Nadu Government Dental college and Hospital among 25 patients of age group from 20 to 40 years of both gender with periapical lesion size ranging from 10 to 20 mm. The primary outcome should be absence of pain, swelling, pus discharge, sinus opening, tenderness to percussion. The secondary outcome being radiographic evidence of increase in bone density and reduction in size of the lesion at the end of 3, 6, 9 and 12 months.

 
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