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CTRI Number  CTRI/2025/03/081763 [Registered on: 06/03/2025] Trial Registered Prospectively
Last Modified On: 07/02/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Preventive
Dentistry 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Comparative evaluation of antibacterial efficacy And staining potential of selenium nanoparticles Infused hydroxyapatite and silver diamine flouride  
Scientific Title of Study   Comparative evaluation of anticariogenic efficacy And staining potential of selenium nanoparticles Infused hydroxyapatite and silver diamine flouride: An in vitro 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 Shazia Nahid 
Designation  Junior Resident 
Affiliation  Dr Ziauddin ahmad dental college, AMU  
Address  OPD 2 PG seminar room, ZADC,AMU,ALIARH,UP,INDIA
OPD 8,ZADCH, AMU, Aligarh, UP, India, 202002
Aligarh
UTTAR PRADESH
202002
India 
Phone  08272827853  
Fax    
Email  drshazianahid03@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Neha agrawal 
Designation  Professor and chairperson 
Affiliation  Dr Ziauddin ahmad dental college, AMU  
Address  first floor, Department of periodontia and community dentistry, ZADC, AMU, ALIARH, UP, INDIA
OPD 8,ZADCH, AMU, Aligarh, UP, India, 202002
Aligarh
UTTAR PRADESH
202002
India 
Phone  07895335770  
Fax    
Email  drnehaagrawal80@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Shazia Nahid 
Designation  Junior Resident 
Affiliation  Dr Ziauddin ahmad dental college, AMU  
Address  OPd 2 PG seminar room, ZADC, AMU, ALIARH, UP, INDIA
OPD 8,ZADCH, AMU, Aligarh, UP, India, 202002

UTTAR PRADESH
202002
India 
Phone  08272827853  
Fax    
Email  drshazianahid03@gmail.com  
 
Source of Monetary or Material Support  
Dr ziauddin ahmad dental college, AMU, Aligarh, India, 202002  
 
Primary Sponsor  
Name  Dr Ziauddin ahmad dental college 
Address  OPD 8,ZADCH, AMU, Aligarh, UP, India, 202002  
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
None  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 Shazia nahid  Ziauddin ahmad dental college  OPD 8, Department of periodontia and community dentistry, ZADC,AMU,ALIARH,UP,INDIA,202002
Aligarh
UTTAR PRADESH 
08272827853

drshazianahid03@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Jawaharlal Nehru Medical College and hospital, AMU  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  this is an in vitro study on extracted tooth of healthy volunteers 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Antibacterial efficacy and staining potential of commercially available Silver Diamine Fluoride(SDF).  -To evaluate and compare the in vitro antibacterial efficacy of commercially available SDF against streptococcus mutans. -To evaluate and compare the staining potential of commercially available SDF on extracted carious and non-carious teeth.  
Intervention  Antibacterial efficacy and staining potential of Selenium nanoparticles infused with hydroxyapatite  -Preparation of selenium nanoparticles infused hydroxyapatite. -To evaluate the in vitro antibacterial efficacy of Selenium nanoparticles infused hydroxyapatite against streptococcus mutans. -To evaluate the staining potential of Selenium nanoparticles infused hydroxyapatite on extracted carious and non-carious teeth after 2, 5, 15, 60 minutes and 6, 24, 48, 72 hours , for a period of 3 days post-application. 
 
Inclusion Criteria  
Age From  10.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Permanent carious and non-carious teeth. 
 
ExclusionCriteria 
Details  -extracted carious/ non carious teeth from patient having any systemic disease.
-broken/fractured/malformed teeth
-teeth having any intrinsic or extrinsic stains (for e.g. tobacco stains)
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Alternation 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
- Evaluation of staining potential of SeNP infused with hydroxyapatite.
- Evaluation of Antibacterial efficacy via disc diffusion method of SeNP infused with hydroxyapatite. 
Evaluation of staining potential via image analysis software at regular intervals (2, 5, 15, 60 minutes and 6, 24, 48, 72 h) for a period of 3 days post-application 
 
Secondary Outcome  
Outcome  TimePoints 
none  none 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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 1 
Date of First Enrollment (India)   15/04/2025 
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="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 - NO
Brief Summary  

The study will be carried out in the Department of periodontia and community Dentistry, ZADC, AMU in collaboration with Interdisciplinary Biotechnology Unit, AMU. All experimental protocols will be approved by the Research Ethics Committee of the Faculty of medicine, Aligarh Muslim University, Aligarh, India. The study will be carried out following the institutional and international guidelines mentioned in the Declaration of Helsinki for the use of human body material in medical research. The methodology will follow the checklist for reporting in vitro studies (CRIS Guidelines). Written and verbal informed consent will be obtained from all participants.

 

In this in vitro study, the antibacterial efficacy of two topical agents, namely SDF and prepared Selenium nanoparticles infused hydroxyapatite will be evaluated against S. mutans. Also staining potential of SDF will be compared with that of selenium nanoparticles infused hydroxyapatite.

Preparation of SeNPs infused hydroxyapatite

Biogenic preparation of material will be carried out in the department of biotechnology, AMU. We shall be using leaf/flower extracts of certain indigenous plants for synthesis of nanoparticles. In this regard we shall be using leaf extracts of Azadirachta indica(neem) or Acacia arabica (babul).

Microwave–assisted biomimetic Hydroxyapatite nanoparticles will be synthesized using calcium and phosphorus sources.

100gm leaf powder/ 100 ml water boiled till the volume of the water gets half of the original volume. The solution will be decanted and filtered to get clear solution.

 

Evaluation of Antibacterial efficacy via disc diffusion method:

The bacterial sensitivity will be tested using the Disc Diffusion method where the diameter of the inhibition zone specifying the relative susceptibility of bacteria (S mutans) to SDF and SeNPs infused hydroxyapatite will be evaluated.

To implement this method, the fresh culture of S. mutans will be prepared. The sterile paper discs coated with the SDF and other disc coated with selenium nanoparticles infused hydroxyapatite will be transferred on plates containing the microbes. In the next step, the culture media in an anaerobic jar containing gasp will be used to drain the culture medium for S mutans. Finally, the anaerobic jar containing the culture media will be incubated at 37°C for 24 h. Subsequently, the sensitivity of S. mutans strain to SDF and selenium nanoparticles infused hydroxyapatite will be evaluated by measuring the diameter of the inhibition zone.

 

Evaluation of staining potential:

For evaluation of staining property 20 extracted noncarious teeth and 20 extracted carious teeth will be collected from both genders with no history of systemic diseases. Extracted teeth will be allocated into two groups, group 1 and group 2 containing extracted carious and noncarious teeth respectively which will be further divided randomly into two groups. Two independent observers will assess the outcomes. Each group will be associated with a specific objective as described below:

 

Group 1a: staining potential following application of SDF on carious teeth.

Group 1b: staining potential following application of SeNPs infused Hydroxyapatite on carious teeth.

Group 2a: staining potential following application of SDF on non-carious teeth

Group 2b: staining potential following application of SeNPs infused Hydroxyapatite on non-carious teeth.


Tooth preparation and Addition of the test materials:

The teeth will be clean using deionized water and will be mounted to standardized photographic set-ups. Teeth in Group 1a will receive 38% SDF application (n = 10) and Teeth in Group 1b will receive SeNPs infused hydroxyapatite application (n = 10). similarly, Teeth in Group 2a will receive 38% SDF application (n = 10) and Teeth in Group 2b will receive SeNPs infused hydroxyapatite application (n = 10) As per the manufacturer’s instructions, SDF will be applied using a micro brush to the clinically carious lesions only with the surrounding tooth structure left untouched. All teeth in Groups 1a,1b, 2a and 2b will be selected such that they will match by tooth type, size and location of the carious lesion to reduce selection bias.

First, plaque will be thoroughly clean from the teeth using a polishing brush and a nonfluoridated prophylactic paste in a low-speed handpiece. Then, the teeth will be mounted in acrylic resin. Afterwards, they will be stored in distilled water at room temperature.

 

Image analysis and statistical methods

All teeth will be imaged in the same room, under the same controlled lighting conditions and positions with a digital VR lens reflex camera (Nikon Z50 Mirrorless Optical Zoom Camera with Z DX 16-50mm f/3.5-6.3 VR Lens, Japan). Images of each tooth surface will be taken at baseline and at regular intervals (2, 5, 15, 60 minutes and 6, 24, 48, 72 h) for a period of 3 days post-application. Subsequently, the images will be imported and calibrated using image analysis software where each carious lesion will be isolated and the mean grey values and their standard deviations will be calculated.

 
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