| 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
|
|
|
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
|
|
|
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. |