| CTRI Number |
CTRI/2024/06/069679 [Registered on: 28/06/2024] Trial Registered Prospectively |
| Last Modified On: |
24/09/2024 |
| Post Graduate Thesis |
No |
| Type of Trial |
Interventional |
|
Type of Study
|
Dentistry |
| Study Design |
Randomized, Parallel Group, Multiple Arm Trial |
|
Public Title of Study
|
Evaluating New Treatments for Childrens Tooth Pulp Therapy: A Study Comparing PRF and PRF-Based Nanomaterials |
|
Scientific Title of Study
|
Comparative evaluation of PRF and PRF-based nano biomaterial as pulpotomy agent in young permanent teeth in children- 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 |
DrDaya Srinivasan |
| Designation |
Professor and Head |
| Affiliation |
Chettinad Dental College and Research Institute |
| Address |
Room no 6, Third floor E block,Department of Pedodontics and Preventive Dentistry, Chettinad Dental College and Research Institute , Rajiv Gandhi Salai, Kelambakkam
Kancheepuram TAMIL NADU 603103 India |
| Phone |
9884476385 |
| Fax |
|
| Email |
dayaswathi@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
DrDaya Srinivasan |
| Designation |
Professor and Head |
| Affiliation |
Chettinad Dental College and Research Institute |
| Address |
Room no 6, Third floor E block,Department of Pedodontics and Preventive Dentistry, Chettinad Dental College and Research Institute , Rajiv Gandhi Salai, Kelambakkam
TAMIL NADU 603103 India |
| Phone |
9884476385 |
| Fax |
|
| Email |
dayaswathi@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
DrDaya Srinivasan |
| Designation |
Professor and Head |
| Affiliation |
Chettinad Dental College and Research Institute |
| Address |
Room no 6, Third floor E block,Department of Pedodontics and Preventive Dentistry, Chettinad Dental College and Research Institute , Rajiv Gandhi Salai, Kelambakkam
TAMIL NADU 603103 India |
| Phone |
9884476385 |
| Fax |
|
| Email |
dayaswathi@gmail.com |
|
|
Source of Monetary or Material Support
|
| Room no 6, Third floor E block,Department of Pedodontics and Preventive Dentistry, Chettinad Dental College and Research Institute , Rajiv Gandhi Salai, Kelambakkam, Chennai 603103, India. |
|
|
Primary Sponsor
|
| Name |
DrDaya Srinivasan |
| Address |
Room no 6, Third floor E block,Department of Pedodontics and Preventive Dentistry, Chettinad Dental College and Research Institute , Rajiv Gandhi Salai, Kelambakkam |
| Type of Sponsor |
Other [SELF] |
|
|
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 |
| DrDaya Srinivasan |
Chettinad Dental College and Research Institute |
Room no 6, Third floor E block,Department of Pedodontics and Preventive Dentistry, Chettinad Dental College and Research Institute , Rajiv Gandhi Salai, Kelambakkam Kancheepuram TAMIL NADU |
9884476385
dayaswathi@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional Human Ethics Committee Chettinad Dental College and Research Institute (IHEC-CDCRI) |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: K029||Dental caries, unspecified, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
PRF (Platelet Rich Fibrin) |
PRF withdrawn from the patents own blood at single visit during extraction procedure and followed up till 12 months. |
| Intervention |
PRF and Nano Chitosan |
PRF withdrawn from the patents own blood is added to Nano Chitosan at single visit during extraction procedure and followed up till 12 months. |
| Intervention |
PRF and Nano Hydroxyapatite |
PRF withdrawn from the patents own blood is added to Nano Hydroxyapatite at single visit during extraction procedure and followed up till 12 months |
|
|
Inclusion Criteria
|
| Age From |
7.00 Year(s) |
| Age To |
9.00 Year(s) |
| Gender |
Both |
| Details |
Enrolment of children with caries in Permanent mandibular first molars requiring vital pulp therapy, exhibiting deep dentin caries with pulp exposure, and mild to moderate responses to chemical and thermal stimuli. Radiographically detected with caries penetration involving the full dentin thickness with pulp involvement and the teeth in Nolla’s stage 7,8 root development. |
|
| ExclusionCriteria |
| Details |
Encompass teeth with irreversible pulpitis, mobility, abscess, fistula, or radiolucency in furcation or periapical regions, and internal or external root resorption. Children with systemic problems, congenital abnormalities, or special needs are excluded. |
|
|
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, Investigator and Outcome Assessor Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
| Clinical criteria: The tooth will be evaluated for the presence/ absence of pain, swelling, tenderness on percussion, pathological mobility, and purulent discharge at 3, 6, 9, and 12 months. |
Clinical criteria: The tooth will be evaluated for the presence/ absence of pain, swelling, tenderness on percussion, pathological mobility, and purulent discharge at 3, 6, 9, and 12 months. |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
Radiographic criteria: The tooth will be evaluated for the presence /absence of radiographic periapical radiolucency pathologically, furcal involvement, and internal or external resorption.
Apical closure: The teeth will be checked for apical closure and the duration taken for the apex to close. |
3, 6, 9, and 12 months. |
|
|
Target Sample Size
|
Total Sample Size="60" Sample Size from India="60"
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 2/ Phase 3 |
|
Date of First Enrollment (India)
|
15/07/2024 |
| 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)
Modification(s)
|
Not Yet Recruiting |
| Recruitment Status of Trial (India) |
Open to Recruitment |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - YES
- What data in particular will be shared?
Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).
- What additional supporting information will be shared?
Response - Study Protocol Response - Informed Consent Form Response - Clinical Study Report
- Who will be able to view these files?
Response - Researchers who provide a methodologically sound proposal.
- For what types of analyses will this data be available?
Response - To achieve aims in the approved proposal.
- By what mechanism will data be made available?
Response - To gain access, data requestors will need to sign a data access agreement. Data are available for 5 years at a third party website (dayaswathi@gmail.com).
- For how long will this data be available start date provided 25-06-2024 and end date provided 26-06-2025?
Response - Beginning 3 months and ending 5 years following article publication.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - NIL
|
|
Brief Summary
|
This study focuses on evaluating the effectiveness of platelet-rich fibrin (PRF) and PRF-based nano biomaterials as pulpotomy agents in vital young permanent first molars in children aged 7-9 years. The randomized controlled trial aims to assess both clinical and radiographic outcomes of these treatments over intervals of 3, 6, 9, and 12 months. Key clinical criteria include the presence of pain, swelling, tenderness on percussion, pathological mobility, and purulent discharge, while radiographic criteria include the assessment of periapical radiolucency, furcal involvement, and root resorption. Additionally, the study monitors the duration required for apical closure.
Participants will be selected based on specific inclusion criteria, such as having caries in permanent mandibular first molars requiring vital pulp therapy, deep dentin caries with pulp exposure, and mild to moderate responses to stimuli. Teeth must be in Nolla’s stage 7 or 8 of root development. Exclusion criteria include teeth with irreversible pulpitis, mobility, abscesses, fistulas, significant radiolucency, and internal or external root resorption. Children with systemic problems, congenital abnormalities, or special needs are also excluded.
The study involves preparing PRF using Choukroun’s technique and agglomerating it with nanomaterials to ensure uniform distribution. The procedure includes local anesthesia, rubber-dam isolation, cavity preparation, and caries removal, followed by the application of the assigned pulpotomy agents. The PRF and nanomaterial mixture will be applied in a 3:1 ratio, covering the chamber floor and followed by Glass Ionomer Cement (GIC) and composite restoration. Radiographs will be taken using a standardized technique to ensure consistency.
The research aims to determine if the addition of nano chitosan and nano-hydroxyapatite to PRF enhances the healing process and accelerates the clinical outcomes, specifically the apical closure. By standardizing the treatment duration for apical closure in teeth at Nolla’s stage 7 and 8, the study could potentially extend the applicability of these biomaterials to teeth at various stages of root development. This could provide a more effective and faster treatment option for children with cariously exposed pulp in young permanent teeth, leveraging the regenerative properties of PRF and the biocompatibility of nano chitosan and nano-hydroxyapatite. |