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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  
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 
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  
Status 
Not Applicable 
 
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
  1. 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).

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    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 - To achieve aims in the approved proposal.

  5. 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).

  6. 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.

  7. 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.

 
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