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CTRI Number  CTRI/2024/08/072720 [Registered on: 20/08/2024] Trial Registered Prospectively
Last Modified On: 12/08/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A study comparing the effectiveness of three biologically compatible materials (Bio-C Repair, NeoPUTTY and Mineral Trioxide Aggregate) for the treatment of milk teeth with serious decay that is close to or affecting the nerve inside but can be saved 
Scientific Title of Study   Comparative Evaluation of Bio-C Repair, NeoPUTTY and Mineral Trioxide Aggregate as Pulpotomy Agents in primary molars: An in vivo 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 Nitika Bajaj 
Designation  Professor 
Affiliation  Baba Farid University of Health Sciences, Faridkot, 151203, Punjab, India 
Address  Department Room no 4, Department of Pediatric and Preventive Dentistry, Dasmesh Institute of Research and Dental Sciences, Talwandi road, Faridkot

Faridkot
PUNJAB
151203
India 
Phone  9876194481  
Fax    
Email  drnitika_bajaj81@yahoo.co.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ashita Goyal 
Designation  Postgraduate student 
Affiliation  Baba Farid University of Health Sciences, Faridkot, 151203, Punjab, India 
Address  Department Room no. 4, Department of Pediatric and Preventive Dentistry, Dasmesh Institute of Research and Dental Sciences, Talwandi road, Faridkot

Faridkot
PUNJAB
151203
India 
Phone  9914526682  
Fax    
Email  drashitagoyal489@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Ashita Goyal 
Designation  Postgraduate student 
Affiliation  Baba Farid University of Health Sciences, Faridkot, 151203, Punjab, India 
Address  Department Room no. 4, Department of Pediatric and Preventive Dentistry, Dasmesh Institute of Research and Dental Sciences, Talwandi road, Faridkot

Faridkot
PUNJAB
151203
India 
Phone  9914526682  
Fax    
Email  drashitagoyal489@gmail.com  
 
Source of Monetary or Material Support  
Dasmesh Institute of Research and Dental Sciences, Talwandi Road, Faridkot, 151203, Punjab, India 
 
Primary Sponsor  
Name  Dr Ashita Goyal 
Address  Dasmesh Institute of Research and Dental Sciences, Talwandi Road, Faridkot, 151203, Punjab, India 
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 Ashita Goyal  Dasmesh Institute of Research and Dental Sciences, talwandi Road, Faridkot, 151203  Department room no 4, Department of Pediatric and Preventive Dentistry
Faridkot
PUNJAB 
9914526682

drashitagoyal489@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL REVIEW BOARD  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Healthy pediatric patients aged 4-8 years with carious deciduous molars with caries approaching pulp. 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Bio-C Repair  Bio-C Repair is an established Biomaterial but it has not yet been used as a pulpotomy agent in primary teeth 
Comparator Agent  Mineral Trioxide Aggregate  Mineral Trioxide Aggregate is an established material as a pulpotomy agent and AAPD recommends its use in pediatric molar pulpotomy procedures. 
Comparator Agent  NeoPUTTY  NeoPUTTY is an established material but its studies as a pulpotomy agent in primary molars are limited. 
Intervention  Various Biomaterials as pulpotomy agents  Three biomaterials will be Compared and evaluated for their efficacy based on their clinical and radiographic outcomes as pulpotomy agents in deciduous molars in pediatric patients. 
 
Inclusion Criteria  
Age From  4.00 Year(s)
Age To  8.00 Year(s)
Gender  Both 
Details  1. Healthy and cooperative children in the age group of 4-8 years.
2. No history of spontaneous or persistent pain.
3. Restorable primary molars with deep carious lesions approximating or reaching the pulp.
4. No pain on percussion
5. No pathological mobility
6. No Periodontal ligament widening as seen in the radiograph
7. No pathological internal or external root resorption.
8. No apical or furcal radiolucency.
9. Hemostasis achieved within 5 minutes of coronal pulp amputation.
 
 
ExclusionCriteria 
Details  1. Uncooperative patient.
2. Patients with a history of allergy to local anesthetics.
3. Medically compromised patient.
4. Non-restorable tooth.
5. Tooth with periapical or furcal radiolucency.
6. The tooth with internal or external root resorption.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare and evaluate the efficacy of Bio-C Repair, NeoPUTTY, and Mineral Trioxide Aggregate (MTA) as pulpotomy agents in primary molars.  at 1, 3, 6 and 9 months post opertaively. 
 
Secondary Outcome  
Outcome  TimePoints 
1. To evaluate the efficacy of Bio-C Repair as a pulpotomy agent in primary molars.
2. To evaluate the efficacy of NeoPUTTY as a pulpotomy agent in primary molars.
3. To evaluate the efficacy of Mineral Trioxide Aggregate (MTA) as a pulpotomy agent in primary molars.
4. To compare the efficacy of Bio-C Repair, NeoPUTTY, & Mineral Trioxide Aggregate (MTA) as pulpotomy agents in primary molars.
 
at 1, 3, 6 & 9 months post opertaively. 
 
Target Sample Size   Total Sample Size="120"
Sample Size from India="120" 
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 3/ Phase 4 
Date of First Enrollment (India)   30/09/2024 
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="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 - 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 -  Statistical Analysis Plan
    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 - For individual participant data meta-analysis.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [drashitagoyal489@gmail.com].

  6. For how long will this data be available start date provided 08-09-2025 and end date provided 08-09-2026?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - nil
Brief Summary  

The selected patients will be randomly assigned to three groups using Research Randomizer (Version 4.0), according to the pulpotomy agent used.

Group I – Bio-C Repair will be used as the pulpotomy agent in primary molars.

Group II – NeoPUTTY will be used as the pulpotomy agent in primary molars.

Group III – Mineral Trioxide Aggregate (MTA) will be used as the pulpotomy agent in primary molars.

 

CLINICAL PROCEDURE

Preoperative clinical and radiographic examinations will be done to ensure proper case selection. Local anesthesia will be administered followed by rubber dam isolation. All the carious tissue will be removed and the coronal pulp will be amputated using a sterile sharp spoon excavator or sterile slow-speed round bur until the orifices could be seen. Hemostasis will be achieved with the help of sterile saline moistened cotton pellets. Following hemostasis, the respective group pulpotomy agent will be applied.

Group I - Bio-C Repair will be applied directly on the exposed pulp and then will be adapted with a moistened cotton pellet.

Group II - NeoPUTTY will be applied directly on the exposed pulp and then will be adapted with a moistened cotton pellet.

Group III - MTA will be prepared by mixing MTA powder with distilled water on a sterile mixing glass slab. The mixture will be carried to the pulp chamber and will then be condensed and adapted with the help of a moistened cotton pellet.

After the application of the pulpotomy agent, the tooth will be restored with glass ionomer cement followed by the placement of stainless steel crown.

Further follow-up visits will be planned at 1, 3, 6, and 9 months for clinical and radiographic analysis based on modified Zurn and Seale’s scoring criteria (Musale and Soni, 2016).

 
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