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CTRI Number  CTRI/2024/11/077494 [Registered on: 29/11/2024] Trial Registered Prospectively
Last Modified On: 30/08/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Medical Device
Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparison of effects of using two types of dental implant systems on surrounding gums and bone 
Scientific Title of Study   Comparative evaluation of Peri-implant marginal tissues in soft tissue-level versus bone level implants – a randomized split-mouth clinical 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  Arvind R 
Designation  Associate Professor 
Affiliation  Manipal College of Dental Sciences Mangalore Manipal Academy of Higher Education, Manipal 
Address  Dept Of Oral and Maxillofacial Surgery Manipal College of Dental Sciences Lighthouse Hill Road Mangalore

Dakshina Kannada
KARNATAKA
575001
India 
Phone  09845794666  
Fax    
Email  arvind.r@manipal.edu  
 
Details of Contact Person
Scientific Query
 
Name  Shobha J Rodrigues 
Designation  Professor 
Affiliation  Manipal College of Dental Sciences Mangalore Manipal Academy of Higher Education Manipal 
Address  Department of Prosthodontics and Crown and Bridge Manipal College of Dental Sciences Lighthouse Hill Road Mangalore

Dakshina Kannada
KARNATAKA
575001
India 
Phone  9448100464  
Fax    
Email  shobha.j@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Shobha J Rodrigues 
Designation  Professor 
Affiliation  Manipal College of Dental Sciences Mangalore Manipal Academy of Higher Education Manipal 
Address  Department of Prosthodontics and Crown and Bridge Manipal College of Dental Sciences Lighthouse Hill Road Mangalore

Dakshina Kannada
KARNATAKA
575001
India 
Phone  9448100464  
Fax    
Email  shobha.j@manipal.edu  
 
Source of Monetary or Material Support  
Manipal College of Dental Sciences Mangalore Manipal Academy of Higher Education Manipal Lighthouse Hill Road Mangalore 575001 Karnataka India 
 
Primary Sponsor  
Name  Arvind R 
Address  Dept Of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Lighthouse Hill Road Mangalore 575001 
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 Arvind R  Manipal College of Dental Sciences Mangalore  Department of Implantology, Room number 5 Manipal College of Dental Sciences Lighthouse Hill Road Mangalore
Dakshina Kannada
KARNATAKA 
9845794666

arvind.r@manipal.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Manipal College of Dental Sciences Mangalore  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K081||Complete loss of teeth,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Bone level implant  Bone level endosseous implant insertion and restoration with screw retained crown after 3 months 
Intervention  Soft tissue level implant  Endosseous implant insertion followed by restoration with screw retained crown after 3 months 
 
Inclusion Criteria  
Age From  21.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  Adult patients requiring implant insertion in premolar-molar region of right & left side of jaw located contiguous to natural teeth, tooth-bound edentulous space

Healed implant sites with adequate osseous architecture, thick gingival biotype

Absence of antibiotic therapy in the previous three months

Nondiabetic (HbA1c less than 6.0 percent), Vit D more than 20ng per ml

Signed informed consent and willing to come for follow up 
 
ExclusionCriteria 
Details  Absence of keratinized tissue or need for crestal bone augmentation of implant site

Diagnosis or History of periodontitis

Systemic conditions contraindicating surgery, infectious diseases, medications influencing bone metabolism, immune modulators, previous pathologic conditions, bruxism, SSRI

Pregnancy and lactation

Smoking 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Marginal bone loss around soft tissue level and bone level implants  6,12,18 months 
 
Secondary Outcome  
Outcome  TimePoints 
Probing depth, Plaque Index and Bleeding on probing around soft tissue level and bone level implants  6,12,18 months 
Submucosal microbiota using real time PCR around soft tissue level and bone level implants  6,18 months 
Matrix metalloproteinase (MMP) in peri implant crevicular fluid around soft tissue level and bone level implants   6, 18 months 
Comparative metabolomics of peri implant crevicular fluid around soft tissue level and bone level implants  6,18 months 
 
Target Sample Size   Total Sample Size="25"
Sample Size from India="25" 
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   N/A 
Date of First Enrollment (India)   09/12/2024 
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="4"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
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 - NO
Brief Summary   Research Question - Does the choice of Soft tissue level (STL) or Bone Level (BL) implant impact per implant tissues when patient related, surgery related, and prosthesis related variability is controlled?
Null hypotheses
1 There is no difference in the Means of clinical, microbial, biomarker and metabolomic measures from peri implant tissues around soft tissue level and bone level implants
2 There is no correlation between clinical indices, microbiota, biomarkers and metabolites and soft tissue level or bone level implants
Aims
1 To conduct prospective split mouth trial to compare soft tissue level and bone level implants
2 to perform comprehensive clinical, microbial, biochemical and metabolomic evaluation
Trial design
Prospective split mouth randomized controlled clinical trial

 
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