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CTRI Number  CTRI/2024/08/072894 [Registered on: 22/08/2024] Trial Registered Prospectively
Last Modified On: 22/08/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Radiation Therapy
Dentistry 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   "Randomized Controlled Trial on Photobiomodulation with CO2 and Diode Lasers: Impact on Implant Stability, Post-Surgical Healing, and Inflammation in Dental Patients" 
Scientific Title of Study   Comparative Evaluation Of The Implant Stability, Post-surgical Healing And Inflammation By Photobiomodulation Using CO2 Laser And Diode Laser: 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  HAGE YAKANG 
Designation  post graduate students 
Affiliation  Government dental college and hospital 
Address  Government Dental College and Hospital, Nagpur. Address Medical College Premises, Medical Square , Nagpur , Maharashtra 440003
202 DEPARTMENT OF PERIODONTOLOGY, GOVERNMENT OF DENTAL COLLEGE AND HOSPITAL NAGPUR.
Nagpur
MAHARASHTRA
440003
India 
Phone  08413060310  
Fax    
Email  hageyakang97@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  HAGE YAKANG 
Designation  post graduate students 
Affiliation  Government dental college and hospital 
Address  Government Dental College and Hospital, Nagpur. Address Medical College Premises, Medical Square , Nagpur , Maharashtra 440003
202 DEPARTMENT OF PERIODONTOLOGY, GOVERNMENT OF DENTAL COLLEGE AND HOSPITAL , NAGPUR
Nagpur
MAHARASHTRA
440003
India 
Phone  08413060310  
Fax    
Email  hageyakang97@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Vaibhav Karemore 
Designation  Associate Professor 
Affiliation  Government dental college and hospital 
Address  Department Of Periodontology,Government Dental College and Hospital, Nagpur. Address Medical College Premises, Medical Square , Nagpur , Maharashtra 440003
Department of Periodontollogy Government Dental College and Hospital, Nagpur. Address Medical College Premises, Medical Square , Nagpur , Maharashtra 440003
Nagpur
MAHARASHTRA
440003
India 
Phone  9011098882  
Fax    
Email  drperiodon@gmail.com  
 
Source of Monetary or Material Support  
Deparment of Periodontology Government Dental College and Hospital, Nagpur. Address Medical College Premises, Medical Square , Nagpur , Maharashtra 440003 
 
Primary Sponsor  
Name  HAGE YAKANG 
Address  Government Dental College and Hospital, Nagpur. Address Medical College Premises, Medical Square , Nagpur , Maharashtra 440003 
Type of Sponsor  Other [self funded] 
 
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 Yakang Hage  Government Dental College and Hospital Nagpur  202, DEPARTMENT OF PERIODONTOLOGY, GOVERNMENT OF DENTAL COLLEGE AND HOSPITAL NAGPUR
Nagpur
MAHARASHTRA 
08413060310

hageyakang97@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Government Dental College and Hospital, Nagpur. Address Medical College Premises, Medical Square , Nagpur , Maharashtra   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  , (1) ICD-10 Condition: K089||Disorder of teeth and supporting structures, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Implants will be placed without photobiomodulation to the implants.  after explaining the study to the patients, an informed consent will be taken from the patient before the study. Implants will be placed without photobiomodulation to the implants. 
Intervention  Patients receiving CO 2 laser photobiomodulation during implant surgery.   after explaining the study to the patients, an informed consent will be taken from the patient before the study. In test group 1, patients will receive intraoral CO2 irradiation for 30 through a handpiece that will enter contact with the mucosa and which will be positioned to allow light to enter perpendicularly to the longitudinal axe of the dental implant at 3mm from the bone crest. 2. Three points will be irradiated: the buccal side and the palatal or lingual side using the CO2 laser, to stimulate bone tissue regeneration; and the occlusal side, to stimulate mucosal tissue regeneration and anti-inflammatory effect. 3. The laser treatment will repeat 10 days later after suture removal.  
Intervention  Patients receiving Diode laser photobiomodulation during implant surgery.  after explaining the study to the patients, an informed consent will be taken from the patient before the study. 1. In test group 2, patients will receive intraoral diode laser irradiation for 30s through a handpiece that will enter contact with the mucosa and which will be positioned to allow light to enter perpendicularly to the longitudinal axe of the dental implant at 3mm from the bone crest immediately after implant placement. 2. Three points will be irradiated: the buccal side and the palatal or lingual side using the diode laser, to stimulate bone tissue regeneration; and the occlusal side, to stimulate mucosal tissue regeneration and anti-inflammatory effect. 3. laser treatment will repeat 10 days later after suture removal.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1) Patients above 18 years of age.
2) Patients who opt for dental implant surgery for a missing tooth.
3) Thin biotype
4) Patient with healthy systemic condition.
5) Adequate oral hygiene levels.
 
 
ExclusionCriteria 
Details  1. Patients with systemic diseases that contraindicate the surgery, immune-compromised patients.
2. Patients with implant sites that presented complications.
3. Pregnant or lactating females.
4. Patients not willing to participate in the study.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
The primary outcomes measured will be implant stability, post-surgical healing, and inflammation. Implant stability will be assessed using resonance frequency analysis. Healing will be evaluated through clinical assessments using the Landry healing index, and inflammation will be measured by clinical signs and potentially biochemical markers in peri-implant crevicular fluid.

This methodological structure allows the study to rigorously test the efficacy of two different types of lasers in improving the clinical outcomes of dental implants, providing clear insights into which modality might be more effective or if photobiomodulation offers significant benefits over traditional implant procedures without such interventions.
 
T0 at baseline period
T1 at 10 days
T2 at 4 weeks
T3 at 3 months 
 
Secondary Outcome  
Outcome  TimePoints 
This methodological structure allows the study to rigorously test the efficacy of two different types of lasers in improving the clinical outcomes of dental implants, providing clear insights into which modality might be more effective or if photobiomodulation offers significant benefits over traditional implant procedures without such interventions.
 

T0 at baseline period
T1 at 10 days
T2 at 4 weeks
T3 at 3 months 
 
Target Sample Size   Total Sample Size="33"
Sample Size from India="33" 
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)   10/09/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  10/09/2024 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="30" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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 title of my proposed study, is “Comparative Evaluation of the Implant Stability, Post-Surgical Healing and Inflammation by Photobiomodulation using CO2 Laser and Diode Laser: Randomized Controlled Trial”. This research is particularly novel because it compares two different lasers that enhance implant stability and accelerate post-surgical healing. This would not only improve patient outcomes but also potentially reduce the incidence of peri-implantitis and other complications associated with dental implants. Additionally, this study’s findings will contribute to a better understanding of the biological mechanisms involved in osseointegration and tissue repair, further benefiting the field and enhancing the scientific promotion of implant treatment methodologies.

 
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