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CTRI Number  CTRI/2025/06/088452 [Registered on: 09/06/2025] Trial Registered Prospectively
Last Modified On: 05/06/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A study on wound healing and bacteria in the mouth using herbal-coated sutures 
Scientific Title of Study   Intraoral clinical evaluation of wound healing and microbial dynamics of an herbal gel coated suture - a randomised control trial 
Trial Acronym  okra 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Manasa Bhide 
Designation  MDS postgraduate student 
Affiliation  A.J Institute of Dental Sciences  
Address  A.J Institute of Dental Sciences Kuntikana NH-66, Mangalore
Kuntikana NH-66, Mangalore 575004
Dakshina Kannada
KARNATAKA
575004
India 
Phone  6361297125  
Fax    
Email  manasabhide2000@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Reshma Karkera 
Designation  Professor 
Affiliation  A.J Institute of Dental Sciences  
Address  A.J Institute of Dental Sciences Kuntikana NH-66, Mangalore
Kuntikana NH-66, Mangalore 575004
Dakshina Kannada
KARNATAKA
575004
India 
Phone  9986882404  
Fax    
Email  drrkka19@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Manasa Bhide 
Designation  MDS postgraduate student 
Affiliation  A.J Institute of Dental Sciences  
Address  A.J Institute of Dental Sciences Kuntikana NH-66, Mangalore
Kuntikana NH-66, Mangalore 575004
Dakshina Kannada
KARNATAKA
575004
India 
Phone  6361297125  
Fax    
Email  manasabhide2000@gmail.com  
 
Source of Monetary or Material Support  
A.J Institute of Dental Sciences, Kuntikana NH-66, Mangalore Karnataka, India 575004 
 
Primary Sponsor  
Name  Dr Manasa Bhide 
Address  A.J Institute of Dental Sciences Kuntikana NH-66, Mangalore, Karnataka,India,575004 
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 Manasa Bhide  A.J Institute of Dental Sciences   Department of Prosthodontics ,1st floor,Room number 4, Kuntikana NH-66, Mangalore,Karnataka,India,575004
Dakshina Kannada
KARNATAKA 
6361297125

manasabhide2000@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
AJIDS Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: Z768||Persons encountering health services in other specified circumstances,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Abelmoschus Esculentus gel coated suture  Post implant placement or dental surgical procedures,for study group flap approximation will be done by using Abelmoschus Esculentus gel coated suture  
Comparator Agent  Conventional black braided silk suture  Post implant placement or dental surgical procedures, conventional black braided silk suture will be used for flap approximation in control group. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Patients scheduled for dental implants or dental surgical procedures with the incision site flap wide enough to hold the suture
Periodontally sound patients
Patients with good oral hygiene
Patients willing to participate in the study
 
 
ExclusionCriteria 
Details  Patients with any evidence of systemic diseases such as diabetes mellitus, peripheral vascular disease, blood clotting disorders, or collagen vascular disease, history of keloid formation or a tendency to form hypertrophic scars.
Any local pathology of soft tissue or bone of acute nature
Any person who after blood investigations, are found to be HBsAg positive or HIV positive
History of allergy to any medication or material
Uncooperative patients; mentally retarded patients
Poorly compliant patients, who are likely not to maintain their oral hygiene or cleanliness of the surgical site
Pregnant and lactating women
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Wound healing will be assessed using the Early Wound Healing Index (EHS) on the 3rd and 7th postoperative days. Higher scores will indicate better healing outcomes.  3rd and 7th postoperative days. 
 
Secondary Outcome  
Outcome  TimePoints 
Microbial analysis of Staphylococcus aureus and Porphyromonas gingivalis will be conducted on the sutures removed on the 7th postoperative day to evaluate the bacterial load and compare microbial colonization between conventional and Abelmoschus esculentus gel-coated sutures.  7th day 
 
Target Sample Size   Total Sample Size="28"
Sample Size from India="28" 
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 
Date of First Enrollment (India)   04/08/2025 
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="8"
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 - NO
Brief Summary  

This study aims to evaluate wound healing following intraoral implant or minor dental surgical procedures. The patients will be divided into two groups: Group 1 (control) will receive black braided silk sutures, while Group 2 (study group) will receive Abelmoschus esculentus gel-coated sutures for flap approximation. Informed consent will be obtained from all participants, and both groups will receive the same dosage of antibiotics as indicated. Post-operative management and oral hygiene instructions will be provided to all patients.

Wound healing will be assessed using the Early Wound Healing Index (EHS) on the 3rd and 7th postoperative days, with clinical parameters such as re-epithelialization, hemostasis, and inflammation scored to determine healing progress. On the 7th day, sutures will be removed under sterile conditions, and a 1 cm segment of the suture will be analyzed for microbial contamination, specifically for Staphylococcus aureus and Porphyromonas gingivalis.

 
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