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CTRI Number  CTRI/2025/03/082013 [Registered on: 07/03/2025] Trial Registered Prospectively
Last Modified On: 05/03/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Testing whether baking soda makes numbing medicine work better for upper back tooth removal. 
Scientific Title of Study   Efficacy of Buffered Articaine in Maxillary Third Molar Extractions 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Bandi Sandeep Paul 
Designation  Post Graduate  
Affiliation  SIBAR Institute of Dental Sciences 
Address  DEPATMENT OF ORAL AND MAXILLOFACIAL SURGERY, ROOM NO 3, GROUND FLOOR, SIBAR Institute of Dental Sciences, Takkellapadu, Guntur

Guntur
ANDHRA PRADESH
522509
India 
Phone  7032340559  
Fax    
Email  sandeeppaulbandi@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr MUSUNURI MANOJ KUMAR 
Designation  Associate Professor 
Affiliation  SIBAR Institute of Dental Sciences 
Address  DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY, ROOM NO 3, GROUND FLOOR,SIBAR Institute of Dental Sciences, Takkellapadu, Guntur

Guntur
ANDHRA PRADESH
522509
India 
Phone  9959953010  
Fax    
Email  drmanojsurgery@sids.ac.in  
 
Details of Contact Person
Public Query
 
Name  Bandi Sandeep Paul 
Designation  Post Graduate 
Affiliation  SIBAR Institute of Dental Sciences 
Address  DEPARTMRNT OF ORAL AND MAXILLOFACIAL SURGERY, ROOM NO 3, GROUND FLOOR, SIBAR Institute of Dental Sciences, Takkellapadu, Guntur

Guntur
ANDHRA PRADESH
522509
India 
Phone  7032340559  
Fax    
Email  sandeeppaulbandi@gmail.com  
 
Source of Monetary or Material Support  
SIBAR INSTITUTE OF DENTAL SCIENCES, TAKKELLAPADU, GUNTUR, ANDHRA PRADESH, INDIA PINCODE - 522509  
 
Primary Sponsor  
Name  Bandi Sandeep Paul 
Address  Department of Oral and Maxillofacial Surgery, Sibar Institute of Dental Sciences, Takkellapadu, Guntur, Andhra pradesh, India, Pincode - 522509 
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 Bandi Sandeep Paul  Department of Oral and Maxillofacial Surgery  DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY, ROOM NO 3, GROUND FLOOR,SIBAR Institute of Dental Sciences, Takkellapadu, Guntur
Guntur
ANDHRA PRADESH 
7032340559

sandeeppaulbandi@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, SIBAR Institute of Dental Sciences  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K049||Other and unspecified diseases ofpulp and periapical tissues,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Articaine   it will be administered by buccal infiltration (0.9ml) alone over 30 seconds for once and extraction was done 
Intervention  Buffered articaine   it will be administered by buccal infiltration (0.9ml) over 30 seconds for once and extraction was done 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1.ASA-I and ASA-II (American society of anaesthesiologists).
2.Patients with age group of 18-60 years.
3.Patients with acute inflammatory conditions requiring extractions of maxillary third molars.
4.Pell and Gregory class I.
 
 
ExclusionCriteria 
Details  1.Presence of conditions that prevent dental extractions, like uncontrolled bleeding disorders.
2.Necessity of surgical access and bone removal (osteotomy) for maxillary molar surgery.
3.A record of allergies or negative reactions to articaine or similar local anaesthetics.
4.Pregnant and lactating women.
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Pain at Injection Site, Onset of Anesthesia, Duration of Anesthesia, Post Extraction Pain  Pain at Injection Site, Onset of Anesthesia, will be assessed immediately and Duration of Anesthesia, Post Extraction Pain after 3 hours  
 
Secondary Outcome  
Outcome  TimePoints 
any adverse reactions   immediately and after extraction 
 
Target Sample Size   Total Sample Size="52"
Sample Size from India="52" 
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   Post Marketing Surveillance 
Date of First Enrollment (India)   24/03/2025 
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="0"
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  
A randomized double blind split mouth interventional study will be conducted with an aim to examine whether buffering articaine will help in terms of pain at injection site, onset of anesthesia, duration of anesthesia, post extraction pain. the objectives of the study were to assess the pain, onset of anesthesia,  duration of anesthesia, and post extraction pain at the injection site of Articaine and Buffered Articaine groups. and to compare pain at the site of injection, onset of anesthesia, duration of anesthesia, and post extraction pain between Articaine and Buffered Articaine groups. A total of 52 patients reporting to the department of oral and maxillofacial surgery during the study period for maxillary third molar extractions will be selected based on inclusion and exclusion criteria Study will be explained and written informed consent will be obtained from the participants and patients will be randomly assigned to one of the two groups (Group-1 Articaine, Group-2 Buffered Articaine) by coin toss method. In Group 1 Articaine will be administered by buccal infiltration (0.9ml) alone and extraction was done and in Group 2 Buffered Articaine will be administered by buccal infiltration (0.9ml) and extraction was done and pain at injection and onset of anesthesia will be assessed immediately after injection and surgical procedure will be carried out by single surgeon later duration of anesthesia, post extraction pain will be assessed post operatively after 3 hours. Statistical analysis will be done using descriptive and inferential statistics that include Dependent t test / Wilcoxon signed rank test to compare variables between both the groups.

 

  
 
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