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CTRI Number  CTRI/2025/04/083789 [Registered on: 01/04/2025] Trial Registered Prospectively
Last Modified On: 19/03/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Enamel Remineralization in Clear Aligner Patients Using a Novel Remineralizing Solution: A Clinical Study 
Scientific Title of Study   Evaluation of Enamel Remineralization Using a Novel Remineralizing Solution in patients undergoing Clear Aligner Therapy - A 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  Siddhant Umesh Thorat 
Designation  Post Graduate 
Affiliation  Saveetha Dental College 
Address  Department of orthodontics, Saveetha Dental College and Hospital, Chennai 162, Poonamallee High Rd, Velappanchavadi
Department of orthodontics, Saveetha Dental College and Hospital, Chennai, 162, Poonamallee High Rd, Velappanchavadi
Chennai
TAMIL NADU
600077
India 
Phone  9769061211  
Fax    
Email  siddhantut@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Navaneethan R 
Designation  Professor 
Affiliation  SAVEETHA DENTAL COLLEGE 
Address  Department of Orthodontics, Saveetha Dental College and Hospital, 162, Poonamallee High Rd, Velappanchavadi
Department of Orthodontics, Saveetha Dental College and Hospital, 162, Poonamallee High Rd, Velappanchavadi
Chennai
TAMIL NADU
600077
India 
Phone  9962787531  
Fax    
Email  navaneethan@saveetha.com  
 
Details of Contact Person
Public Query
 
Name  Navaneethan R 
Designation  Professor 
Affiliation  SAVEETHA DENTAL COLLEGE 
Address  Department of Orthodontics, Saveetha Dental College and Hospital, 162, Poonamallee High Rd, Velappanchavadi
Department of Orthodontics, Saveetha Dental College and Hospital, 162, Poonamallee High Rd, Velappanchavadi
Chennai
TAMIL NADU
600077
India 
Phone  9962787531  
Fax    
Email  navaneethan@saveetha.com  
 
Source of Monetary or Material Support  
Zendura, Bay Materials LLC 48450 Lakeview Blvd Fremont, CA 94538 
 
Primary Sponsor  
Name  Umesh Thorat 
Address  204, RS Sampada, Arunodaya Nagar, Mulund East, Mumbai- 81 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
Saveetha Dental College and Hospital  No 162, Poonamallee high RoadVelappanchavadi, Chennai 600077 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Siddhant Thorat  Saveetha Dental College and Hospitals  Department of Orthodontics, Saveetha Dental College and Hospital, 162, Poonamallee High Rd, Velappanchavadi
Chennai
TAMIL NADU 
09769061211

siddhantut@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SDC IHEC   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 
Intervention  Aligner trays with Novel Remineralizing Solution  Patients undergoing aligner treatment will be asked to use a novel remineralizing solution on the active surface of their trays following an application protocol. The application protocol will specify dosage (5ml per spray), frequency (twice a day), and duration of contact (22 hours/ day of aligner wear), with precautions to maximize effectiveness in conjugation with a fixed routine oral hygiene protocol. 
Comparator Agent  Aligner Trays without any remineralizing agent application  Patients undergoing clear aligner therapy in the comparator group will follow a fixed routine oral hygiene protocol without the use of the novel remineralizing solution. This standardized regimen will include brushing twice daily with fluoride toothpaste, using a fluoride-containing mouth rinse, and flossing or using interdental cleaners as recommended. Participants will be instructed to adhere strictly to these oral hygiene practices to ensure a consistent baseline for comparison. 
 
Inclusion Criteria  
Age From  14.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  The patients age range between the age from 14 to
40 years old
Gender can be males or females
Good oral hygiene with a plaque index score 0 or 1 good general health
patient compliance
Active noncavitated carious white spot lesions
Undergoing clear aligner therapy treatment
No systemic diseases or concomitant medication affects salivary fow in order not to negatively affect the remineralizing process  
 
ExclusionCriteria 
Details  Patients undergoing conventional orthodontic treatment
Age outside 14 to 40 years
Systemic diseases or medication
Smoking or tobacco use
Pregnancy and lacation 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   On-site computer system 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Enamel remineralization potential  3 months 
 
Secondary Outcome  
Outcome  TimePoints 
Colour stability  15 days of aligner use 
 
Target Sample Size   Total Sample Size="20"
Sample Size from India="20" 
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 1/ Phase 2 
Date of First Enrollment (India)   01/04/2025 
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="0"
Months="3"
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 - Clinical Study Report

  3. Who will be able to view these files?
    Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.

  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 [siddhantut@gmail.com].

  6. For how long will this data be available start date provided 15-02-2025 and end date provided 15-05-2025?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - No
Brief Summary  

Comparative Evaluation of Enamel Remineralization Using Aligner Trays with Novel Remineralizing Solutions Versus Alilgner Trays Without Remineralizing Agents- A Randomized Controlled Trial


Aim: The aim of this study is to evaluate and compare the enamel remineralization potential of aligner trays used in conjunction with a novel remineralizing solution versus those used without any remineralizing agent.

Objectives: 

  • To formulate a novel remineralizing solution containing Bioactive glass

  • To assess cytotoxicity and antibacterial activity of the novel solution.

  • To assess the remineralizing potential of the novel solution.

  • To assess the effect of physical and chemical properties of aligner material on exposure to novel remineralizing solution

  • To compare and evaluate the difference in the enamel remineralizing potential of the aligner trays used with a novel enamel remineralizing solution with those used without any remineralizing agent.


Sample Size: 20


Methodology

The methodology involves synthesizing a Bioglass based novel remineralizing solution.  The sample size, determined using G*Power version 3.0.1 with a power of 0.8, consists of 20 patients undergoing clear aligner therapy. The study adopts a randomized controlled trial design with an intervention group exposed to the remineralizing solution along with normal oral hygiene procedures and the control group with just the normal oral hygiene procedures. Patients will be informed about the application protocol for the solution and a fixed routine oral hygiene procedure will be followed in both groups. After 3 months, the teeth from both groups will be evaluated for enamel remineralization. Additional assessment will include the color stability of the aligner trays. Informed consent will be obtained from all participants for the use of their case records in research and publication. 


 
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