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CTRI Number  CTRI/2025/04/084923 [Registered on: 16/04/2025] Trial Registered Prospectively
Last Modified On: 15/04/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Comparative analysis of clinical outcomes using three different absorbable sutures in impacted third molar surgeries - Randomised control study  
Scientific Title of Study   Comparative analysis of clinical outcomes using polydioxanone, polyglecaprone 25 AND polyglactin 910 sutures in impacted third molar surgeries - Randomised control study  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Devyani Sharma 
Designation  Postgraduate student  
Affiliation  ITS DENTAL COLLEGE , HOSPITAL AND RESEARCH CENTRE GREATER NOIDA 
Address  First floor , room number 5 , 47 Knowledge park 3 , Greater noida , Uttar Pradesh 201310
First floor , room number 5 , 47 Knowledge park 3 , Greater noida , Uttar Pradesh 201310
Gautam Buddha Nagar
UTTAR PRADESH
201310
India 
Phone  8800971506  
Fax    
Email  devyanisharma610@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Himanshu Bhutani  
Designation  HOD & Professor 
Affiliation  ITS DENTAL COLLEGE , HOSPITAL AND RESEARCH CENTRE GREATER NOIDA 
Address  First floor, room number 5 , 47 Knowledge park 3 , Greater noida , Uttar Pradesh 201310
First floor, room number 5 , 47 Knowledge park 3 , Greater noida , Uttar Pradesh 201310
Gautam Buddha Nagar
UTTAR PRADESH
201310
India 
Phone  8076039385  
Fax    
Email  himanshubhutiani@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DEVYANI SHARMA 
Designation  Post graduate student  
Affiliation  ITS DENTAL COLLEGE , HOSPITAL AND RESEARCH CENTRE GREATER NOIDA 
Address  First floor , room number 5 , 47 knowledge park 3 , Greater noida , Uttar Pradesh 201310

Gautam Buddha Nagar
UTTAR PRADESH
201310
India 
Phone  8800971506  
Fax    
Email  devyanisharma610@gmail.com  
 
Source of Monetary or Material Support  
ITS Dental College , Hospital and Research Centre, Greater Noida , Uttar Pradesh ,India - 201310 
 
Primary Sponsor  
Name  ITS Dental College Hospital and Research Centre 
Address  47 Knowledge Park 3 Greater Noida 201310 
Type of Sponsor  Research institution and hospital 
 
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 
DrDevyani Sharma  ITS DENTAL COLLEGE HOSPITAL AND RESEARCH CENTRE   47 KNOWLEDGE PARK 3 GREATER NOIDA UTTAR PRADESH
Gautam Buddha Nagar
UTTAR PRADESH 
8800971506

devyanisharma610@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
ETHICAL COMMITTEE OF ITS DENTAL COLLEGE , HOSPITAL & RESEARCH CENTRE  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  Absorbable Knotless Barbed Suture  Its a surgical suture that is barbed along its length , eliminating the need for traditional knots to secure the tissue. Rate of absorption is 120 days 
Comparator Agent  Polyglactin 910  Commonly known as Vicryl , is a absorbable , synthetic usually braided suture . Time: 60 to 90 days  
Comparator Agent  Polyglecaprone 25  Also called as monocryl ,is a monofilamentous , synthetic absorbable surgical suture indicated for ligation after surgery. Time : 45 to 90 days 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  Individuals with at least one impacted mandibular third molar requiring surgical removal.
ASA Grade I and II
Willingness to abide and comply with the protocol requirement and visits for follow-up
 
 
ExclusionCriteria 
Details  Medically compromised patients
Active pus discharge, infection at the operative site
Tobacco users
Pregnant women
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Alternation 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
The primary outcomes of the study will be:

Healing Time – Evaluating how quickly the surgical site heals with each suture type.
Infection Rates – Assessing the incidence of post-operative infections in each group.
Post-Operative Pain – Measuring pain levels using a standardized pain scale over a set period.
Swelling – Comparing post-operative edema across the three suture groups.
Patient Comfort – Assessing factors like irritation, tightness, or discomfort related to the suture material. 
at 3 days , one week , 10 days and 15 days 
 
Secondary Outcome  
Outcome  TimePoints 
Patient Comfort – Assessing factors like irritation, tightness, or discomfort related to the suture material.  at one week , & fifteen days  
 
Target Sample Size   Total Sample Size="45"
Sample Size from India="45" 
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)   30/04/2025 
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="1"
Months="6"
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 assess and compare the clinical outcomes of knotless barbed sutures, monofilament resorbable sutures, and resorbable multifilament sutures in impacted mandibular third molar surgeries, with  focus on wound healing, infection rates, post-operative complications, and patient comfort. Through a randomized controlled trial, patients will be assigned to one of the three suture groups: knotless barbed sutures (Polydioxanone), monofilament resorbable sutures (Monocryl), or multifilament sutures (Vicryl). The primary outcomes include healing time, infection rates, incidence of post-operative pain, swelling, and overall patient comfort. Traditional sutures, such as Vicryl, are associated with higher infection risks due to their multifilament structure, which can harbor bacteria, and complications such as knot slippage, inadequate tension, or irritation. Monofilament sutures, while better at reducing bacterial colonization, still rely on knots, which can lead to tissue irritation and delayed healing. In contrast, knotless barbed sutures (Polydioxanone) offer a game-changing advancement by eliminating the need for knots, reducing surgical time, minimizing tissue irritation, and preventing complications like knot-related slippage or ischemia.. This study seeks to provide insights into the most effective suture materials, ultimately optimizing surgical outcomes, reducing complications, and enhancing patient satisfaction and comfort in third molar extractions. By addressing these critical issues, this research promises to improve clinical practices, reduce recovery time, and transform the patient experience . 
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