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CTRI Number  CTRI/2025/04/085154 [Registered on: 21/04/2025] Trial Registered Prospectively
Last Modified On: 19/04/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Bacterial Colonization on Different Ceramic Braces: APC vs. Conventional 
Scientific Title of Study   A Comparative evaluation of Streptococcus mutans colony formation on APC ceramic and conventional ceramic bracket 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Nisha Pragya 
Designation  Post Graduate Student 
Affiliation  Inderprastha Dentaal College and Hospital 
Address  Room No-2, Third Floor, Department of Orthodontics and Dentofacial Orthopaedics, Inderprastha Dentaal College and Hospital, Site-4, Industrial area, Sahibabad

Ghaziabad
UTTAR PRADESH
201010
India 
Phone  9902654852  
Fax    
Email  nishapragya01@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Deepti Yadav 
Designation  Professor 
Affiliation  Inderprastha Dentaal College and Hospital 
Address  Room No-2, Third Floor, Department of Orthodontics and Dentofacial Orthopaedics, Inderprastha Dentaal College and Hospital, Site-4, Industrial area, Sahibabad

Ghaziabad
UTTAR PRADESH
201010
India 
Phone  9212794482  
Fax    
Email  deepti.yadav@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Nisha Pragya 
Designation  Post Graduate Student 
Affiliation  Inderprastha Dentaal College and Hospital 
Address  Room No-2, Third Floor, Department of Orthodontics and Dentofacial Orthopaedics, Inderprastha Dentaal College and Hospital, Site-4, Industrial area, Sahibabad

Ghaziabad
UTTAR PRADESH
201010
India 
Phone  9902654852  
Fax    
Email  nishapragya01@gmail.com  
 
Source of Monetary or Material Support  
Room No-2, Third Floor, Department of Orthodontics and Dentofacial Orthopaedics, Inderprastha Dentaal College and Hospital, Site-4, Industrial area, Sahibabad 
 
Primary Sponsor  
Name  Nisha Pragya 
Address  Room No-2, Third Floor, Department of Orthodontics and Dentofacial Orthopaedics, Inderprastha Dentaal College and Hospital, Site-4, Industrial area, Sahibabad 
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 
nisha pragya  Inderprastha Dental College and Hospital  Room No-2, Third Floor, Department of Orthodontics and Dentofacial Orthopaedics, Inderprastha Dentaal College and Hospital, Site-4, Industrial area, Sahibabad
Ghaziabad
UTTAR PRADESH 
09902654852

nishapragya01@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  , (1) ICD-10 Condition: K038||Other specified diseases of hard tissues of teeth,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  APC Flash-Free adhesive-coated ceramic brackets (3M Unitek) bonded with Transbond Plus Self-etching Primer (3M Unitek)),  The patients will have their brackets bonded using APC Flash-Free Bracket System with Self-Etching Primer (Transbond Plus Self Etching Primer (3M Unitek)) which will begin with cleaning the teeth, followed by drying. SEP will be applied directly to the enamel surface for 3 seconds18. The pre-coated brackets will be positioned with firm pressure, allowing the built-in nonwoven mat to absorb excess adhesive. Each bracket will then be cured for 10 seconds19 with Ivoclar Vivadent Bluephase LED Curing light at an Intensity of 1200mW/cm². 
Comparator Agent  Conventional ceramic bracket (3M Unitek gemini clear ceramic bracket) bonded with Transbond XT (3M Unitek).   The patients will have conventional ceramic brackets bonded. The bonding procedure will begin with cleaning the teeth, followed by isolating them to maintain dryness. The enamel will then be etched with 37% phosphoric acid (Scotchbond, 3M ESPE) for 15 seconds20, followed by rinsing and drying. A frosted appearance will be checked before applying the adhesive. A primer (3M Unitek Transbond XT) will be applied and cured for 15 to 20 seconds21. A thin layer of adhesive (3M Unitek Transbond XT) will be coated on the base of the bracket then the bracket will be positioned precisely on the tooth and pressed firmly, with any excess adhesive removed. Each bracket will then be cured for 10 seconds19 with Ivoclar Vivadent Bluephase LED Curing light at an Intensity of 1200mW/cm². 
 
Inclusion Criteria  
Age From  12.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  Patients with Angle’s Class I malocclusion
Tureskey Plaque Index Score Between 2-3.16• Indication for Fixed Orthodontic Treatment
Presence of All Mandibular Anterior Teeth
 
 
ExclusionCriteria 
Details  Missing any permanent teeth with the exception of third molars
Use of Antimicrobial Mouth Rinses
Un co-operative Patient
Tureskey Plaque index above 4.16
Patients with Angle class II and class III malocclusion
• Syndromic Patient
• Cleft lip or cleft palate Patient
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Evaluate and compare the Streptococcus mutans colonization between APC and Conventional ceramic bracket ceramic to assess whether pre-coated adhesive technology reduces S. mutans accumulation over time.  T0- Base Line
T1- 1 Months
T2- 6 Months 
 
Secondary Outcome  
Outcome  TimePoints 
Evaluate & compare the Streptococcus mutans colonization between APC   T0- Base line
T1- 1 Months
T2- 6 Months 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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)   12/05/2025 
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="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 - 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 -  Statistical Analysis Plan

  3. Who will be able to view these files?
    Response - Researchers who provide a methodologically sound proposal.

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [nishapragya01@gmail.com].

  6. For how long will this data be available start date provided 10-03-2025 and end date provided 10-01-2025?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary  

Aim of the study

This study aims to evaluate and compare the Streptococcus mutans colonization between APC ceramic and conventional ceramic brackets to assess whether pre-coated adhesive technology reduces S. mutans accumulation over time.

 

Objectives of the study

·        To evaluate the count of Streptococcus mutans bacterial colony after bonding with APC ceramic bracket.

·        To evaluate the count of Streptococcus mutans bacterial colony after bonding with conventional ceramic bracket.

·        Comparison of Streptococcus mutans colony counts on APC and conventional ceramic brackets.

Null hypothesis

·        There is no significant difference in the extent of Streptococcus mutans colony formation between different orthodontic bracket and adhesive types.

 
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