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CTRI Number  CTRI/2025/06/088972 [Registered on: 17/06/2025] Trial Registered Prospectively
Last Modified On: 10/11/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   “Comparison of traditional Flap and novel Flapless approach for Single stage dental Implants.”  
Scientific Title of Study   Comparative assessment of hard and soft tissue changes in flap and minimally invasive flapless approach in bone-level single-stage implant: A randomized controlled trial. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Vishwa Amin 
Designation  Post Graduate Student 
Affiliation  Manubhai Patel Dental College and Hospital & ORI 
Address  25 D Jay Gayatri Nagar Near Amit Nagar VIP Road Vadodara 390022
Ground floor Department of periodontics and implantology Manubhai Patel Dental College and Hospital and ORI Vishwajyoti ashram near Vishwamitri bridge munjmahuda Vadodara GUJARAT 390011 India
Vadodara
GUJARAT
390011
India 
Phone  8141804384  
Fax    
Email  vishwaamin9@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Shivlal Vishnoi 
Designation  Professor and Head  
Affiliation  Manubhai Patel Dental College and Hospital and ORI 
Address  Ground floor Department of periodontics and implantology Manubhai Patel Dental College and Hospital and ORI Vishwajyoti ashram near Vishwamitri bridge munjmahuda Vadodara GUJARAT 390011 India

Vadodara
GUJARAT
390011
India 
Phone  9586869196  
Fax    
Email  vishnoi_shivlal@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr Shivlal Vishnoi 
Designation  Professor and Head  
Affiliation  Manubhai Patel Dental College and Hospital & ORI 
Address  Ground floor Department of periodontics and implantology Manubhai Patel Dental College and Hospital and ORI Vishwajyoti ashram near Vishwamitri bridge munjmahuda Vadodara GUJARAT 390011 India

Vadodara
GUJARAT
390011
India 
Phone  9586869196  
Fax    
Email  vishnoi_shivlal@yahoo.com  
 
Source of Monetary or Material Support  
Dr Vishwa Amin Department of periodontics and implantology Manubhai Patel dental college and hospital and ORI Vishwajyoti ashram near Vishwamitri bridge munjmahuda Vadodara Gujarat 390011 India 
 
Primary Sponsor  
Name  DR VISHWA AMIN 
Address  Department of Periodontics and Implantology Manubhai Patel Dental College and Hospital and ORI munjmahuda vadodara gujarat 390011 
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 Vishwa Amin  Manubhai Patel Dental College and Hospital and ORI  Ground floor Department of periodontics and implantology Manubhai Patel Dental College and Hospital and ORI Vishwajyoti ashram near Vishwamitri bridge munjmahuda Vadodara GUJARAT 390011 India
Vadodara
GUJARAT 
08141804384

vishwaamin9@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee for Research  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Healthy individual without systemic disease 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Flap approach  Novel flap reflection approach is used. 
Comparator Agent  Minimally invasive flapless approach  Minimally invasive flapless approach using round rotatory diamond bur. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  Periodontally healthy subjects.

Nonsmokers.

Age over 18 years.

Agreed to follow-up visits for 6 months.

Presence of a minimum of 2 mm of Keratinized Mucosa at the labial/Buccal aspects in the implant zone.

Minimum crestal bone width 5-6mm (buccolingually).

Bone architecture without undercuts and presence of 1 mm of bone buccolingual to the planned position in a favorable prosthetic situation from pre-operative CBCT.

Subjects signed surgical consent forms.
 
 
ExclusionCriteria 
Details  Subjects with systemic diseases affecting the healing process.

Uncontrolled or poorly controlled diabetes.

Pregnant and lactating women.

Radiation to the head and neck.

Subjects requiring guided bone regeneration.

Previous implant installation or bone grafting at the Surgical site.
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Alternation 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
1) Width of Keratinized Mucosa.
2) Marginal bone loss
 
1) The width of Keratinized Mucosa will be evaluated at baseline, 3 months, and 6 months postoperatively.
2) Marginal bone loss to be assessed: Baseline, 3-month and 6-month post-operatively using RadioVisioGraphy (RVG).


 
 
Secondary Outcome  
Outcome  TimePoints 
Wound healing index.
 
The wound healing index will be evaluated at 1 week, 2 weeks, and 4 weeks post-surgery.
 
Modified plaque index (mPI).
and Modified Sulcus bleeding index 
Modified plaque index (mPI) & Modified Sulcus bleeding index will be evaluated at 1 month, 3 months, and 6 months post-surgery. 
 
Target Sample Size   Total Sample Size="46"
Sample Size from India="46" 
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)   07/07/2025 
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="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Yet Recruiting 
Recruitment Status of Trial (India)  Open to Recruitment 
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   To evaluate clinical and radiographic outcomes in flaps and a minimally invasive flapless approach using a single-stage bone-level implant.
To examine hard and soft tissue changes in the form of marginal bone loss and the width of keratinized mucosa after 1-month, 3-month, and 6-month follow-up period.
 
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