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CTRI Number  CTRI/2025/07/090577 [Registered on: 09/07/2025] Trial Registered Prospectively
Last Modified On: 15/03/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Preventive
Process of Care Changes 
Study Design  Other 
Public Title of Study   Hepta Technique in oral hygiene education of children with Autism Spectrum Disorder 
Scientific Title of Study   Effectiveness of Hepta Technique and oral hygiene education in children with Autism Spectrum Disorder 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr N J Remya 
Designation  Post Graduate Resident 
Affiliation  Amrita School of Dentistry 
Address  Department of Pediatric and Preventive Dentistry, Amrita School of Dentistry, Kochi.

Ernakulam
KERALA
682041
India 
Phone  9656581694  
Fax    
Email  drnjremya@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Balagopal Varma R 
Designation  Principal & HOD 
Affiliation  Amrita School of Dentistry 
Address  Department of Pediatric and Preventive Dentistry, Amrita School of Dentistry, Kochi.

Ernakulam
KERALA
682041
India 
Phone  9447032358  
Fax    
Email  balagopalvarma@aims.amrita.edu  
 
Details of Contact Person
Public Query
 
Name  Dr N J Remya 
Designation  Post Graduate Resident 
Affiliation  Amrita School of Dentistry 
Address  Department of Pediatric and Preventive Dentistry, Amrita School of Dentistry, Kochi.

Ernakulam
KERALA
682041
India 
Phone  9656581694  
Fax    
Email  drnjremya@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Dr. N. J. Remya 
Address  Post Graduate Resident, Department of Pediatric & Preventive Dentistry, Amrita School of Dentistry, Kochi 
Type of Sponsor  Other [Principal Investigator] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 2  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Shri Amritasree  Amrita Institute for Differently Abled  Amrita Institute for Differently Abled, Valummel, Kochi, Kerala, India
Ernakulam
KERALA 
7034028105

aida@amrita.ind.in 
Sr Sereena  Nirmala Training Centre for Exceptional Children  Nirmala Training Centre for Exceptional Children, Kusumagiri P O, Kakkanad, Kerala, India
Ernakulam
KERALA 
9747284934

nirmalaschool2008@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethics Committee of Amrita School of Medicine  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: F840||Autistic disorder,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Hepta Technique  A novel tool kit that can help children practice proper oral hygiene maintenance - consists of seven components - a powered toothbrush, self-learning picture cards, short video, dental talking button, a colourful calendar to mark down the day, daily reminder polls on WhatsApp and anytime dental assistance. Provisions will be made for management of dental conditions present, if any. 
Comparator Agent  Not Applicable  Not applicable 
Comparator Agent  Not Applicable  Not applicable 
 
Inclusion Criteria  
Age From  4.00 Year(s)
Age To  15.00 Year(s)
Gender  Both 
Details  Children with Autism Spectrum Disorder - Mild to moderate.
Cooperative caregivers.
Children in primary and mixed dentition. 
 
ExclusionCriteria 
Details  Autistic children presenting aggressive behaviour.
Children with serious systemic conditions.
Children with any comorbidities that restrict their participation in the study.
Children whose caregivers are unwilling to participate. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Indices: Plaque index, DMFT index to be recorded  Baseline
3 months
6 months
12 months 
 
Secondary Outcome  
Outcome  TimePoints 
KAP Surveys will be conducted   before and after the intervention 
 
Target Sample Size   Total Sample Size="20"
Sample Size from India="20" 
Final Enrollment numbers achieved (Total)= "25"
Final Enrollment numbers achieved (India)="25" 
Phase of Trial   N/A 
Date of First Enrollment (India)   17/07/2025 
Date of Study Completion (India) 17/07/2026 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
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
Modification(s)  
A pre-intervention survey was carried out among the guardians of the children with Autism Spectrum Disorder. Plaque index and DMFT index were recorded before intervention. Oral health education was provided with the help of dental models, picture cards, videos, etc.
Hepta technique with seven tools - picture cards, powered toothbrush, brush my teeth - talking button, a short video on tooth brushing, a colourful calendar to mark down the day, daily reminder polls on Whatsapp and anytime dental assistance is being practiced. Provision made for the management of the oral conditions present, if any.
Plaque index and DMFT index has been recorded at 3 months, 6 months and will be recorded at 12 months, post intervention, followed by a post intervention survey.
 
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