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CTRI Number  CTRI/2025/02/080685 [Registered on: 17/02/2025] Trial Registered Prospectively
Last Modified On: 17/02/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   A clinical study to see the effects of vitamin D3 in increasing the orthodontic tooth movement.  
Scientific Title of Study   Evaluation of the effect of local administration of vitamin D3 on the maxillary canine retraction and the amount of external apical root resorption: A Prospective, Double blind, Split mouth randomized control clinical 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  DEVYANSHU SHARMA 
Designation  Postgraduate student 
Affiliation  Department of Orthodontics and Dentofacial Orthopedics,Bhojia Dental College and Hospital,Baddi, Dist. Solan, Himachal Pradesh 173205, India 
Address  Department of Orthodontics and Dentofacial Orthopedics, Bhojia Dental College and Hospital, Baddi, Dist. Solan, HIMACHAL PRADESH 173205, INDIA
Department of Orthodontics and Dentofacial Orthopedics, Bhojia Dental College and Hospital, Baddi, Dist. Solan, HIMACHAL PRADESH 173205, INDIA
Solan
HIMACHAL PRADESH
173205
India 
Phone  7986387321  
Fax    
Email  sdevyanshu023@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sanjay Mittal 
Designation  Professor and Head 
Affiliation  Bhojia Dental College and Hopsital, Baddi, H.P. 
Address  Department of Orthodontics and Dentofacial Orthopedics, Bhojia Dental College and Hospital, Baddi, Dist. Solan, HIMACHAL PRADESH 173205, INDIA

Solan
HIMACHAL PRADESH
173205
India 
Phone  09896050995  
Fax    
Email  sanjaymtdr@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  DEVYANSHU SHARMA 
Designation  Postgraduate student 
Affiliation  post graduate student 
Address  Department of Orthodontics and Dentofacial Orthopedics, Bhojia Dental College and Hospital, Baddi, Dist. Solan, HIMACHAL PRADESH 173205, INDIA
Department of Orthodontics and Dentofacial Orthopedics, Bhojia Dental College and Hospital, Baddi, Dist. Solan, HIMACHAL PRADESH 173205, INDIA
Solan
HIMACHAL PRADESH
173205
India 
Phone  09896050995  
Fax    
Email  sdevyanshu023@gmail.com  
 
Source of Monetary or Material Support  
Department of Orthodontics and Dentofacial Orthopedics, Bhojia Dental College and Hospital, Baddi, Dist. Solan, HIMACHAL PRADESH 173205, INDIA 
 
Primary Sponsor  
Name  DEVYANSHU SHARMA 
Address  Department of Orthodontics and Dentofacial Orthopedics, Bhojia Dental College and Hospital, Baddi, Dist. Solan, HIMACHAL PRADESH 173205, INDIA 
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 Devyanshu Sharma  Department of Orthodontics and Dentofacial Orthopedics,Bhojia Dental College and Hospital  Room no. 4, Department of Orthodontics and Dentofacial Orthopedics,Bhojia Dental College and Hospital, Baddi, Dist. Solan
Solan
HIMACHAL PRADESH 
7986387321

sdevyanshu023@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee, Bhojia Dental College and Hospital, Bhud, Baddi (H.P.)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Medically fit 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Placebo  Placebo 
Intervention  Vitamin D3 intraligamentary injection  A dose of 45 pg Vitamin D3 per 0.1 mL of Lignocaine periodontal (intraligamentary) injection will be given on the experimental side in the distal side of canine on monthly basis for 3 months. 
 
Inclusion Criteria  
Age From  15.00 Year(s)
Age To  30.00 Year(s)
Gender  Both 
Details  Males and females
Age range 15-30 years
Critical anchorage
Class I Bi-maxillary protrusion cases and Class II Div 1 malocclusion cases with ANB less than 5 degrees.
Good gingival and periodontal health (probing depth Good gingival and periodontal health (probing depth less than or equal to 3mm, gingival index score less than or equal to 1, plaque index less than or equal to 1)
No systemic disease.
Patients requiring bilateral extraction of maxillary 1st premolar as part of their comprehensive treatment.
No endodontic lesions
No dilaceration of canine roots as assessed on pre-treatment OPG
No radiographic evidence of bone loss
No history of periodontal therapy
No current active periodontal disease
Full development of teeth except 3rdmolars.
 
 
ExclusionCriteria 
Details  Subjects with known hepatic or renal disease,
Metabolic bone disease,
History of allergy or autoimmune disease,
Malabsorption,
Type 1 diabetes,
Hypercortisolism,
Malignancy,
Immobility for more than 1 week,
Pregnancy, lactation,
Medications influencing bone metabolism and any chronic consumption of anti inflammatory drug calcium, Vitamin D, calcium, and also fish oil supplement
History of sun bathing after starting the orthodontic treatment
Whose radiographs lacked visibility of upper incisors,
Those with significantly distorted radiographs, crowding of teeth, unclear roots, and those with unilaterally and bilaterally lateral missing teeth in the maxilla.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
The predictor variable is the canine retraction technique i.e. canine retraction with and without Vitamin D3 injection. The canine retraction is our primary outcome.  Base time point is TO, then every monthly time point till four months i.e. T1, T2, T3, T4 
 
Secondary Outcome  
Outcome  TimePoints 
Canine Rotations, external apical root resorption and molar rotations will be measured at monthly time intervals till 4 months from the base time point.  Base time point is TO, then every monthly time point till four months i.e. T1, T2, T3, T4 
 
Target Sample Size   Total Sample Size="19"
Sample Size from India="19" 
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)   28/02/2025 
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="0"
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   The study titled Evaluation of the Effect of Local Administration of Vitamin D3 on Maxillary Canine Retraction and External Apical Root Resorption is a prospective, double-blind, split-mouth, randomized controlled clinical trial. The primary objective is to assess the effect of intraligamentary Vitamin D3 injections on the rate of maxillary canine retraction. The trial will include patients undergoing orthodontic treatment that requires the retraction of maxillary canines. Each patient’s maxillary arch will be divided into experimental and control sides. The experimental side will receive Vitamin D3 injections which is diluted in lignocaine, while the control side will receive plain lignocaine. The study aims to determine whether Vitamin D3 can enhance the rate of tooth movement and reduce treatment duration, which is particularly beneficial for adult patients where bone metabolism is slower, leading to prolonged treatment durations. The study design ensures a high level of scientific rigor by using a randomized, double-blind approach, thereby reducing bias. Outcomes will be measured in terms of the rate of canine retraction, with regular follow-ups and measurements taken to ensure accurate results. This research could potentially lead to improved orthodontic treatment protocols, providing faster and more efficient outcomes for patients. The study will be conducted according to the 1975 Helsinki declaration guidelines revised in 2013. Statistical analysis will be done with SPSS version 22.0. 
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