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CTRI Number  CTRI/2025/02/080671 [Registered on: 17/02/2025] Trial Registered Prospectively
Last Modified On: 14/02/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   Comparison of the Antimicrobial effect of three herbal irrigants in primary endodontic infections 
Scientific Title of Study   Comparitive Evaluation of The Antimicrobial Efficacy of Three Herbal Irrigants in Primary Endodontic Infections- A Randomized Clinical Trial 
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.Jhalak Talwar 
Designation  PG Student 
Affiliation  SGT Dental College,Hospital and Research Institute 
Address  Room no.204,Department of Conservative Dentistry and Endodontics,faculty of dental sciences,SGT University,Gurgaon Badli road, Haryana
UU-48 Pitampura,Vishakha Enclave,Near Gurudwara,Delhi-110034
Gurgaon
HARYANA
122505
India 
Phone  09968581171  
Fax    
Email  docjhalak@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr.Ankita Sharma 
Designation  Associate Professor 
Affiliation  SGT Dental College,Hospital and Research Institute 
Address  Room no.204,Department of Conservative Dentistry and Endodontics,Faculty of Dental Sciences,SGT Dental College Hospital and Research Institute, Gurgaon Badli road, Haryana

Gurgaon
HARYANA
122505
India 
Phone  9682575180  
Fax    
Email  as.ankita06@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr.Ankita Sharma 
Designation  Associate Professor 
Affiliation  SGT Dental College,Hospital and Research Institute 
Address  Room no.204,Department of Conservative Dentistry and Endodontics,Faculty of Dental Sciences,SGT Dental College Hospital and Research Institute, Gurgaon Badli road, Haryana


HARYANA
122505
India 
Phone  9682575180  
Fax    
Email  as.ankita06@gmail.com  
 
Source of Monetary or Material Support  
Room no.204,Department of Conservative Dentistry and Endodontics,Faculty of Dental Sciences,SGT Dental College Hospital and Research  
 
Primary Sponsor  
Name  SGT University 
Address  Room no.204,Department of Conservative Dentistry and Endodontics,Faculty of Dental Sciences,SGT Dental College Hospital and Research  
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 
DR JHALAK  SGT UNIVERSITY  Room no.5,faculty of dental sciences,SGT University Gurgaon HARYANA
Gurgaon
HARYANA 
09968581171

docjhalak@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SGT UNIVERSITY ETHICAL COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K041||Necrosis of pulp,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Chitosan  Pretreatment Sample will be obtained by injecting normal saline (5 ml) into the root canal and circumferentially pumping a #15 K-file. A sterile paper point will be inserted after immersing into the transport media and placed into the canal for 60 seconds. It will be then immediately transported to the Eppendorf tube containing transport media. Biomechanical preparation till and irrigation using 2mLof 2% Chitosan in primary endodontic infections, a sterile paper point will be inserted after immersing into the transport media and placed into the canal for 60 seconds. It will be then immediately transported to the Eppendorf tube containing transport media.Total duration will be 10 minutes. 
Intervention  Curcumin  Pretreatment Sample will be obtained by injecting normal saline (5 ml) into the root canal and circumferentially pumping a #15 K-file. A sterile paper point will be inserted after immersing into the transport media and placed into the canal for 60 seconds. It will be then immediately transported to the Eppendorf tube containing transport media. Biomechanical preparation till and irrigation using 2mLof 95% curcumin in primary endodontic infections, a sterile paper point will be inserted after immersing into the transport media and placed into the canal for 60 seconds. It will be then immediately transported to the Eppendorf tube containing transport media.Total duration will be 10 minutes. 
Intervention  Propolis  Pretreatment Sample will be obtained by injecting normal saline (5 ml) into the root canal and circumferentially pumping a #15 K-file. A sterile paper point will be inserted after immersing into the transport media and placed into the canal for 60 seconds. It will be then immediately transported to the Eppendorf tube containing transport media. Biomechanical preparation till and irrigation using 2mLof 11% propolis in primary endodontic infections, a sterile paper point will be inserted after immersing into the transport media and placed into the canal for 60 seconds. It will be then immediately transported to the Eppendorf tube containing transport media.Total duration will be 10 minutes. 
Comparator Agent  Sodium hypochlorite   Pretreatment Sample will be obtained by injecting normal saline (5 ml) into the root canal and circumferentially pumping a #15 K-file. A sterile paper point will be inserted after immersing into the transport media and placed into the canal for 60 seconds. It will be then immediately transported to the Eppendorf tube containing transport media. Biomechanical preparation till and irrigation using 2mLof 5.25% sodium hypochlorite in primary endodontic infections, a sterile paper point will be inserted after immersing into the transport media and placed into the canal for 60 seconds. It will be then immediately transported to the Eppendorf tube containing transport media.Total duration will be 10 minutes. 
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Patient aged 25-65 years.
Single rooted teeth with one canal.
Single rooted teeth with symptomatic apical periodontitis.
Single rooted teeth with irreversible pulpitis.
Teeth with necrotic pulp that will be confirmed by pulp sensitivity test. No previous history of endodontic treatment
Tooth should have enough coronal tooth structure for rubber dam placement.  
 
ExclusionCriteria 
Details  Teeth with unrestorable tooth structure
Patients with poor periodontal status.(periodontal pockets 5 mm)
Patients with sinus tract, periapical abscess or intraoral swelling.
Retreatment cases
Presence of a difficult root canal anatomy such as dilaceration, calcified canals, immature apex, root resorption.
Patients who had received nsaids or antibiotic treatment in three months before the study.
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
To evaluate and compare the antibacterial effectiveness of three herbal irrigants, propolis, chitosan and curcumin with sodium hypochlorite in the primary endodontic infections treated in two visit endodontic treatment.
 
Pre operative and immediately after irrigation 
 
Secondary Outcome  
Outcome  TimePoints 
To evaluate & compare the antibacterial efficacy of the three herbal irrigants propolis, chitosan & curcumin with sodium hypochlorite, in the primary endodontic infections treated in two visit endodontic treatment.
 
Pre operative & immediately after irrigation 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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   Phase 2 
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="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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 will aim to evaluate the antibacterial efficacy of three herbal products (propolis, chitosan, and curcumin) as root canal irrigants in comparison to sodium hypochlorite. Sixty patients with primary endodontic infections will be randomly divided into four groups (n=15 each). Preoperative and post-instrumentation bacterial samples will be collected from each canal. Biomechanical preparation will be performed using rotary instruments. Samples will be cultured on Brain Heart Infusion agar, and bacterial colony counts will be determined. Data normality will be assessed using the Shapiro-Wilk test, and inter-group comparisons will be conducted using ANOVA followed by the Tukey post-hoc test to determine statistically significant differences in antibacterial activity between the irrigation solutions. 
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