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CTRI Number  CTRI/2025/02/080563 [Registered on: 14/02/2025] Trial Registered Prospectively
Last Modified On: 28/01/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Biological
Dentistry 
Study Design  Other 
Public Title of Study   Comparing the effectiveness of different materials to protect and heal the tooths inner tissue (the pulp) when its exposed during treatment of deep cavities 
Scientific Title of Study   Comparing the Efficacy of Various Direct Pulp Capping Agents on Dentin Bridge Formation – A 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  Agarwal Namrata 
Designation  Post graduate  
Affiliation  Army college of Dental Sciences  
Address  Room-9, Department of Conservative Dentistry and Endodontics, Army College of Dental Sciences, Jai Jawahar Nagar, CRPF Road, Secunderabad Telangana

Medchal
TELANGANA
500087
India 
Phone  08197196704  
Fax    
Email  dr.namrataagarwalendo@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Mamta Kaushik 
Designation  Head of Department and Principle- Army College of Dental Sciences 
Affiliation  Army college of Dental Sciences  
Address  Room-9, Department of Conservative Dentistry and Endodontics, Army College of Dental Sciences, Jai Jawahar Nagar, CRPF Road, Secunderabad Telangana

Medchal
TELANGANA
500087
India 
Phone  08197196704  
Fax    
Email  mamkaushik@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Agarwal Namrata 
Designation  Post graduate  
Affiliation  Army college of Dental Sciences  
Address  Room-9, Department of Conservative Dentistry and Endodontics, Army College of Dental Sciences, Jai Jawahar Nagar, CRPF Road, Secunderabad Telangana


TELANGANA
500087
India 
Phone  08197196704  
Fax    
Email  dr.namrataagarwalendo@gmail.com  
 
Source of Monetary or Material Support  
Room no 9, Department of conservative Dentistry and Endodontics Army College of Dental Sciences, CRPF road, Secunderabad, Telangana 500087 
Safe Endo MTA 
 
Primary Sponsor  
Name  Agarwal Namrata 
Address  Room-9, Department of Conservative Dentistry and Endodontics, Army college of Dental Sciences, Secunderabad, Telangana 500087 
Type of Sponsor  Other [self] 
 
Details of Secondary Sponsor  
Name  Address 
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 Agarwal Namrata  Army college of Dental Sciences   Room-9, Department of Conservative Dentistry and Endodontics, Army college of Dental Sciences, Secunderabad, Telangana 500087
Medchal
TELANGANA 
08197196704

dr.namrataagarwalendo@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Army college of Dental Sciences   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Asymptomatic or Symptomatic reversible pulpitis 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  MTA  Caries excavation followed by application of MTA/Propolis hydrogel/simvastatin hydrogel/platelet rich fibrin on the exposed pulp and evaluation after 3months,6months and 12months  
Intervention  Platelet rich fibrin  Caries excavation followed by application of MTA/Propolis hydrogel/simvastatin hydrogel/platelet rich fibrin on the exposed pulpand evaluation after 3months,6months and 12months  
Intervention  Propolis hydrogel   Caries excavation followed by application of MTA/Propolis hydrogel/simvastatin hydrogel/platelet rich fibrin on the exposed pulp and evaluation after 3months,6months and 12months  
Intervention  Simvastatin hydrogel  Caries excavation followed by application of MTA/Propolis hydrogel/simvastatin hydrogel/platelet rich fibrin on the exposed pulpand evaluation after 3months,6months and 12months  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  Asymptomatic maxillary and mandibular molars with caries.
No tenderness to percussion.
Ideal periodontal probing depth of 2 to 3 mm.
Normal response to cold and electric pulp testing.
Radiographic evidence of deep caries approximating the pulp chamber with no evidence of thickening/ widening of periodontal ligament.
Absence of furcation radiolucencies and periapical pathology.
 
 
ExclusionCriteria 
Details  Symptomatic teeth (history of spontaneous pain).
Radiographic evidence of periapical changes or pathology.
Negative response to pulp sensibility testing.
History of systemic diseases.
Tooth not conducive for rubber dam isolation.
History of previous restoration in the tooth under consideration for pulp capping.
Periodontally compromised teeth.
Patients with bleeding disorders.
Patients with unsatisfactory oral hygiene maintenance.
Pregnant and lactating females.
Uncooperative patients.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
The volume of dentin bridge formed after direct pulp capping with Platelet RichFibrin, Propolis extract, Simvastatin gel and MTA  3months,6months,12months 
 
Secondary Outcome  
Outcome  TimePoints 
Clinical response to the direct pulp capping agents  3months,6months,12 months 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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 3/ Phase 4 
Date of First Enrollment (India)   27/02/2025 
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="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   The participants reaching the inclusion criteria are selected. After obtaining informed consent, the direct pulp capping procedure is initiated with the administration of local anesthesia and the placement of rubber dam isolation. Carious lesions are thoroughly excavated, and upon pulp exposure, if hemostasis is achieved, appropriate pulp capping agents are applied. There are four pulp capping agents- MTA , Platelet rich fibrin, Simvastatin hydrogel and Propolis hydrogel.
 For preparation of PRF  The patients’ blood will be collected without anticoagulant and the tube will be placed immediately after collection into the centrifuge for 12mins at 2700 rpm. The intermediate layer obtained will be placed on the pulp exposure. 
For preparation of propolis hydrogel  Maceration of 500 grams of raw propolis will be done with 500ml of 96 % ethanol in a closed container for 14 days. The brown extract obtained will be mixed with poloxamar and methylcellulose to form a hydrogel 
For preparation of simvastatin hydrogel- Pure simvastatin will be obtained. 1.2% Simvastatin hydrogel will be prepared by mixing with poloxamar and methylcellulose. 

The pulp capping agents will be placed on the exposed pulp, a layer of glass ionomer cement will be applied and permanent restoration will be done with composite. 

 
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