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CTRI Number  CTRI/2025/06/089140 [Registered on: 19/06/2025] Trial Registered Prospectively
Last Modified On: 12/06/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   Chewing Sticks vs. Toothbrushes: Which Cleans Better? 
Scientific Title of Study   The Battle For Oral Health - A Randomized Clinical Trial comparing Chewing Sticks and Toothbrushes  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Sonal Subhangi 
Designation  PG Student 
Affiliation  Teerthanker Mahaveer Dental College and Research Centre 
Address  Department of Public Health Dentistry, Teerthanker Mahaveer Dental College and Research Centre, Teerthanker Mahaveer University, Moradabad, Uttar Pradesh

Moradabad
UTTAR PRADESH
244001
India 
Phone  9123145990  
Fax    
Email  drsonalsubhangi@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Pradeep Tangade 
Designation  Principal and Professor 
Affiliation  Teerthanker Mahaveer Dental College and Research Centre 
Address  Department of Public Health Dentistry, Teerthanker Mahaveer Dental College and Research Centre, Teerthanker Mahaveer University, Moradabad, Uttar Pradesh

Moradabad
UTTAR PRADESH
244001
India 
Phone  09997466339  
Fax    
Email  pradeeptangade02@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Pradeep Tangade 
Designation  Principal and Professor 
Affiliation  Teerthanker Mahaveer Dental College and Research Centre 
Address  Department of Public Health Dentistry, Teerthanker Mahaveer Dental College and Research Centre, Teerthanker Mahaveer University, Moradabad, Uttar Pradesh

Moradabad
UTTAR PRADESH
244001
India 
Phone  09997466339  
Fax    
Email  pradeeptangade02@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Sonal Subhangi 
Address  Teerthanker Mahaveer University, Delhi Road, NH-09, Mordabad , Uttar Pradesh 
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 
Sonal Subhangi  Teerthanker Mahaveer Dental College and Research Centre  Department of Public Health Dentistry, Teerthanker Mahaveer Dental College and Research Centre, Teerthanker Mahaveer University, Moradabad, Uttar Pradesh
Moradabad
UTTAR PRADESH 
9123145990

drsonalsubhangi@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee Teerthanker Mahaveer Dental College and Research Centre   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Regularly attending dental students at Teerthanker Mahaveer Dental College and Research Centre. Age range between 18 and 22 years. Willingness to participate and provide written informed consent  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Participants using manual toothbrushes (considered standard oral hygiene method).  Participants in the control group were provided with a standard manual toothbrush, which is considered the conventional method for maintaining oral hygiene. 
Intervention  Participants using Neem chewing sticks  Participants assigned to the intervention group were provided with Neem (Azadirachta indica) chewing sticks as a traditional oral hygiene aid. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  22.00 Year(s)
Gender  Both 
Details  Regularly attending dental students at Teerthanker Mahaveer Dental College and Research Centre.

Age range between 18 and 22 years.

Willingness to participate and provide written informed consent after being informed about the study’s purpose and benefits. 
 
ExclusionCriteria 
Details  systemic or oral illnesses, dental prostheses use, manual dexterity impairment, recent or ongoing antibiotic consumption, and refusal to participate. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Efficacy in reducing dental plaque levels
Measured using a standardized plaque index (e.g., Silness and Löe Plaque Index) after the intervention period. 
Efficacy in reducing dental plaque levels
Measured using a standardized Baseline (Day 0)
End of Study (Day 28 / 1 month) 
 
Secondary Outcome  
Outcome  TimePoints 
Gingival health status
Assessed by gingival index scores (e.g., Löe and Silness Gingival Index) to evaluate inflammation and bleeding.

Oral hygiene compliance and acceptability
Participant-reported ease of use, satisfaction, and adherence to the assigned oral hygiene method.

Changes in oral microbial load (if applicable)
Quantitative assessment of oral bacteria reduction following the intervention.

Any adverse effects related to the use of chewing sticks or manual toothbrushes
For example, gum irritation, sensitivity, or other oral mucosal changes. 
Baseline (Day 0)
End of Study (Day 28 / 1 month)
Throughout study (weekly or daily logs)
Final feedback at end of study
Monitored continuously during the study
Final evaluation at end of study
 
 
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   N/A 
Date of First Enrollment (India)   30/06/2025 
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="1"
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   This randomized controlled trial aims to compare the efficacy of Neem chewing sticks and manual toothbrushes in reducing dental plaque and improving gingival health over a one-month period. The study involves dental students aged 18–22 years from a private dental college. Participants are randomly allocated into two groups, with one group using manual toothbrushes and the other using Neem chewing sticks. Plaque and gingival indices are assessed at baseline and after one month by calibrated examiners. The study follows guidelines from the American Dental Association for sample size determination and employs appropriate statistical methods for data analysis. 
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