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CTRI Number  CTRI/2025/07/091201 [Registered on: 18/07/2025] Trial Registered Prospectively
Last Modified On: 03/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Other 
Public Title of Study   A study to see which method works better to lighten dark gums 
Scientific Title of Study   Evaluation of Mesotherapy and Diode Laser for Gingival Depigmentation: An Ambispective 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  Nirav Vyas 
Designation  Resident Doctor 
Affiliation  All India Institute of Medical Sciences, New Delhi 
Address  3rd Floor, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India

South West
DELHI
110029
India 
Phone  9409609302  
Fax    
Email  niravvyas@aiims.edu  
 
Details of Contact Person
Scientific Query
 
Name  Amrita Chawla 
Designation  Additional Professor 
Affiliation  All India Institute Of Medical Sciences,New Delhi 
Address  Room no 309 Department of Conservative Dentistry and Endodontics 3rd floor Center for Dental Education and research AIIMS - New Delhi

South West
DELHI
110029
India 
Phone  9871445522  
Fax    
Email  dr.amritachawla@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Amrita Chawla 
Designation  Additional Professor 
Affiliation  All India Institute Of Medical Sciences,New Delhi 
Address  Room no 309 Department of Conservative Dentistry and Endodontics 3rd floor Center for Dental Education and research AIIMS - New Delhi

South West
DELHI
110029
India 
Phone  9871445522  
Fax    
Email  dr.amritachawla@gmail.com  
 
Source of Monetary or Material Support  
Department of Conservative Dentistry and Endodontics Center for Dental Education and research All India Institute of Medical Sciences New Delhi - 110029 
 
Primary Sponsor  
Name  Center for Dental Education and Research 
Address  Department of Conservative Dentistry and Endodontics Center for Dental Education and research All India Institute of Medical Sciences New Delhi - 110029 
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 Nirav Vyas  All India Institute of Medical Sciences  3rd floor, Department of Conservative Dentistry and Endodontics, Centre for Dental Education and Research, All India Institute of Medical Sciences (AIIMS), New Delhi – 110029, India
South West
DELHI 
9409609302

niravvyas@aiims.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUE ETHICS COMMITTEE FOR POST GRADUATE RESEARCH  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Physiological Gingival Hyperpigmentataion 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Gingival depigmentation with mesotherapy  Injection of Vitamin C (1000 mg), glutahione (1000 mg) and tranexamic acid (4mg/ml) into the pigmented gingival areas using an insulin syringe. The agent is administered intramucosally once per week for 3 weeks. Each session lasts approximately 15–20 minutes. 
Comparator Agent  Laser Depigmentation  Application of diode laser (wavelength 810 nm, power 1.5 W, continuous mode) to the pigmented gingival areas under local anesthesia. The laser is used to peel off the superficial pigmented layers in a single session. The procedure takes approximately 15–20 minutes. 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  1. Subjects of either gender between the age range of 20-40 years
2. Physiological gingival pigmentation in anterior maxillary and mandibular region
3. DOPI score between 1-3
4. ASA grade 1 individuals 
 
ExclusionCriteria 
Details   
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Reduction in gingival pigmentation, measured using the Dummett Oral Pigmentation Index (DOPI)

Absence of repigmentation, assessed through clinical examination 
Absence of re-pigmentation at 3-month follow-up 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
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   Phase 3/ Phase 4 
Date of First Enrollment (India)   20/07/2025 
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="3"
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  
Non-surgical approaches as well as surgical intervention have been proposed for the management of melanin pigmentation. The surgical approaches depend mainly on the de-epithelization of the target region. It could be performed utilizing various techniques as free gingival grafts, gingivectomy or de-epithelialization using bur abrasion, surgical blade, laser and cryosurgery. Laser especially diode laser was the most frequently used technique and showed better esthetic outcomes, less pain, faster healing and most important patients’ preference and satisfaction after treatment. However, lasers were associated with more recurrence at 6-month follow-up. Therefore, there is a need to other
minimally invasive non-surgical therapeutic option in order to depigment such conditions.
 
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