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CTRI Number  CTRI/2025/07/090814 [Registered on: 14/07/2025] Trial Registered Prospectively
Last Modified On: 11/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Single Arm Study 
Public Title of Study   Drilling the mandibular molar before extraction for placement of dental implants 
Scientific Title of Study   Implant placement by interradicular bone drilling before mandibular molar extraction 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  RamkarthikS 
Designation  Post Graduate student 
Affiliation  Ragas Dental College and Hospital  
Address  department of oral and maxillofacial surgery, room number2, ragas dental college 2/102 East Coast Road Uthandi chennai 600119
department of oral and maxillofacial surgery, room number2, ragas dental college 2/102 East Coast Road Uthandi chennai 600119
Chennai
TAMIL NADU
600119
India 
Phone  8072131946  
Fax    
Email  surgeryramkarthik@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  B Vikraman 
Designation  Head of the department and Guide 
Affiliation  Ragas Dental College and Hospital  
Address  department of oral and maxillofacial surgery, room number2, ragas dental college 2/102 East Coast Road Uthandi chennai 600119
department of oral and maxillofacial surgery, room number2, ragas dental college 2/102 East Coast Road Uthandi chennai 600119
Chennai
TAMIL NADU
600119
India 
Phone  9840059597  
Fax    
Email  vikramanvikraman@gmail.com  
 
Details of Contact Person
Public Query
 
Name  RamkarthikS 
Designation  Post Graduate student 
Affiliation  Ragas Dental College and Hospital  
Address  department of oral and maxillofacial surgery, room number2, ragas dental college 2/102 East Coast Road Uthandi chennai 600119
department of oral and maxillofacial surgery, room number2, ragas dental college 2/102 East Coast Road Uthandi chennai 600119
Chennai
TAMIL NADU
600119
India 
Phone  8072131946  
Fax    
Email  surgeryramkarthik@gmail.com  
 
Source of Monetary or Material Support  
RAGAS DENTAL COLLEGE AND HOSPITALdepartment of oral and maxillofacial surgery, room number2, ragas dental college 2/102 East Coast Road Uthandi chennai 600119 
 
Primary Sponsor  
Name  Ramkarthik S 
Address  department of oral and maxillofacial surgery, room number2, ragas dental college 2/102 East Coast Road Uthandi chennai 600119 
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 Ramkarthik S  RAGAS DENTAL COLLEGE AND HOSPITAL  DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY, ROOM NUMBER 2 RAGAS DENTAL COLLEGE AND HOSPITAL 2/102 East Coast Road Uthandi chennai 600119
Chennai
TAMIL NADU 
08072131946

surgeryramkarthik@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
The Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K084||Partial loss of teeth,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Dental Implant   Implants will be placed at the height of cervicoenamel junction of adjacent teeth and at the center of socket to observe the preservation of marginal bone. the implant will be observed for 6 months to evaluate proximal marginal bone loss between prosthetic crown and natural teeth 
Comparator Agent  Not applicable  Not applicable 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  45.00 Year(s)
Gender  Both 
Details  All patients who desire implant based rehabilitation of grossly destructed mandibular first molar teeth
Age group above 18 years and below 45 years
Both sexes would be included
Good general health and oral health
Be available for follow up examination
No history of diagnosed bone disease or medication known to affect bone metabolism
Patient with fair periodontal status.
 
 
ExclusionCriteria 
Details  Compromised health condition which would contraindicate surgical treatment
Compromised periodontal status
Any allergies related to the procedure to be done
Pregnancy or lactation
Any history of psychiatric disorder
Not willing to sign informed consent
Any infections at the area of intertest
Patients with parafunctional habits such as bruxism and clenching
History of systemic diseases that would contraindicate the surgical treatment
Tooth with fused roots with no bifurcation and constricted bifurcation
Periapical pathology in relation to the tooth.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
preservation of marginal bone on mesial and distal sides of prosthesis provided  3 months and 6 months 
 
Secondary Outcome  
Outcome  TimePoints 
center placement of implant in interradicular area  immediately  
 
Target Sample Size   Total Sample Size="10"
Sample Size from India="10" 
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 4 
Date of First Enrollment (India)   07/08/2025 
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="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Open to Recruitment 
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 is a prospective study wherein dental implants are placed using he initial drill which is drilled between the roots which acts as natural guide for placement of dental implants. The implants are placed at the height of cervicoenamel junction of adjacent teeth which prevents marginal bone loss between the prosthetic crown and the adjacent teeth which futhther prevents food lodgment as this food lodgment will lead to periimplantitis. 
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