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CTRI Number  CTRI/2025/07/091129 [Registered on: 18/07/2025] Trial Registered Prospectively
Last Modified On: 17/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Non-randomized, Multiple Arm Trial 
Public Title of Study   Unveiling Phosphatase Shifts following Periodontal Therapy in Current Smokers, former Smokers, and Non-Smokers with Chronic Periodontitis 
Scientific Title of Study   Comparative Evaluation of Periodontal therapy on Salivary Alkaline Phosphatase and Acid Phosphatase level in Non-smoker and Smoker with Chronic Periodontitis:A Biochemical 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  Dr Supriti Dutta 
Designation  Post graduate student 
Affiliation  Nims Dental College and hospital,Jaipur 
Address  Department of Periodontology,Nims Dental Collge and hospital Room no:4

Jaipur
RAJASTHAN
303121
India 
Phone  08602725028  
Fax    
Email  dsupriti001@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Neetha Bhargava 
Designation  Head and professor 
Affiliation  Nims Dental College and hospital,Jaipur 
Address  Department pf periodontology,room no 4, Nims Dental college ,jaipur

Jaipur
RAJASTHAN
303121
India 
Phone  08602725028  
Fax    
Email  a82874187@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Supriti Dutta 
Designation  Post graduate student 
Affiliation  Nims Dental College and hospital,Jaipur 
Address  Department of periodontology,Room no 4,Nims dental college and hospital,jaipur

Jaipur
RAJASTHAN
303121
India 
Phone  08602725028  
Fax    
Email  dsupriti001@gmail.com  
 
Source of Monetary or Material Support  
Nims dental college,jaipur 
 
Primary Sponsor  
Name  DrSupriti dutta 
Address  Ghoretha pg room no:14,shobha nagar ,jaipur-303121 
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 Supriti Dutta  Nims Dental College and hospital,Jaipur  Room no:4,Department of Periodontology,Nims dental college,jaipuur
Jaipur
RAJASTHAN 
08602725028

dsupriti001@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Instiutional Ethics Committee Nims University Rjasthan,Jaipur  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Current Smoker, Former smoker, non-smoker with chronic periodontitis 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  distinct participant groups categorized by smoking status.  In this non-randomized, multi-arm interventional study, the comparator is not a placebo or a different treatment, but rather distinct participant groups categorized by smoking status. All participants received the same intervention (non-surgical periodontal therapy), and outcomes were compared across the following groups: Group A: Non-smokers with chronic periodontitis (reference group) Group B: Former smokers with chronic periodontitis Group C: Current smokers with chronic periodontitis 
Intervention  Non-surgical periodontal therapy (NSPT)  All participants across the three study groups received non-surgical periodontal therapy, which included: Full-mouth scaling and root planing (SRP) using ultrasonic and hand instruments Oral hygiene instructions and motivation No use of antibiotics, antimicrobials, or surgical procedures The therapy was standardized across all groups and provided by the same clinician to ensure consistency. The effect of this intervention was evaluated through changes in clinical parameters (Gingival Index, Plaque Index, Pocket Probing Depth, Clinical Attachment Level) and salivary biochemical markers (alkaline phosphatase and acid phosphatase levels) at baseline, 15th day, and 4th week. 
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  1. Subjects unable to provide informed consent or comply with study protocol.
2. Patients with oral potentially malignant disorders and systemic illnesses such as diabetes, hypertension, thyroid or any known endocrine disorders, osteoarthritis, osteosarcoma, and renal failure were excluded.
3. Subjects with presence of fixed prosthesis and orthodontics appliances.
4. Patients presented with systemic disease, pregnant female, lactating or postmenopausal female.
 
 
ExclusionCriteria 
Details  1. Subjects unable to provide informed consent or comply with study protocol.
2. Patients with oral potentially malignant disorders and systemic illnesses such as diabetes, hypertension, thyroid or any known endocrine disorders, osteoarthritis, osteosarcoma, and renal failure were excluded.
3. Subjects with presence of fixed prosthesis and orthodontics appliances.
4. Patients presented with systemic disease, pregnant female, lactating or postmenopausal female.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
The primary outcomes were changes in alkaline phosphatase (ALP) and acid phosphatase (ACP) levels in saliva following periodontal therapy along with gingival index,plaque index,clinical attachment level and probing depth and comparing before and after result.  The primary outcomes were changes in alkaline phosphatase (ALP) and acid phosphatase (ACP) levels in saliva following periodontal therapy at baseline,15th day and 4week along with gingival index,plaque index,clinical attachment level and probing depth at baseline and 4weeks and comparing before and after result. 
 
Secondary Outcome  
Outcome  TimePoints 
Clinical periodontal parameters including probing pocket depth (PPD), clinical attachment level (CAL), plaque index (PI), & gingival index (GI) were assessed at baseline & at 4week post-treatment to evaluate the clinical effectiveness of periodontal therapy in current smoker,former smoker & non-smoker groups.  Clinical parameters including probing pocket depth (PPD), clinical attachment level (CAL), gingival index (GI), plaque index (PI) were recorded at baseline (Day 0) & at 4 weeks post-treatment, corresponding with the biochemical follow-up at baseline,15th day & 4week. 
 
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)   28/07/2025 
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="1"
Months="6"
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 prospective interventional study aimed to evaluate and compare the effects of non surgical periodontal therapy on clinical and biochemical parameters in individuals with chronic periodontitis stratified by smoking status A total of 60 participants aged 30 50 years were categorized into three groups non smokers Group A former smokers Group B and current smokers Group C Clinical parameters plaque index  gingival index  probing pocket depth and clinical attachment level were recorded at baseline and at 4 weeks post therapy Unstimulated saliva samples were collected at baseline 15 days and 4 weeks to measure levels of alkaline phosphatase and acid phosphatase using a semi autoanalyzer Non-surgical periodontal therapy will result in significant clinical and biochemical improvement in patients with chronic periodontitis however the extent of improvement will vary with smoking status with non-smokers exhibiting the most favorable response followed by former smokers and current smokers showing the least improvement 
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