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CTRI Number  CTRI/2025/07/092046 [Registered on: 30/07/2025] Trial Registered Prospectively
Last Modified On: 30/07/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparing the white coloured composite material used to fill the neck portion of the teeth affected by wear and tear other than decay in either half of the patients mouth glued using glycolic acid in one side and phosphoric acid in the other 
Scientific Title of Study   Outcome Evaluation of Non Carious Cervical Lesions restored using Dental Composite Resin with Glycolic Acid and Phosphoric Acid as Etchants A Double-Blind Split-Mouth Randomized Controlled Trial 
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 Vidya K G 
Designation  Assistant Professor 
Affiliation  Government Dental College Thiruvananthapuram 
Address  Room No A250 Department of Conservative Dentistry and Endodontics Government Dental College Thiruvananthapuram

Thiruvananthapuram
KERALA
695011
India 
Phone  8075511762  
Fax    
Email  vidyaendo@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Vidya K G 
Designation  Assistant Professor 
Affiliation  Government Dental College Thiruvananthapuram 
Address  Room No A250 Department of Conservative Dentistry and Endodontics Government Dental College Thiruvananthapuram


KERALA
695011
India 
Phone  8075511762  
Fax    
Email  vidyaendo@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Vidya K G 
Designation  Assistant Professor 
Affiliation  Government Dental College Thiruvananthapuram 
Address  Room No A250 Department of Conservative Dentistry and Endodontics Government Dental College Thiruvananthapuram


KERALA
695011
India 
Phone  8075511762  
Fax    
Email  vidyaendo@gmail.com  
 
Source of Monetary or Material Support  
Department of Conservative Dentistry and Endodontics Room No A250 Government Dental College Thiruvananthapuram Kerala India Pin 695011 
 
Primary Sponsor  
Name  Dr Vidya K G 
Address  Assistant Professor Room No A250 Department of Conservative Dentistry and Endodontics Government Dental College Thiruvananthapuram Kerala India Pin 695011 
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 Vidya K G  Government Dental College Thiruvananthapuram  Department of Conservative Dentistry and Endodontics Room No A250
Thiruvananthapuram
KERALA 
8075511762

vidyaendo@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee Government Dental College Thiruvananthapuram  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: 8||Other Procedures,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Glycolic acid 35 percentage as the etchant  Rubbing 35 percentage glycolic acid etching solution with a micro applicator brush for 15 seconds followed by rinsing off with water and application of bonding agent and light curing with composite resin. The patient will be followed up at 6 months and 1 year  
Comparator Agent  Phosphoric acid 37 percentage  Rubbing 37 percentage phosphoric acid etching solution with a micro applicator brush for 15 seconds followed by rinsing off with water and application of bonding agent and light curing with composite resin. The patient will be followed up 6 months and 1 year to assess the restoration 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Adults aged 18 to 60 years
Presence of non carious cervical lesions in at least two contralateral teeth with a Tooth Wear Index Score of 3
Lesions without pulp involvement and hypersensitivity
Ability to comply with study procedures and attend follow up visits
No history of significant allergy or adverse reaction to the dental materials used
 
 
ExclusionCriteria 
Details  Pregnancy or lactation
Severe systemic diseases
Presence of carious lesions or restorations in the cervical region
Noncarious cervical lesions extending below the gingival margin
Deep periodontal pockets or periodontal surgery within 3 months and subjects with orthodontic appliance or bridge work
Heavy bruxism or clenching habits
History of hypersensitivity to dental resins or etchants or adhesives
Inability to comply with follow-up visits
 
 
Method of Generating Random Sequence   Permuted block randomization, fixed 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
The primary outcome variables assessed are Retention, Marginal Integrity, Marginal discoloration, Surface texture, Postoperative sensitivity and Recurrent caries based on the modified USPHS Criteria and scored accordingly  All restorations will be assessed immediately after at baseline and at follow up periods at 6 months and 1 year using the same Modified USPHS criteria  
 
Secondary Outcome  
Outcome  TimePoints 
Nil  Nil 
 
Target Sample Size   Total Sample Size="170"
Sample Size from India="170" 
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 2 
Date of First Enrollment (India)   20/08/2025 
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="1"
Months="6"
Days="30" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response -  Statistical Analysis Plan
    Response -  Analytic Code

  3. Who will be able to view these files?
    Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.

  4. For what types of analyses will this data be available?
    Response - For individual participant data meta-analysis.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [vidyaendo@gmail.com].

  6. For how long will this data be available start date provided 29-01-2028 and end date provided 31-12-2032?
    Response - Beginning 3 months and ending 5 years following article publication.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - nil
Brief Summary  

This study titled Outcome Evaluation of Non Carious Cervical Lesions restored using Dental Composite Resin with Glycolic Acid and Phosphoric Acid as Etchants A Double Blind Split Mouth Randomized Controlled Trial is going to assess and compare the clinical outcome of non-carious cervical lesion restorations using dental composite resin with glycolic acid and phosphoric acid as etchants. A total of 170 restorations will be done and each participant will receive composite restorations on both sides of the mouth, with one side using glycolic acid and the other using phosphoric acid as the etchant. 

For the split mouth trial the two treatment groups are randomly assigned to the right or left side using a block scheme. In this method both the site and the treatment are randomly allocated creating a matched data of two outcome measures per participant. The order of site or treatment combinations are organised into six diverse schemes. The random blocks will be allocated by a data monitoring person to ensure that the principal investigator and the study subjects will not be involved in the allotment of treatment arms. Treatment for both the arms will be done by the same person. Each participant will be blinded to which side receives which etchant, and the evaluator will also be blinded to the treatment allocation. The investigator will be provided with a code indicating the treatment assignment for each half of the participants mouth. The treatment code will link the participants right or left half to their assigned treatment group. The investigator will apply both the etchants in the same way for the participants. After the treatment is done the participants will be sent to the outcome assessor for outcome measures. It will be ensured that the outcome assessors are independent of the treatment administration and blinded to the treatment assignment. They will not have access to the treatment codes or any information that could reveal the treatment allocation. After the completion of composite restoration following the standard protocol and will be sent to the outcome assessors immediately after at baseline 3 months and 6 months after the restoration. The outcome variables assessed are Retention, Marginal Integrity, Marginal discoloration, Surface texture, Postoperative sensitivity and Recurrent caries using the Modified USPHS Criteria. 

Statistical analysis will be conducted. Descriptive statistics will be expressed as mean and SD. Categorical variables will be expressed as frequencies and percentages. A student t test and chi square test will be used for testing the association between the control and experimental groups for continuous and categorical variables respectively. For studying the changes by split mouth model in the same patient, a panel analysis will be utilized. Regression models will be used to analyse whether the treatment group has better outcomes over time compared to the control. Survival analysis will be employed by the KM curve and log-rank statistic and utilize the Cox Proportional Hazards Regression for identifying survival predictors. A p value less than 0.05 will be considered as statistically significant. 

The study will adhere to ethical principles as outlined in the Declaration of Helsinki. Participants will be informed about the nature of the study, the procedures, and possible risks. Informed consent will be obtained from each participant. The study protocol got approval from the Institutional Ethical Committee and will be registered under the Clinical Trials Registry of India.

At the end of the study it is anticipated to obtain a favourable clinical outcome that supports the use of glycolic acid as an etchant for composite restorations. This study is expected to give evidence on the use of glycolic acid as an alternative to the phosphoric acid etchant in restoring non carious cervical lesions using composite restoration.

 
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