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CTRI Number  CTRI/2025/08/092611 [Registered on: 07/08/2025] Trial Registered Prospectively
Last Modified On: 06/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Evaluating how effective chitosan-based wound dressings are for gum enlargement surgeries 
Scientific Title of Study   EVALUATION OF THE EFFECTIVENESS OF CHITOSAN-BASED DRESSING ON WOUND HEALING BY SECONDARY INTENTION: AN IN VIVO 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 Shivi Mittal 
Designation  Postgraduate student 
Affiliation   
Address  Room no.3, Department of Periodontology,Kothiwal Dental College and Research Centre, Mora Mustaqueem,Kanth Road

Moradabad
UTTAR PRADESH
244001
India 
Phone  9711775454  
Fax    
Email  shivimittal5678@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ellora Madan 
Designation  Junior Resident 1 
Affiliation   
Address  Kothiwal Dental College and Research Centre,Haridwar Road, Mora Mustaqueem,Kanth Road

Moradabad
UTTAR PRADESH
244001
India 
Phone    
Fax    
Email  ellorabhattmadan@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Shivi Mittal 
Designation   
Affiliation   
Address  Room no.3, Department of Periodontology,Kothiwal Dental College and Research Centre,Mora Mustaqueem,Kanth Road

Moradabad
UTTAR PRADESH
244001
India 
Phone    
Fax    
Email  shivimittal5678@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Kothiwal Dental College and Research Centre 
Address  Kothiwal Dental College and Research Centre,Haridwar Road, Mohra Ki Milak, Moradabad, Uttar Pradesh 244001 
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 Shivi Mittal  Kothiwal Dental College and Research Centre  Room No. 3, Department of Periodontology, Moradabad, Uttar Pradesh
Moradabad
UTTAR PRADESH 
09711775454

shivimittal5678@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
KOTHIWAL DENTAL COLLEGE AND RESEARCH CENTRE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Patients with Gingival Enlargement 
Patients  (1) ICD-10 Condition: K051||Chronic gingivitis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Chitosan based dressing along with Coe-Pak post gingivectomy   Chitosan based dressing is sourced from R2 Healthcare, New Delhi in standard size (5cmx5cm).Duration 45 minutes 
Intervention  Eugenol free periodontal dressing (Coe-Pak) after Gingivectomy  Procured from the Department of Periodontology,Kothiwal Dental College and Research Centre.Duration 45 minutes 
 
Inclusion Criteria  
Age From  22.00 Year(s)
Age To  55.00 Year(s)
Gender  Both 
Details  1. Subjects requiring excisional gingival procedures undergoing healing by secondary intention.
2. Subjects with gingival enlargement Grade greater or equal to 2 involving at least 3 teeth on each side of the midline in an arch.
3. Subjects who gave written informed consent 
 
ExclusionCriteria 
Details  1. Subjects taking any medication which can influence the gingival response during healing
2. Subjects with any systemic disease affecting the periodontium
3. Pregnant women, lactating mothers, postmenopausal women
4. Subjects with any blood dyscrasia or bleeding disorder
5. Smokers and tobacco chewers
6. Subjects who were unable to perform routine oral hygiene procedures or not complying with oral hygiene instructions 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
1. Assessment of Pain on 1st, 3rd and 7th day respectively
2. Assessment of Healing on 7th, 15th and 30th day respectively 
1. Assessment of Pain on 1st, 3rd and 7th day respectively
2. Assessment of Healing on 7th, 15th and 30th day respectively 
 
Secondary Outcome  
Outcome  TimePoints 
To compare the results in both the groups that is control group coepak alone & test group chitosan based dressing with coepak after 2 years  To compare the results in both the groups that is control group coepak alone & test group chitosan based dressing with coepak after 2 years 
 
Target Sample Size   Total Sample Size="26"
Sample Size from India="26" 
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)   17/08/2025 
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="2"
Months="0"
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 - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response - Clinical Study Report

  3. Who will be able to view these files?
    Response - Anyone

  4. For what types of analyses will this data be available?
    Response - Any purpose.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [shivimittal5678@gmail.com].

  6. For how long will this data be available start date provided 10-10-2025 and end date provided 12-12-2026?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary  
This in vivo randomized controlled trial evaluates the effectiveness of chitosan-based dressing (AXIOSTAT) on gingival wound healing by secondary intention following gingivectomy. A total of 26 systemically healthy patients requiring excisional gingival procedures will be selected and randomly allocated into two groups. Group A (control) will receive Coe-Pak periodontal dressing alone, while Group B (test) will receive chitosan dressing with Coe-Pak. Pain will be assessed using the Visual Analogue Scale (VAS) on days 1, 3, and 7. Healing will be evaluated using the Landry Healing Index on days 7, 15, and 30. The study will follow a single-blinded design to reduce bias.

Chitosan is a natural biopolymer derived from chitin with excellent biocompatibility, antimicrobial properties, and hemostatic potential. Its sponge form promotes clot stabilization, enhances tissue regeneration, and offers improved healing in open wounds. This study aims to compare its efficacy with conventional periodontal dressings in terms of pain reduction and accelerated healing. Ethical clearance and CTRI registration will be obtained. The findings of this study may help establish chitosan as a superior biomaterial for post-surgical wound management in periodontology, improving patient comfort and clinical outcomes during healing by secondary intention.
 
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