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CTRI Number  CTRI/2025/08/092224 [Registered on: 01/08/2025] Trial Registered Prospectively
Last Modified On: 01/08/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Diagnostic
Dentistry 
Study Design  Other 
Public Title of Study   EVALUATION OF EFFICACY OF INTERLEUKIN 6 AS A MARKER TO DETERMINE THE SEVERITY OF PULP status 
Scientific Title of Study   Evaluation of efficacy of interleukin 6 as a diagnostic marker to determine the severity of pulpal inflammation 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Matta Navya 
Designation  Post graduate (2nd year student) 
Affiliation  anil neerukonda institute of dental sciences 
Address  Room No 7 Department of pediatric and preventive dentistry Anil neerukonda institute of dental sciences Visakhapatnam
Room No 7 Department of pediatric and preventive dentistry Anil neerukonda institute of dental sciences Visakhapatnam
Visakhapatnam
ANDHRA PRADESH
531163
India 
Phone  8328330343  
Fax    
Email  navyanavimatta@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr K Chaitanya ram 
Designation  Professor and Head 
Affiliation  anil neerukonda institute of dental sciences 
Address  Room No 7 Department of pediatric and preventive dentistry Anil neerukonda institute of dental sciences Visakhapatnam
Room No 7 Department of pediatric and preventive dentistry Anil neerukonda institute of dental sciences Visakhapatnam
Visakhapatnam
ANDHRA PRADESH
531163
India 
Phone  9493120291  
Fax    
Email  fauchard2612@gmail.com  
 
Details of Contact Person
Public Query
 
Name  MATTA NAVYA 
Designation  Post graduate (2nd year student) 
Affiliation  Anil neerukonda institute of dental sciences 
Address  Room No 7 Department of pediatric and preventive dentistry Anil neerukonda institute of dental sciences Visakhapatnam
Room No 7 Department of pediatric and preventive dentistry Anil neerukonda institute of dental sciences Visakhapatnam
Visakhapatnam
ANDHRA PRADESH
531163
India 
Phone  8328330343  
Fax    
Email  navyanavimatta@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Matta Navya 
Address  Room No 7 Department of pediatric and preventive dentistry Anil neerukonda institute of dental sciences Visakhapatnam 
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 Matta Navya  Anil neerukonda institute of dental sciences  Room No 7 Department of pediatric and preventive dentistry Anil neerukonda institute of dental sciences Visakhapatnam
Visakhapatnam
ANDHRA PRADESH 
8328330343

navyanavimatta@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
instituitional ethical committee -Anil neerukonda institute of dental sciences  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K029||Dental caries, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  dental caries  reversible pulpitis vs irreversible pulpitis interleukin 6 variability 
Intervention  interleukin 6 levels variability  Evaluation of efficacy of interleukin 6 as a diagnostic marker to determine the severity of pulpal inflammation for reversible and irreversible pulpitis for a span of 1 month 
 
Inclusion Criteria  
Age From  6.00 Year(s)
Age To  14.00 Year(s)
Gender  Both 
Details  Children with dental caries, aged between 6–14 years, with no underlying systemic diseases were included 
 
ExclusionCriteria 
Details  Recent febrile illness, systemic conditions, and un-cooperative behavior were excluded from the study 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
DIFFERENTIATE BETWEEN REVERSIBLE AND IRREVERSIBLE PULPITIS interms of interleukin 6 levels  4 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
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 3 
Date of First Enrollment (India)   10/09/2025 
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="1"
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  

Background:
Pulpitis is an intricate inflammatory condition of the dental pulp, predominantly caused by microbial irritation. The clinical diagnosis of pulpitis categorized as either reversible or irreversible is typically based on subjective assessments, including patient reported symptoms and radiographic findings. However, these clinical evaluations may not always reflect the true histopathological status of the pulp. Accurate diagnosis is critical for the success of pulp therapy procedures. Emerging evidence suggests that inflammatory molecular biomarkers, particularly those involved in the pathogenesis of pulpitis, could serve as objective tools for assessing the extent of pulpal inflammation. Among these, interleukin-6 (IL-6) has shown promise as a diagnostic biomarker.

Aim:
The objective of this study was to evaluate whether salivary IL-6 levels could be utilized as a supplementary diagnostic marker to determine the severity of pulp inflammation in cases of deep dental caries.

Methodology:
The study included 10 paediatric patients, aged between 6 - 14 years, presenting with deep carious lesions. Based on clinical examination, radiographic examination five patients were diagnosed with reversible pulpitis (RP) and five with irreversible pulpitis (IP). Stimulated whole saliva samples were collected from the floor of the mouth. The concentration of IL-6 in these samples was quantified using the Chemiluminescent Immunoassay (CLIA) method. An independent sample t-test was conducted to analyse the statistical significance of differences in IL-6 levels between the two groups.

Results:
IL-6 levels were found to be significantly elevated in the irreversible pulpitis group compared to the reversible pulpitis group. The mean IL-6 concentration was 8.18 pg/mL in the reversible pulpitis group and 29.52 pg/mL in the irreversible pulpitis group, indicating a marked distinction between the two inflammatory states.

Conclusion:
The findings suggest that saliva may serve as a viable diagnostic medium for assessing pulpal inflammation, especially in the presence of deep carious lesions. Salivary IL-6 levels exhibited a strong discriminatory capacity between reversible and irreversible pulpitis.

KEY WORDS: Interleukin-6, salivary markers, reversible pulpitis, irreversible pulpitis, inflammatory mediators

 
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