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CTRI Number  CTRI/2025/08/093243 [Registered on: 19/08/2025] Trial Registered Prospectively
Last Modified On: 19/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Cluster Randomized Trial 
Public Title of Study   Testing blood markers to check gum health in smokers and non-smokers. 
Scientific Title of Study   Cell free DNA and its receptor TLR9: a possible marker for periodontal disease status in smokers and non-smokers. 
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 Sruthy Sudir 
Designation  Postgraduate student 
Affiliation  Vydehi Institute of Dental Sciences and Research Centre 
Address  Department of Periodontics, Room number 6,Vydehi Institute of Dental Sciences and Research Centre, 82, Nallurahalli Main Rd, near BMTC 18th Depot, Whitefield, Bengaluru, Karnataka
Vydehi Institute of Dental Sciences and Research Centre 82, Nallurahalli Main Rd, near BMTC 18th Depot, Whitefield, Bengaluru, Karnataka
Bangalore
KARNATAKA
560066
India 
Phone  9535520386  
Fax    
Email  SRUTHYSUDIR@GMAIL.COM  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sanjeela Guru 
Designation  Associate Professor 
Affiliation  Vydehi Institute of Dental Sciences and Research Centre 
Address  Department of Periodontics, Room number 6,Vydehi Institute of Dental Sciences and Research Centre, 82, Nallurahalli Main Rd, near BMTC 18th Depot, Whitefield, Bengaluru, Karnataka
Vydehi Institute of Dental Sciences and Research Centre 82, Nallurahalli Main Rd, near BMTC 18th Depot, Whitefield, Bengaluru, Karnataka
Bangalore
KARNATAKA
560066
India 
Phone  7259665551  
Fax    
Email  sanjeelaguru@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sanjeela Guru 
Designation  Associate Professor 
Affiliation  Vydehi Institute of Dental Sciences and Research Centre 
Address  Department of Periodontics, Room number 6,Vydehi Institute of Dental Sciences and Research Centre, 82, Nallurahalli Main Rd, near BMTC 18th Depot, Whitefield, Bengaluru, Karnataka
Vydehi Institute of Dental Sciences and Research Centre 82, Nallurahalli Main Rd, near BMTC 18th Depot, Whitefield, Bengaluru, Karnataka
Bangalore
KARNATAKA
560066
India 
Phone  7259665551  
Fax    
Email  sanjeelaguru@yahoo.com  
 
Source of Monetary or Material Support  
nil 
 
Primary Sponsor  
Name  Dr Sruthy Sudir 
Address  Department of Periodontics, Vydehi Institute of Dental Sciences and Research Centre 82, Nallurahalli Main Rd, near BMTC 18th Depot, Whitefield, Bengaluru, Karnataka 
Type of Sponsor  Other [Individual sponsor] 
 
Details of Secondary Sponsor  
Name  Address 
Dr Sruthy Sudir  Department of Periodontics, Vydehi Institute of Dental Sciences and Research Centre 82, Nallurahalli Main Rd, near BMTC 18th Depot, Whitefield, Bengaluru, Karnataka 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Sruthy Sudir  Room No.6 Department of Periodontics, Vydehi Institute of Dental Sciences and Research Centre  Department of Periodontics, Vydehi Institute of Dental Sciences and Research Centre 82, Nallurahalli Main Rd, near BMTC 18th Depot, Whitefield, Bengaluru, Karnataka
Bangalore
KARNATAKA 
9535520386

SRUTHYSUDIR@GMAIL.COM 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Vydehi Institute of Dental Sciences Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Smokers with Periodontitis 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Collection of GCF samples  Collection of GCF samples from patients with periodontitis and smokers with periodontitis and comparison of the cfDNA levels. 
Comparator Agent  Smoking  Healthy group compared with patients having periodontitis and smokers with periodotitis 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Group 1:Periodontal health with intact periodontium (healthy)
Group 2:Subjects with Stage II-IV generalized periodontitis.
Group 3: Subjects with the habit of smoking nicotine cigarettes with periodontitis
 
 
ExclusionCriteria 
Details  Patients with any systemic disease.
Former smokers.
People using other forms of smoking along with cigarettes.
Patients undergoing orthodontic treatment.
Pregnancy or lactation.
Patients with history of periodontal therapy within past 3 months.
Patients with history of antibiotic intake within past 3 months.
Patients with history of anti-inflammatory drug therapy within 3 months.
Patients with any intra oral lesions.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Difference in salivary or gingival crevicular fluid (GCF) levels of cell-free DNA and TLR9 expression between smokers, non-smokers, and healthy controls, and their correlation with periodontal disease severity.  Difference in salivary or gingival crevicular fluid (GCF) levels of cell-free DNA and TLR9 expression between smokers, non-smokers, and healthy controls, and their correlation with periodontal disease severity. 
 
Secondary Outcome  
Outcome  TimePoints 
Changes in periodontal clinical parameters (PPD, CAL, BOP, PI, GI) after therapy.

Correlation between cfDNA/TLR9 levels and disease severity.

Differences in cfDNA/TLR9 changes between smokers and non-smokers over time.

Diagnostic accuracy of cfDNA/TLR9 in distinguishing disease status and predicting treatment response. 
Difference in salivary or gingival crevicular fluid (GCF) levels of cell-free DNA and TLR9 expression between smokers, non-smokers, and healthy controls, and their correlation with periodontal disease severity. 
 
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)   16/09/2025 
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="3"
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 - NO
Brief Summary  

Informed consent was obtained from the patients who are willing to participate in the study. GCF samples will collected from all subjects followed by the recording of clinical parameters at baseline. Patients in group 2 and 3 will further receive standard periodontal therapy as deemed necessary after the baseline recordings and GCF collection.

 
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