| CTRI Number |
CTRI/2025/08/093282 [Registered on: 19/08/2025] Trial Registered Prospectively |
| Last Modified On: |
18/08/2025 |
| Post Graduate Thesis |
No |
| Type of Trial |
Interventional |
|
Type of Study
|
Biological Dentistry |
| Study Design |
Randomized, Parallel Group, Active Controlled Trial |
|
Public Title of Study
|
Treatment of thin gums for preventing gum recession and loss of teeth by increasing gum thickness |
|
Scientific Title of Study
|
Gingival phenotypic modification using recombinant human fibroblast growth factor -2 impregnated scaffold - A randomised clinical 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 Saravanan SP |
| Designation |
AssistantProfessor |
| Affiliation |
Army Dental Centre Research Referral Delhi |
| Address |
Room No 205 First Floor Dept of Periodontology Army Dental Centre Research and Referral Delhi India
Army Dental Centre Research and Referral Delhi India
South
DELHI 110010 India
South DELHI 110010 India |
| Phone |
9637110906 |
| Fax |
|
| Email |
saravananacademics@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Saravanan SP |
| Designation |
AssistantProfessor |
| Affiliation |
Army Dental Centre Research Referral Delhi |
| Address |
Room No 205 First Floor Dept of Periodontology Army Dental Centre Research and Referral Delhi India
Army Dental Centre Research and Referral Delhi India
South
DELHI 110010 India
DELHI 110010 India |
| Phone |
9637110906 |
| Fax |
|
| Email |
saravananacademics@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Dr Saravanan SP |
| Designation |
AssistantProfessor |
| Affiliation |
Army Dental Centre Research Referral Delhi |
| Address |
Room No 205 First Floor Dept of Periodontology Army Dental Centre Research and Referral Delhi India
Army Dental Centre Research and Referral Delhi India
South
DELHI 110010 India
DELHI 110010 India |
| Phone |
9637110906 |
| Fax |
|
| Email |
saravananacademics@gmail.com |
|
|
Source of Monetary or Material Support
|
| Army Dental Centre Research and Referral Dhaula Kuan Delhi Cantonment Delhi 110010 |
|
|
Primary Sponsor
|
| Name |
Indian Army |
| Address |
Director General Armed Forces Medical Services Room A402 Block A 4th Floor Africa Avenue New Delhi 110023 |
| Type of Sponsor |
Government funding agency |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Lt Col Saravanan SP |
Army Dental Centre Research and Referral |
Room No 205 First Floor Dept of Periodontology Delhi Cantonment 110010 South
DELHI South DELHI |
9637110906
saravananacademics@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| ARMY DENTAL CENTRE |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: K055||Other periodontal diseases, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
Control |
Autogenous connective tissue graft will be used as soft tissue graft for gingival phenotypic modification of thin gingival phenotype in patients undergoing fixed orthodontic therapy will be followed up to 12 months |
| Intervention |
Intervention |
Recombinant human fibroblast growth factor impregnated collagen scaffold will be used as soft tissue substitute for gingival phenotypic modification of thin gingival phenotype in patients undergoing fixed orthodontic therapy will be followed up to 12 months |
|
|
Inclusion Criteria
|
| Age From |
20.00 Year(s) |
| Age To |
35.00 Year(s) |
| Gender |
Both |
| Details |
Thin gingival phenotype
Mandibular anterior region with respect to central incisors
FMBS less than 20
FMPS less than 20 |
|
| ExclusionCriteria |
| Details |
Smokers
Tobacco users
Pregnancy
Lactating mothers
Not available for 12 months follow up Unwilling for periodic recall every 3 months |
|
|
Method of Generating Random Sequence
|
Random Number Table |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Outcome Assessor Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
Changes in gingival soft tissue height Changes in keratinised tissue width
Mean root coverage
Complete root coverage
Visual analog scale
Patient reported outcome measures |
Baseline, 3 Months, 6 Months, 9 Months, 12 Months
|
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| Patient satisfaction Incidence of complications |
0,3,6,9,12 months |
|
|
Target Sample Size
|
Total Sample Size="30" Sample Size from India="30"
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)
|
15/10/2025 |
| 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)
|
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
|
Recombinant human fibroblast growth factor incorporated into a collagen scaffold offers a biomimetic, cell-stimulating alternative to autogenous connective tissue graft for gingival soft tissue phenotype modification. While connective tissue graft remains the gold standard for increasing gingival thickness and keratinized tissue width due to its predictable integration and volume stability, it is associated with donor site morbidity and limited tissue availability. rhFGF collagen scaffolds eliminate the need for a second surgical site and actively promote fibroblast proliferation, angiogenesis, and extracellular matrix deposition, potentially achieving comparable gains in gingival thickness with reduced patient morbidity. However, long term clinical evidence is still more robust for connective tissue grafts and rhFGF collagen scaffolds are currently better positioned as minimally invasive regenerative adjuncts rather than full replacements. Hence this clinical trial is planned to be conducted with this rationale and background. |