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CTRI Number  CTRI/2025/07/090084 [Registered on: 02/07/2025] Trial Registered Prospectively
Last Modified On: 10/03/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Silver Nanoparticle vs Chlorhexidine Gel for treatment of Gum Disease  
Scientific Title of Study   Comparative evaluation of efficacy of Silver nanoparticle gel versus Chlorhexidine gel as local drug delivery agent in management of Chronic Periodontitis- A split-mouth randomised 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 Vishakha Chauhan 
Designation  MDS Part 1 
Affiliation  Bharati Vidyapeeth Deemed to be University Dental College and Hospital, Pune- 411043 
Address  Department of Periodontology Bharati Vidyapeeth Deemed to be University Dental College and Hospital Dhankawadi Katraj

Pune
MAHARASHTRA
411043
India 
Phone  9521560254  
Fax    
Email  chauhanvishakha23@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Pooja Pharne 
Designation  Associate Professor 
Affiliation  Bharati Vidyapeeth Deemed to be University Dental College and Hospital, Pune- 411043 
Address  Department of Periodontology Bharati Vidyapeeth Deemed to be University Dental College and Hospital Dhankawadi Katraj

Pune
MAHARASHTRA
411043
India 
Phone  8459405533  
Fax    
Email  pooja.pharne@bharatividyapeeth.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Vishakha Chauhan 
Designation  MDS Part 1 
Affiliation  Bharati Vidyapeeth Deemed to be University Dental College and Hospital, Pune- 411043 
Address  Department of Periodontology Bharati Vidyapeeth Deemed to be University Dental College and Hospital Dhankawadi Katraj

Pune
MAHARASHTRA
411043
India 
Phone  9521560254  
Fax    
Email  chauhanvishakha23@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Dr. Vishakha Chauhan 
Address  Department of Periodontology Bharati Vidyapeeth Deemed to be University Dental College and Hospital Dhankawadi Katraj Pune 411043 
Type of Sponsor  Other [Primary Investigator] 
 
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 Vishakha Chauhan  Bharati Vidyapeeth Deemed to be University Dental College  Department of Periodontology Bharati Vidyapeeth Deemed to be University Dental College and Hospital Dhankawadi Katraj Pune 411043
Pune
MAHARASHTRA 
9521560254

chauhanvishakha23@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institute Ethics Committee of Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital Pune  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Generalised Chronic Periodontitis 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Chlorhexidine gel  15 sites will be treated with scaling and root planing followed by placement of Chlorhexidine gel that is Hexigel in the periodontal pocket 
Intervention  Silver nanoparticle gel  15 sites will be treated with scaling and root planing followed by placement of Silver nanoparticle gel that is Megaheal gel in the periodontal pocket 
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Subjects willing to participate in the study with written informed consent.
Systemically healthy subjects
Subjects with age between 25 to 60 years
Subjects with Chronic Periodontitis having periodontal pockets with probing depth 4 to 6 mm in at least 30 percent sites with bleeding on probing present in mouth 
 
ExclusionCriteria 
Details  Subjects who are medically compromised
Subjects with any history of allergy to the material used in study
Subjects who have undergone any type of periodontal treatment in last 6 months
Pregnant and lactating women
Subjects on long term administration of inflammatory and immunosuppressive therapy
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Following clinical parameters will be assessed-
Gingival Index Loe and Silness 1963
Plaque Index Turesky-Gilmore-Glickman modification of the Quigley–Hein Plaque index 1970
Pocket Probing Depth reduction

Microbiological analysis will be done for anaerobic organisms at Baseline and 90 days for Porphyromonas gingivalis and Prevotella intermedia  
Clinical parameters will be assessed at Baseline, 45 days and 90 days
Microbiological parameters will be assessed at Baseline and 90 days
 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="15"
Sample Size from India="15" 
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)   30/07/2025 
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="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Open to Recruitment 
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 - NO
Brief Summary  

15 Participants visiting the Out patient Department of  Periodontology at Bharati Vidyapeeth Deemed to be University Dental College and Hospital, Pune and willing to participate in the study will be selected

After explaining the study design a written informed consent will be obtained from the participants
A case history proforma will be designed for this study to ensure the systematic and methodical recording of all information and observations

A detailed case history will be documented

Clinical examination will be conducted on a dental chair under standard lighting conditions using a mouth mirror, explorer, UNC 15 probe and tweezers

Clinical parameters will be assessed accordingly

This is a split mouth technique in which right and left maxillary/mandibular posterior teeth will be allotted to Test or Control group based on simple randomization by coin flipping

This is a triple blinded study in which the patient, investigator and examiner will not be aware of which Local drug delivery agent is used on each side.

 Following clinical parameters will be assessed at Baseline, 45 days and 90 days 

1) Gingival Index  Loe and Silness 1963

2) Plaque Index  Turesky Gilmore Glickman modification of the Quigley Hein Plaque index 1970

3) Pocket Probing Depth

 Microbiological analysis will be done for anaerobic organisms at Baseline and 90 days 

1) Porphyromonas gingivalis aka P. gingivalis

2) Prevotella intermedia aka P. Intermedia

 Selected sites will be randomly divided into group A and group B:

Group A or Control group  15 sites will be treated with scaling and root planing followed by placement of Chlorhexidine gel  in the periodontal pocket

Group B or Test group 15 sites will be treated with scaling and root planing followed by placement of  Silver nanoparticle gel  in the periodontal pocket


Sample collection

The area will be isolated using sterile cotton rolls. Subgingival plaque will be scraped using a Gracey curette from the root surface of all teeth included in this study

The collected plaque sample will be transferred into reduced transport fluid and transported immediately for microbiological analysis at Maratha Mandal Dental College Belgaum Karnataka

All standard operating procedures and aseptic protocols will be followed during the collection and transportation of samples

Upon receiving the plaque samples, they will be vortexed properly and cultured on blood agar and PgA agar followed by anaerobic incubation in an anaerobic jar for 48 to 72 hours. 

After incubation, the total colony count will be recorded Porphyromonas gingivalis and Prevotella intermedia will be identified based on their colony morphology and their counts will be noted separately

 
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