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CTRI Number  CTRI/2025/08/093730 [Registered on: 27/08/2025] Trial Registered Prospectively
Last Modified On: 13/04/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A Study Comparing Light Therapy and Ibuprofen for Reducing Pain During Early Braces Treatment 
Scientific Title of Study   Comparison of efficacy of photobiomodulation therapy with ibuprofen in reducing pain perception associated with placement of elastomeric separator during initial orthodontic treatment 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Ayasmita Nag 
Designation  Post Graduate Trainee 
Affiliation  Guru Nanak Institute of Dental Sciences and Research 
Address  Department of Orthodontics and Dentofacial Orthopedics, Guru Nanak Institute of Dental sciences and research, 157/F,Nilgunj Road Sahid Colony panihati
nil
North Twentyfour Parganas
WEST BENGAL
700114
India 
Phone  9735008606  
Fax    
Email  ayasmitanag.bdc@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr RUPAM KUMARI 
Designation  PROFESSOR 
Affiliation  Guru Nanak Institute of Dental Sciences and Research 
Address  Department of Orthodontics and dentofacial orthopedics, GURUNANAK INSTITUTE OF DENTAL SCIENCES AND RESEARCH, 157/F NILGUNJ ROAD SAHID COLONY PANIHATI
nil
North Twentyfour Parganas
WEST BENGAL
700114
India 
Phone  9875339134  
Fax    
Email  drkrupam2018@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Ayasmita Nag 
Designation  Post Graduate Trainee 
Affiliation  Guru Nanak Institute of Dental Sciences and Research 
Address  DEPARTMENT OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS, GURUNANAK INSTITUTE OF DENTAL SCIENCES AND RESEARCH . 157/F NILGUNJ ROAD SAHID COLONY PANIHATI

North Twentyfour Parganas
WEST BENGAL
700114
India 
Phone  9735008606  
Fax    
Email  ayasmitanag.bdc@gmail.com  
 
Source of Monetary or Material Support  
GURU NANAK INSTITUTE OF DENTAL SCIENCES AND RESEARCH, 157/F NILGUNJ ROAD SAHID COLONY PANIHATI KOLKATA WESTBENGAL ,PIN 700114 
 
Primary Sponsor  
Name  Dr. Ayasmita Nag 
Address  78, Dharmatala lane, Shibpur , Howrah. Pin : 711102 
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 
Ayasmita Nag  Guru Nanak Institute of Dental Sciences and Research  Department of Orthodontics and Dentofacial Orthopedics,Guru Nanak Institute of Dental Sciences and Research,157/F Nilgunj Road, Sahid Colony, Panihati, Kolkata, Khardaha, West Bengal 700114
Kolkata
WEST BENGAL 
9735008606

ayasmitanag.bdc@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Guru Nanak Institute of Dental Sciences and Research 157/F, Nilgunj Road Panihati, City Kolkata, District North 24 parganas west bengal 700114   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  nil 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Ibuprofen  10mg per kg dose 
Intervention  Low level laser therapy  Diode laser device of 650nm wavelength,500 mW energy for 10 seconds, continuous wave, contact mode 
 
Inclusion Criteria  
Age From  14.00 Year(s)
Age To  24.00 Year(s)
Gender  Both 
Details  Patients requiring orthodontic banding with sound first permanent molars having proper proximal contact and permanent second molars should be completely erupted.  
 
ExclusionCriteria 
Details  Patients with acute or gastritis, gastroenteritis , gastric ulcers, or suffering from any local or systemic condition that could affect pain perception and presence of posterior crossbite or open bite 
 
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 
pain reduction by photobiomodulation as compared to ibuprofen  7 days 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="45"
Sample Size from India="45" 
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)   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="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
Modification(s)  
Orthodontic treatment-induced pain poses challenges, affecting patient compliance. Orthodontic forces trigger pain due to tooth movement and bone remodelling around roots, often managed with Non steroidal antiinflammatory drugs(NSAIDS). However, NSAIDs hinder tooth movement and entail systemic side effects like gastrointestinal problem, hepatotoxicity, hypertension, nephrotoxicity, increased risk of heart disease. Photobiomodulation therapy (PBMT), a non-pharmaceutical alternative, shows promise in reducing pain without systemic effects. Previous studies support PBMT’s effectiveness, making it a potential solution for discomfort after separator placement during orthodontic treatment, offering advantages over traditional NSAIDs. This study assesses photobiomodulation therapy’s efficacy for pain relief after separator placement, comparing its effectiveness to Ibuprofen in initial orthodontic treatment stages. This research has a split-mouth design. Elastomeric separators are applied to first molars in one quadrant, followed by immediate photobiomodulation therapy using a diode laser. Pain perception is recorded at various intervals using the Visual Analogue Scale (VAS). After seven days, the same process is repeated in the contralateral quadrant, but with a placebo therapy and prescribed Ibuprofen. Postoperative pain is assessed using VAS, and the data collected will be compared and analyzed to test hypotheses. The study aims to evaluate the effectiveness of photobiomodulation therapy in managing orthodontic pain compared to a placebo and pain relief medication. It is expected that both the therapies, i.e. photobiomodulation and Ibuprofen will reduce pain and the reduction of pain perception in both of the treatment modalities will vary. 
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