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CTRI Number  CTRI/2025/08/093838 [Registered on: 28/08/2025] Trial Registered Prospectively
Last Modified On: 28/08/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Medical Device 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Comparative evaluation of manual and ionic tooth brushing on oral health and microbial status of individuals with intellectual disabilities. 
Scientific Title of Study   Comparative evaluation of manual and ionic tooth brushing on oral health and microbial status of individuals with intellectual disabilities. 
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 Rupali Kalsi 
Designation  Associate Professor  
Affiliation  Government Institute of Medical Sciences (GIMS) 
Address  Department of Dentistry
Kasna Greater Noida
Gautam Buddha Nagar
UTTAR PRADESH
201310
India 
Phone  9582422688  
Fax    
Email  rupalikalsimathur@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Rupali Kalsi 
Designation  Associate Professor  
Affiliation  Government Institute of Medical Sciences (GIMS) 
Address  Department of Dentistry
Kasna Greater Noida

UTTAR PRADESH
201310
India 
Phone  9582422688  
Fax    
Email  rupalikalsimathur@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Mukesh Kumar 
Designation  In-charge Clinical Trial Unit 
Affiliation  Government Institute of Medical Sciences (GIMS) 
Address  Clinical Trial Unit
Kasna Greater Noida
Gautam Buddha Nagar
UTTAR PRADESH
201310
India 
Phone  9116161133  
Fax    
Email  ctu.gims@gmail.com  
 
Source of Monetary or Material Support  
Medical Research Unit Government Institute of Medical Sciences (GIMS) 
 
Primary Sponsor  
Name  Government Institute of Medical Sciences Greater Noida  
Address  Kasna Greater Noida Gautam Buddha Nagar 
Type of Sponsor  Government medical college 
 
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 Rupali Kalsi  Government Institute of Medical Sciences (GIMS)   Department of Dentistry
Gautam Buddha Nagar
UTTAR PRADESH 
9582422688

rupalikalsimathur@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, GIMS Greater Noida  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K051||Chronic gingivitis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Ionic toothbrushes   Intervention for 90 days 
Comparator Agent  Manual toothbrushes   Intervention for 90 days 
 
Inclusion Criteria  
Age From  7.00 Year(s)
Age To  30.00 Year(s)
Gender  Both 
Details  1.Patients of both the genders with at least 20 erupted teeth.
2. Age group 7-30 years.
3.Subjects with mild to moderate degree of intellectual disability
 
 
ExclusionCriteria 
Details  1.Subjects with systemic diseases.
2.Subjects who have received any antibiotic therapy in the last 1 months or subjects taking drugs that could affect state of gingival tissues including corticosteroids and non-steroidal anti-inflammatory drugs.
3. Subjects with true periodontal pockets.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
1.To find out the efficacy of ionic toothbrushes over manual toothbrushes on gingival inflammation based on Gingival Index
2.To find out the efficacy of ionic toothbrushes over manual toothbrushes on plaques scores based on Plaque Index
3.To find out the efficacy of ionic toothbrushes over manual toothbrushes on reduction of oral microbiota .
 
From Baseline to end of treatment at the day 07,21,45,90 
 
Secondary Outcome  
Outcome  TimePoints 
1. Qualitative in depth interviews will be taken of caregivers to explore the problems and barriers encountered with routine oral hygiene measures.
2. Compliance and comments about the brushes will be determined by a pre validated questionnaire based survey. The care giver survey will consist of nine-point Likert-type items to allow for ratings of comfort level, acceptability and usefulness of tooth brush.  
From Baseline to end of treatment at the Day 90. 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
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="18"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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  

Comparative evaluation of manual and ionic tooth brushing on oral health and microbial status  of individuals with intellectual disabilities.

1.      To find out the efficacy of ionic toothbrushes over manual toothbrushes on gingival inflammation based on Gingival Index

2.      To find out the efficacy of ionic toothbrushes over manual toothbrushes on plaques scores based on Plaque Index

3.             To find out the efficacy of ionic toothbrushes over manual toothbrushes on reduction of oral microbiota .

Study proposes to assess the effectiveness of ionic based tooth brushes in maintaining oral hygiene; reducing gingivitis. A previous study showed that proportion of subjects showing important difference of 44% clinically improvement on power brushing as compared to normal brushing is acceptable.

Qualitative in depth interviews will be taken of caregivers to explore the problems and barriers encountered with routine oral hygiene measures. One-to-one interviews will be used to get the personal, medical and demographic data of the participants. Compliance and comments about the brushes will be determined by a pre validated questionnaire based survey. The care giver survey will consist of nine-point Likert-type items to allow for ratings of comfort level, acceptability and usefulness of tooth brush. Participants will be asked to provide open-ended feedback at the end of both the brusher and brushee surveys.  Consent for participating in the study will taken from all volunteers. Instructions were given to use only the given brushes twice daily for 3 minutes by the assigned tooth brushing technique. Demonstration of tooth brushing technique will be given to all the participants and their caregivers by live demonstration and educational videos will be circulated.


 
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