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CTRI Number  CTRI/2025/09/095379 [Registered on: 24/09/2025] Trial Registered Prospectively
Last Modified On: 30/03/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   Healing After Gum Surgery: Comparing Tissue Glue Alone and Tissue Glue with Laser Therapy 
Scientific Title of Study   Evaluating and comparing the healing of periodontal flap using cyanoacrylate tissue adhesive alone and along with low level laser therapy 
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 Kratee Sharma 
Designation  Professor 
Affiliation  Kothiwal Dental College and Research Centre, Moradabad 
Address  Department of Periodontology, Room Number-3, First Floor, Kothiwal Dental College and Research Centre, Mora Mustaqueem, Kanth Road, Moradabad, Uttar Pradesh, India
Department of Periodontology, Room Number-3, First Floor, Kothiwal Dental College and Research Centre, Mora Mustaqueem, Kanth Road, Moradabad, Uttar Pradesh, India
Moradabad
UTTAR PRADESH
244001
India 
Phone  7060945432  
Fax    
Email  drkratee@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Shalabh Mehrotra 
Designation  Professor and Head 
Affiliation  Teerthanker Mahaveer Dental College and Research Centre,TMU, Moradabad 
Address  Department of Periodontology, Room number-716, Sixth floor, Teerthanker Mahaveer Dental College and Research Centre,TMU,NH9, Delhi Road, Bagadpur, Moradabad
Department of Periodontology, Room number-716, Sixth floor, Teerthanker Mahaveer Dental College and Research Centre,TMU,NH9, Delhi Road, Bagadpur, Moradabad
Moradabad
UTTAR PRADESH
244001
India 
Phone  9758957151  
Fax    
Email  drshalabh.dental@tmu.ac.in  
 
Details of Contact Person
Public Query
 
Name  Dr Shalabh Mehrotra 
Designation  Professor and Head 
Affiliation  Teerthanker Mahaveer Dental College and Research Centre,TMU, Moradabad 
Address  Department of Periodontology, Room number-716, Sixth floor, Teerthanker Mahaveer Dental College and Research Centre,TMU,NH9, Delhi Road, Bagadpur, Moradabad
Department of Periodontology, Room number-716, Sixth floor, Teerthanker Mahaveer Dental College and Research Centre,TMU,NH9, Delhi Road, Bagadpur, Moradabad
Moradabad
UTTAR PRADESH
244001
India 
Phone  9758957151  
Fax    
Email  drshalabh.dental@tmu.ac.in  
 
Source of Monetary or Material Support  
Kothiwal Dental College and Research Centre, Mora Mustaqeem, Kanth road, Moradabad,244001 
 
Primary Sponsor  
Name  Dr Kratee Sharma 
Address  Kothiwal Dental College and Research Centre,Mora Mustaqeem,Kanth road, Moradabad,244001 
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 
Kratee Sharma  Kothiwal dental college and Research Centre  Department of Periodontology, Room Number-3, First Floor, Kothiwal Dental College and Research Centre, Mora Mustaqueem, Kanth Road, Moradabad, Uttar Pradesh, India
Moradabad
UTTAR PRADESH 
7060945432

drkratee@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
Institutional Ethics and Review Board, Kothiwal Dental College and Research Centre, Moradabad  Approved 
Institutional Ethics and Review Board, Kothiwal Dental College and Research Centre, Moradabad  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K053||Chronic periodontitis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Open flap debridement followed by application of Low level laser therapy and flap closure with cyanoacrylate (Iso-amyl cyanoacrylate)   Intra-crevicular incision followed by reflection of the flap, debridement of the granulation tissues, application of low level laser therapy on inner side of flap with FONA LASER; power-0.5 W, wavelength-940 nm, energy-2.5 J, frequency-20 Hz, 320 micrometer laser tip(7mm length), duration-10 seconds followed by re-adaptation of flap with Iso-amyl cyanoacrylate 
Comparator Agent  Open flap debridement followed by flap closure with 3.0 silk sutures  Intra-crevicular incision followed by reflection of the flap, debridement of granulation tissues, and re-adaptation of flap with 3.0 silk suture 
Intervention  Open flap debridement followed by flap closure with cyanoacrylate (Iso-amyl cyanoacrylate)  Intra-crevicular incision followed by reflection of the flap, debridement of granulation tissues, and re-adaptation of flap with Iso-amyl cyanoacrylate 
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  55.00 Year(s)
Gender  Both 
Details  1) Residual probing depth 5-8 mm
2) Good level of oral hygiene after initial therapy
3) No discrimination of gender,caste,religion or socio-economic status 
 
ExclusionCriteria 
Details  1) Medically compromised patients
2) Mentally disabled and physically handicapped patients
3) Smokers
4) Pregnant women and lactating mothers
5) Presence of acute periodontal or endodontic infections in the proposed surgical area
6) Known allergy to cyanoacrylate
7) History of radiation therapy or chemotherapy within the past year
8) Patients who are uncooperative, unwilling to participate in study and not maintaining oral hygiene properly
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Periodontal healing assessed using Wound Healing Index (Huang et al., 2005)   Post-operative Day 3, Day 7, Day 14 and Day 21  
 
Secondary Outcome  
Outcome  TimePoints 
1) Postoperative pain using Visual Analogue Scale(VAS)
2) Reduction of Probing pocket depth(PPD)
3) Plaque accumulation by Turesky- Gilmore- Glickman modification of Quigley Hein Plaque Index 1970  
Before intervention, Post-operative Day 3, Day 7, Day 14, Day 21, Day 42 
 
Target Sample Size
Modification(s)  
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   Phase 2/ Phase 3 
Date of First Enrollment (India)   03/11/2025 
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)   Not Applicable 
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 - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response - Clinical Study Report

  3. Who will be able to view these files?
    Response - Anyone

  4. For what types of analyses will this data be available?
    Response - Any purpose.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [drkratee@gmail.com].

  6. For how long will this data be available start date provided 03-11-2025 and end date provided 03-11-2026?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary
Modification(s)  

The present study is a prospective, randomized, controlled, single blinded, parallel-group clinical trial that aims to compare three different flap closure techniques: (i) conventional silk sutures, (ii) iso-amyl cyanoacrylate adhesive, and (iii) iso-amyl cyanoacrylate adhesive combined with Low-Level Laser Therapy (940 nm diode laser, 0.5 W, contact mode, 10 seconds).  After Phase 1 therapy and re-evaluation, a total of 60 patients requiring flap surgery for chronic periodontitis will be recruited and randomly allocated into three groups, 20 each ; Group A:-  Flap closure with braided silk 3-0 sutures (Ethicon Mersilk, Johnson & Johnson Pvt. Ltd.); Group B:-  Flap closure with cyanoacrylate (Iso-amyl  cyanoacrylate);  Group C:-  Flap closure with cyanoacrylate (Iso-amyl cyanoacrylate) with prior application of LLLT. Clinical parameters will be assessed at baseline and during follow-up. The primary outcome will be the Wound Healing Index (recorded at 3rd day, 1 week, 2 weeks, and 3 weeks). Secondary outcomes include postoperative pain using the Visual Analogue Scale (VAS) at the same time intervals, Periodontal Pocket Depth (PPD) at baseline and 6 weeks, and the Turesky–Gilmore–Glickman Plaque Index at baseline and 6 weeks. Patients are blinded to group allocation to reduce bias, and outcome aims to assess a minimally invasive alternative for flap closure. Data will be statistically analyzed, with significance set at p<0.05.


 
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