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CTRI Number  CTRI/2026/01/100911 [Registered on: 12/01/2026] Trial Registered Prospectively
Last Modified On: 07/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Combined effect of locally injected Vitamin D3 and injectable platelet rich fibrin which is a blood derivative on the rate of tooth movement during comprehensive orthodontic treatment in adult patients and expression of various biomarkers present in gingival crevicular fluid 
Scientific Title of Study   Synergistic Effect of Locally Injected Vitamin D3 and Injectable Platelet Rich Fibrin (i-PRF) on the Rate of Maxillary Canine Retraction, and Expression of Various Biomarkers in Gingival Crevicular Fluid (GCF) During Comprehensive Orthodontic Treatment: A Randomized Split Mouth Comparative Study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  SITHARA T SAJI 
Designation  JUNIOR RESIDENT ACADEMIC 
Affiliation  AIIMS BHUBANESWAR 
Address  First floor, department of dentistry AIIMS BHUBANESWAR SIJUA PATRAPADA ODISHA 751019
AIIMS BHUBANESWAR SIJUA PATRAPADA ODISHA 751019
Khordha
ORISSA
751019
India 
Phone  7909158201  
Fax    
Email  sajisithara1@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  JITENDRA SHARAN 
Designation  ASSOCIATE PROFESSOR 
Affiliation  AIIMS BHUBANESWAR 
Address  1ST FLOOR, DEPARTMENT OF DENTISTRY, AIIMS, SIJUA, PATRAPADA, PO: DUMDUMA, BHUBANESWAR, ORISSA-751019

Khordha
ORISSA
751019
India 
Phone  9968856761  
Fax    
Email  dent_jitendra@aiimsbhubaneswar.edu.in  
 
Details of Contact Person
Public Query
 
Name  JITENDRA SHARAN 
Designation  ASSOCIATE PROFESSOR 
Affiliation  AIIMS BHUBANESWAR 
Address  1ST FLOOR, DEPARTMENT OF DENTISTRY, AIIMS, SIJUA, PATRAPADA, PO: DUMDUMA, BHUBANESWAR, ORISSA-751019

Khordha
ORISSA
751019
India 
Phone  9968856761  
Fax    
Email  dent_jitendra@aiimsbhubaneswar.edu.in  
 
Source of Monetary or Material Support  
Self funded by principal investigator 
 
Primary Sponsor  
Name  SITHARA T SAJI 
Address  1ST FLOOR, DEPARTMNENT OF DENTISTRY, AIIMS, SIJUA, PATRAPADA, PO:DUMDUMA, BHUBANESWAR, ORISSA-751019 
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 
SITHARA T SAJI  AIIMS BHUBANESWAR  1ST FLOOR, DEPARTMENT OF DENTISTRY, AIIMS, SIJUA, PATRAPADA, PO:DUMDUMA, BHUBANESWAR, ORISSA-751019
Khordha
ORISSA 
7909158201

sajisithara1@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITEE, AIIMS BHUBANESWAR  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K089||Disorder of teeth and supporting structures, unspecified, (2) ICD-10 Condition: 8||Other Procedures,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  i-prf and saline  i-PRF will be injected around the canine at each of three sites buccally, distally and palatally (0.2 ml each)  
Intervention  i-prf and vitamin D injection   Injecting vitamin D 1ml at two points buccally along the distal margin of the root of canine, 1cm above the CEJ and at the buccal vestibule. 1ml at two points palatally, 1cm above the CEJ and at the intersection of horizontal and vertical planes of palate. 0.6 ml of i-PRF will be injected around the canine at each of three sites buccally, distally and palatally (0.2 ml each)  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  25.00 Year(s)
Gender  Both 
Details  Class I bimaxillary dentoalveolar protrusion or Class II div 1 malocclusion and minimum crowding and spacing, either all 1st premolars or only upper 1st premolars extraction.
Presence of full complement of teeth in the maxillary arch except 3rd molars.
Good oral hygiene 
 
ExclusionCriteria 
Details  Patients who are not willing to participate in the study, History of complete or incomplete comprehensive orthodontic treatment, Subject who fails to maintain adequate oral hygiene all through the orthodontic treatment, Subjects with pregnancy, Subjects having any known syndrome or metabolic disorder affecting calcium and
phosphate metabolism, Subjects on long-term medication like NSAID’S or steroids, Lack of manual dexterity. 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To estimate the synergistic effects of localized Vitamin D and i-PRF injections on the
rate of maxillary canine retraction during comprehensive orthodontic treatment 
8 weeks 
 
Secondary Outcome  
Outcome  TimePoints 

1)To evaluate the effects of Vitamin D3 & i-PRF injection on the concentration of
various biomarkers in GCF during comprehensive orthodontic tooth movement
2)To correlate the rate of canine retraction with the concentrations of biomarkers in GCF
(RANKL & OPG) following the injection of vitamin D3 & i-PRF 
8 weeks 
 
Target Sample Size   Total Sample Size="21"
Sample Size from India="21" 
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 
Date of First Enrollment (India)   30/01/2026 
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="2"
Days="0" 
Recruitment Status of Trial (Global)   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   Long duration of orthodontic treatment is a major problem in adult patients. Thus Orthodontic professionals are constantly looking for ways to accelerate orthodontic tooth movement thereby reducing the treatment duration. Adults show lagging cell mobilization rates, irregular arrangement of collagen fibers, and are more prone for periodontal diseases in comparison to the younger patients. Therefore, shortening the duration of treatment by hastening the tooth movement is challenging for orthodontists. There are number of techniques available to augment the rate of orthodontic tooth movement and they can be invasive or non-invasive. Presently, Vitamin D and i-PRF are used for the process of bone remodeling. There are limited studies in literature mentioning benefits of i-PRF and Vitamin D on the acceleration of orthodontic tooth movement. The benefits of i-PRF and Vitamin D remains for a period of 4 weeks and 2 weeks 8 respectively. The combined use of i-PRF and Vitamin D can be beneficial for the orthodontic tooth movement. There is no study in the literature mentioning the synergistic effects of i-PRF and Vitamin D on orthodontic tooth movement. Hence the current study is planned to evaluate the synergistic effects of i-PRF and Vitamin D on the rate of orthodontic tooth movement and to correlate the same with the expression of various biomarkers in GCF during comprehensive orthodontic treatment.  
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