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CTRI Number  CTRI/2025/12/099743 [Registered on: 23/12/2025] Trial Registered Prospectively
Last Modified On: 22/12/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Finding the change in positioning of dental implants with different digital orientation device.  
Scientific Title of Study   Comparison of accuracy and precision of open and closed sleeve implant surgical guide with pre surgical implant planning A 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  varshavathi 
Designation  Post graduate 
Affiliation  Sri Ramachandra Dental College, Sri Ramachandra Institute of Higher Education and Research.  
Address  Department of Prosthodontics, crown and bridge Implantology Room No : 08 Sri Ramachandra Dental College, Sri Ramachandra Institute of Higher Education and Research, Porur.

Chennai
TAMIL NADU
600116
India 
Phone  9003987600  
Fax    
Email  varshathark@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr V Anand Kumar  
Designation  Professor 
Affiliation  Sri Ramachandra Dental College, Sri Ramachandra Institute of Higher Education and Research.  
Address  Department of Prosthodontics, crown and bridge. Implantology Room No : 08 Sri Ramachandra Dental College, Sri Ramachandra Institute of Higher Education and Research, Porur.

Chennai
TAMIL NADU
600116
India 
Phone  9444121616  
Fax    
Email  anand_anandhi@hotmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr V Anand Kumar  
Designation  Professor 
Affiliation  Sri Ramachandra Dental College, Sri Ramachandra Institute of Higher Education and Research.  
Address  Department of Prosthodontics, crown and bridge. Implantology Room No : 08 Sri Ramachandra Dental College, Sri Ramachandra Institute of Higher Education and Research, Porur.

Chennai
TAMIL NADU
600116
India 
Phone  9444121616  
Fax    
Email  anand_anandhi@hotmail.com  
 
Source of Monetary or Material Support  
Department of Porsthodontics, crown and bridge, Implantology Room No. 8 Sri Ramachandra Dental college, Sri Ramachandra Institute of Higher Education and Research. Porur, Chennai - 600116.  
 
Primary Sponsor  
Name  Varshavathi 
Address  6B/1 srinivasan street pudupalayam cuddalore - 607001 tamil nadu 
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 
DR Varshavathi  Sri Ramachnadra Institute of Higher Education and Research   Department of Prosthodontics, crown and bridge, Implantology Room No. 08.
Chennai
TAMIL NADU 
9003987600

varshathark@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethics committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Patient having missing unilateral mandibular posteriors  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Closed sleeves surgical guide   3.5mm width and 5mm height cyclinder size encircling the complete implant drilling site.  
Intervention  Open sleeve surgical guides   3.5mm width and 5mm height cyclinder with an offset opening in the buccal aspect of the implant drilling site. This is used in cases for easy insertion osteotomy drill. 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  Unilateral mandibular missing premolars and molars.  
 
ExclusionCriteria 
Details  Severe acute or chronic periodontitis
History of radiotherapy and chemotherapy
History of Diabetes and bleeding disorders
Clinical or radiographic peri apical pathology
Physiological or psychiatric problem
Drug abuse
 
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   Alternation 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To assess the corono-apical, h0rizontal and depth deviation comparing the pre-operative implant planning.   Post implant placement - Day 1 
 
Secondary Outcome  
Outcome  TimePoints 
To assess the hard-tissue changes due to surgical variation during osseointegrative phase of 0, 30, 60 & 90 days.
 
Peri apical radiograph taken on day 0, day 30, day 60, day 90 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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)   06/01/2026 
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="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  

          Guided sleeves - precise control over the angulation, depth, aligning surgical execution with pre-operative virtual planning. There are two types of sleeves, closed and open sleeves. Closed sleeve - maintaining the angulation and depth of the drill and enhanced precision and control during the drilling process. Though closed sleeve achieves accuracy and precision, it has certain limitations like difficulty in using in the posteriors, the circular tube blocks the field of surgery and it also hampers saline irrigation. To, overcome this limitations, open sleeve guides are used. This study is compare the precision and accuracy of open sleeve and closed sleeves. 

 
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