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CTRI Number  CTRI/2026/02/104062 [Registered on: 17/02/2026] Trial Registered Prospectively
Last Modified On: 17/02/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Evaluation and Comparasion of pinhole surgical technique with using and without using A PRF with polynucleotide hyaluronic acid gel in the treatment of multiple adjacent gingival recession defects: A randomised controlled trial. 
Scientific Title of Study   Comparative evaluation of pinhole surgical technique with and without A PRF immersed with polynucleotide hyaluronic acid gel in the treatment of multiple adjacent gingival recession defects: 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  Dr Harsh Kulkarni 
Designation  Post Graduate Student 
Affiliation  Ranjeet Deshmukh Dental College And Research Centre 
Address  104 Department of Periodontics And Implantology Ranjeet Deshmukh Dental College And Research Centre Digdoh Hills Hingna Road Nagpur

Nagpur
MAHARASHTRA
440019
India 
Phone  9096290294  
Fax    
Email  Harshkul2019@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Rajashri Kolte 
Designation  Professor and Guide 
Affiliation  Ranjeet Deshmukh Dental College And Research Centre 
Address  104 Department Of Periodontics And Implantology Ranjeet Deshmukh Dental College And Research Centre Digdoh Hills Hingna Road Nagpur

Nagpur
MAHARASHTRA
440019
India 
Phone  9011071468  
Fax    
Email  drrajashrikolte@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Rajashri Kolte 
Designation  Professor and Guide 
Affiliation  Ranjeet Deshmukh Dental College And Research Centre 
Address  104 Department Of Periodontics And Implantology Ranjeet Deshmukh Dental College And Research Centre Digdoh Hills Hingna Road Nagpur

Nagpur
MAHARASHTRA
440019
India 
Phone  9011071468  
Fax    
Email  drrajashrikolte@gmail.com  
 
Source of Monetary or Material Support  
Ranjeet Deshmukh Dental College and Research Centre Digdoh Hills Hingna Road Nagpur State Maharashtra Country India 440019 
 
Primary Sponsor  
Name  Ranjeet Deshmukh Dental College And Research Centre 
Address  Digdoh Hills Hingna Road Nagpur 440019 
Type of Sponsor  Research institution and hospital 
 
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 RAJASHRI KOLTE  Ranjeet Deshmukh Dental College And Research Centre   104 DEPARTMENT OF PERIODONTICS AND IMPLANTOLOGY NAGPUR 440019
Nagpur
MAHARASHTRA 
9011071468

drrajashrikolte@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 
Patients  (1) ICD-10 Condition: K056||Periodontal disease, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Pinhole Surgical Technique  Patients with Class one or two Multiple Adjacent Gingival Recession Defects treated using Pinhole Surgical Technique 
Intervention  Pinhole Surgical Technique using A PRF immersed with polynucleotide hyaluronic acid gel   Patients with Class one or two Multiple Adjacent Gingival Recession Defects to be treated using Pinhole Surgical Technique with A PRF immersed with polynucleotide hyaluronic acid gel 
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Systemically healthy patients
Patient with healthy and stable soft tissue architecture
Co-operative motivated and hygiene conscious patients
Patients exhibiting bilateral Millers Class one or two MAGRD
Patients with more than one mm of attached gingiva at gingival recession sites
Patients who gave written consent for the procedure 
 
ExclusionCriteria 
Details  Pregnant or lactating females
Tobacco smokers
Uncontrolled medical conditions precluding elective surgery
Untreated periodontal conditions
Patients treated with any medication known to cause gingival hyperplasia
Drug and alcohol abuse
In addition teeth with furcation defects non vital teeth carious teeth warranting restorations and mobility more than grade two will also be excluded 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To evaluate and compare Pinhole surgical technique (PST) with and without A PRF immersed with polynucleotide hyaluronic acid gel in the treatment of Multiple adjacent gingival recession defects (MAGRD) clinically and radiographically by CBCT  Baseline 3 and 6 months 
 
Secondary Outcome  
Outcome  TimePoints 
To evaluate Probing depth (PD) Clinical attachment level (CAL) Width of keratinized gingiva (WKG) Recession depth (RD) and Mean root coverage (MRC)in MAGRD when treated with PST alone at baseline 3 and 6 months postoperatively
To evaluate PD CAL WKG RD and MRC in MAGRD when treated using PST with A PRF immersed with polynucleotide hyaluronic acid gel at baseline 3 and 6 months postoperatively
To compare PD CAL WKG RD and MRC in MAGRD when treated using PST with and without A PRF immersed with polynucleotide hyaluronic acid gel at baseline 3 and 6 months postoperatively
To evaluate and compare Gingival thickness (GT) in MAGRD when treated using PST with and without A PRF immersed with polynucleotide hyaluronic acid gel at baseline and 6 months postoperatively by CBCT 
Baseline 3 and 6 months 
 
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   Phase 4 
Date of First Enrollment (India)   10/03/2026 
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="1"
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  
This study will be conducted
to evaluate and compare Pinhole Surgical technique with and without A PRF immersed with polynucleotide hyaluronic acid gel  in the treatment of Multiple adjacent gingival recession defects clinically and radiographically.
Total of 30 subjects exhibiting bilateral Miller’s class I or II maxillary anterior gingival recession defect
visiting the Department of Periodontics at Ranjeet Deshmukh Dental College and Research Centre Nagpur will be recruited
as per the inclusion criteria will participate in the study
The participants will be divided as
Group I
Class I or II MAGRD to be treated using PST alone.
Group II
Class I or II MAGRD treated using PST with A PRF immersed with polynucleotide hyaluronic acid gel 
Written informed consent will be taken from the patients who wish to enrol in the study
Pinhole Surgical technique with and without A PRF immersed with polynucleotide hyaluronic acid gel  in the treatment of maxillary anterior recession defects is evaluated clinically and radiographically
using Cone Beam Computed Tomography.
Probing depth (PD) Clinical attachment level (CAL) Width of keratinized gingiva (WKG) Recession depth (RD) Gingival Thickness (GT)
Mean root coverage (MRC) in Multiple Adjacent Gingival Recession Defects when treated with PST alone and when treated
using PST with A PRF immersed with polynucleotide hyaluronic acid gel will be evaluated and compared
at baseline 3 and 6 months postoperatively

 
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