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CTRI Number  CTRI/2018/04/013020 [Registered on: 04/04/2018] Trial Registered Retrospectively
Last Modified On: 26/03/2018
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Probiotic
Dentistry
Other (Specify) [Aloe vera]  
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A clinical trial two study the effects of two toothpaste Probiotic and Aloe vera in patients with braces on teeth. 
Scientific Title of Study   Comparative evaluation of probiotic toothpaste and aloe vera tooth gel in reducing streptococcus mutans level in plaque around orthodontic brackets: A randomized controlled study. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Afzal K Nazim 
Designation  Post Graduate Resident 
Affiliation  Pushpagiri College of Dental Sciences 
Address  Department of Orthodontics and Dentofacial Orthopedics, Room no:6,Pushpagiri College of Dental Sciences,Medicity, Perumturuthy P O,Thiruvalla,Pathanamthitta District,Kerala, PIN 689107

Pathanamthitta
KERALA
689107
India 
Phone  9809837779  
Fax    
Email  afzee.7779@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Biju Sebastian 
Designation  Professor and Head of Department 
Affiliation  Pushpagiri College of Dental Sciences 
Address  Department of Orthodontics and Dentofacial Orthopedics, Room no:6,Pushpagiri College Of Dental Sciences, Medicity, Perumturuthy P O, Thiruvalla, Pathanamthitta District, Kerala, PIN 689107

Pathanamthitta
KERALA
689107
India 
Phone  9446539062  
Fax    
Email  drbijuseb00@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Afzal K Nazim 
Designation  Post Graduate Resident 
Affiliation  Pushpagiri College of Dental Sciences 
Address  Department of Orthodontics and Dentofacial Orthopedics,Room no:6,Pushpagiri College of Dental Sciences,Medicity, Perumturuthy P O,Thiruvalla,Pathanamthitta District,Kerala PIN 689107

Pathanamthitta
KERALA
689107
India 
Phone  9809837779  
Fax    
Email  afzee.7779@gmail.com  
 
Source of Monetary or Material Support  
Pushpagiri College of Dental Sciences Medicity Perumturuthy P O Thiruvalla Pathanamthitta District Kerala PIN 689107 
Pushpagiri Research Centre Pushpagiri Medical College Campus Thiruvalla P O Pathanamthitta District Kerala PIN 689101 
 
Primary Sponsor  
Name  Afzal K Nazim 
Address  Valel Gardens P V North Thazhava P O Karunagappally Kollam Kerala PIN 690523 
Type of Sponsor  Other [Principal investigator] 
 
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 
Afzal K Nazim  Pushpagiri College od Dental Sciences  Department of Orthodontics and Dentofacial Orthopedics Room no:6 Medicity Perumturuthy P O Thiruvalla Pathanamthitta Kerala PIN 689107
Pathanamthitta
KERALA 
9809837779

afzee.7779@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  Medically fit patients undergoing fixed orthodontic treatment with no medical history and relevant drug history.,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  ALOE VERA TOOTH GEL  Topical application on teeth while brushing 2 times daily in morning and evening for a time period of 30 days. 
Comparator Agent  FLUORIDATED TOOTHPASTE  Topical application on teeth while brushing 2 times daily in morning and evening for a time period of 30 days. 
Intervention  PROBIOTIC TOOTHPASTE  Topical application on teeth while brushing 2 times daily in morning and evening for a time period of 30 days. 
 
Inclusion Criteria  
Age From  12.00 Year(s)
Age To  35.00 Year(s)
Gender  Both 
Details  1.Orthodontic treatment with straight wire appliance.
2. Permanent dentition with full compliment of teeth excluding third molars.
3. No relevant medical history.
4. No anti-inflammatory or antibiotic medications taken in the month before and during the study.
5. No chewing gum or mouthwash usage in the week preceding and during the study.
6. Habit of brushing twice daily with fluoride toothpaste.
7. Age between 12 and 35 years.
8.Fixed orthodontic treatment started atleast 6 months before sample collection. 
 
ExclusionCriteria 
Details  1. Mixed dentition.
2. Previous history of orthodontic treatment.
3. Tooth with developmental anomalies and fluorosis.
4. Restoration involving labial surface of tooth.
5. Pregnancy, lactation and diabetics
6. Patients with habit of smoking.
7. Patient allergic to aloe vera.
8. Tendency for frequent vomiting.
9. Participants with unavoidable drug intake during the study period. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Cycle threshold value (Ct)  30 days 
 
Secondary Outcome  
Outcome  TimePoints 
Cycle threshold value (Ct)  Ct value before intervention and after 30 days 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="60" 
Phase of Trial   N/A 
Date of First Enrollment (India)   04/01/2016 
Date of Study Completion (India) 31/10/2016 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="10"
Days="20" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   None yet 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   This is a randomized, double blinded, controlled study which  aims to evaluate and compare the effects of Probiotic toothpaste and Aloe Vera tooth gel in the reduction of streptococcus mutans level in plaque around orthodontic brackets. A total of 60 randomly selected orthodontic patients will be enrolled in this study. They will be divided into 3 groups of 20 each. Group I is the control group using the regular fluoride toothpaste . Patients in group II will be asked to use Probiotic toothpaste and group III patients will be asked to use Aloe vera tooth gel. All the patients will be asked to brush their teeth twice daily in the morning and evening for a time period of 30 days.Samples will be collected at 2 times: before the study began and after 30 days. Plaque specimens will be  collected from the labial surfaces immediately surrounding the orthodontic brackets of the maxillary lateral incisor using a 4-pass technique. The quantification of S.mutans will be  evaluated using quantitative real time polymerase chain reaction.Cycle threshold value (Ct) is the primary outcome. Intragroup and intergroup analysis will be done based on the Ct value. 
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