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CTRI Number  CTRI/2026/01/101682 [Registered on: 20/01/2026] Trial Registered Prospectively
Last Modified On: 20/01/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia
Dentistry 
Study Design  Other 
Public Title of Study   Effectiveness of Metronidazole coated silk sutures vs conventional silk sutures in healing of wound after surgical removal of lower wisdom tooth 
Scientific Title of Study   Effectiveness of Metronidazole coated silk sutures vs conventional silk sutures in healing of wound after disimpaction surgery of mandibular third molars A Randomised Control 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  Savi jain 
Designation  Intern 
Affiliation  Ranjeet Deshmukh Dental College and Research Centre, Nagpur  
Address  02, Department of Oral and Maxillofacial Surgery Ranjeet Deshmukh Dental College and Research Centre, Digdoh Hills, Hingna road
02, Department of Oral and Maxillofacial Surgery Ranjeet Deshmukh Dental College and Research Centre, Digdoh Hills, Hingna road
Nagpur
MAHARASHTRA
440019
India 
Phone  9372014412  
Fax    
Email  savijain2812@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr SR Shenoi 
Designation  Head of Department  
Affiliation  Ranjeet Deshmukh Dental College and Research Centre, Nagpur  
Address  02, Department of Oral and Maxillofacial Surgery Ranjeet Deshmukh Dental College and Research Centre, Digdoh Hills, Hingna road
02, Department of Oral and Maxillofacial Surgery Ranjeet Deshmukh Dental College and Research Centre, Digdoh Hills, Hingna road
Nagpur
MAHARASHTRA
440019
India 
Phone  9822220505  
Fax    
Email  ramakrishna.shenoi@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr SR Shenoi 
Designation  Head of Department  
Affiliation  Ranjeet Deshmukh Dental College and Research Centre, Nagpur  
Address  02, Department of Oral and Maxillofacial Surgery Ranjeet Deshmukh Dental College and Research Centre, Digdoh Hills, Hingna road
02, Department of Oral and Maxillofacial Surgery Ranjeet Deshmukh Dental College and Research Centre, Digdoh Hills, Hingna road
Nagpur
MAHARASHTRA
440019
India 
Phone  9822220505  
Fax    
Email  ramakrishna.shenoi@gmail.com  
 
Source of Monetary or Material Support  
Ranjeet Deshmukh Dental college and Research Centre, Digdoh hills, Nagpur, Maharashtra India 440019 
 
Primary Sponsor  
Name  Ranjeet Deshmukh Dental College and Research Centre Nagpur  
Address  02, Department of Oral and Maxillofacial Surgery Ranjeet Deshmukh Dental College and Research Centre 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 SR Shenoi   Ranjeet Deshmukh Dental College and Research Centre and ethics committee   02, Department of Oral and Maxillofacial Surgery Ranjeet Deshmukh Dental College and Research Centre, Digdoh Hills, Hingna road Nagpur
Nagpur
MAHARASHTRA 
9822220505

ramakrishna.shenoi@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ranjeet Deshmukh Dental College and Research Centre Ethics committee   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K011||Impacted teeth,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Conventional silk sutures  Conventional silk sutures will be used in suturing wounds after mandibular third molar disimpaction surgery. 
Intervention  metronidazole coated silk suture  Sterilised silk sutures will be coated with metronidazole and will be used in suturing wounds after mandibular third molar disimpaction surgery 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  30.00 Year(s)
Gender  Both 
Details  1 Patients with impacted mandibular third molars visiting OMFS OPD who require disimpaction surgery
2 Patients above 18 years of age.

 
 
ExclusionCriteria 
Details  1 Patients with any systemic disease.
2 Immuno compromised patients
3 Patients with active infection
4 Pregnant or lactating females
5 Drug abusers
6 Patient with moderate alcohol consumption
7 Patients not willing to give informed consent 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Other 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Effectiveness of metronidazole coated silk suture and conventional silk suture in wound healing after mandibular third molar disimpaction surgery.
 
Tissue colour, Bleeding on palpation, granulation tissue, incision margin, suppuration measured postoperatively on day 1, 3 and 7 
 
Secondary Outcome  
Outcome  TimePoints 
Effectiveness of metronidazole coated silk suture and conventional silk suture in wound healing after suture removal in case of mandibular third molar disimpaction surgery.
 
Tissue colour, Bleeding on palpation, granulation tissue, incision margin, suppuration measured postoperatively on day 7 
 
Target Sample Size   Total Sample Size="34"
Sample Size from India="34" 
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 3 
Date of First Enrollment (India)   18/02/2026 
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="3"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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 is designed as a randomized controlled clinical trial to evaluate and compare the effectiveness of metronidazole-coated silk sutures and conventional silk sutures in wound healing following disimpaction surgery of mandibular third molars. A total of 34 patients fulfilling the inclusion criteria will be randomly allocated into two groups using computer-generated randomization. Group A will receive metronidazole-coated silk sutures, while Group B will receive conventional silk sutures for wound closure. All surgical procedures will be performed by the same operator under standardized aseptic conditions to minimize operator bias. Postoperative wound healing will be assessed using Landry et al. healing index on postoperative day 1,3 and day 7. Postoperative parameters such as pain, inflammation, and signs of infection will also be evaluated. The study aims to determine whether local delivery of metronidazole through suture material can reduce postoperative complications and enhance wound healing, thereby improving clinical outcomes after mandibular third molar surgery. 
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