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CTRI Number  CTRI/2026/04/108660 [Registered on: 20/04/2026] Trial Registered Prospectively
Last Modified On: 18/04/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Study of Conventional and Advanced Surgical Techniques in the Treatment of Gum Disease 
Scientific Title of Study   A comparative clinical and radiographical evaluation of conventional and microsurgical open flap debridement in the treatment of chronic periodontitis – A split-mouth randomized 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  Akul Bhatt 
Designation  Post Graduate student 
Affiliation  Room no 5 department of periodontology, College of Dental Science and Hospital, Amargadh 
Address  Room no 5 department of periodontology, College of Dental Science and Hospital, Amargadh
college of dental science, amargadh
Bhavnagar
GUJARAT
363310
India 
Phone  7621080158  
Fax    
Email  akulbhatt03@gmaill.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Chandrashekar B 
Designation  PG guide and Professor  
Affiliation  College of Dental Science and hospital 
Address  room no 5 department of periodontology college of dental science, Amargadh, Sihor, Bhavnagar, Gujarat 364210
College of Dental Science and hospital,amargadh
Bhavnagar
GUJARAT
364210
India 
Phone  7093826756  
Fax    
Email  drchanduperio@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr Chandrashekar B 
Designation  PG guide and Professor  
Affiliation  room no 5 department of periodontologyCollege of Dental Science and hospital 
Address  room no 5 department of periodontology college of dental science and hospital, Amargadh, Sihor, Bhavnagar, Gujarat 364210
college of dental science and hospital ,amargadh.
Bhavnagar
GUJARAT
364210
India 
Phone  7093826756  
Fax    
Email  drchanduperio@yahoo.com  
 
Source of Monetary or Material Support  
College of Dental Science and hospital 
 
Primary Sponsor  
Name  College of Dental Science and hospital 
Address  College of Dental Science and hospital, K.J Mehta trust, Amrgadh, Sihor, Bhavnagar 364210  
Type of Sponsor  Private medical college 
 
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 Akul Bhatt  College of dental science amargadh  room no 5 Department of Periodontology
Bhavnagar
GUJARAT 
7621080158

akulbhatt03@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Commitee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Chronic periodontitis with horizontal bone loss 
Patients  (1) ICD-10 Condition: K053||Chronic periodontitis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Group 1  on one quadrant Kirkland with conventional flap surgery 
Intervention  intervention  on other quadrant Kirkland flap with microsurgical flap surgery 
 
Inclusion Criteria  
Age From  35.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Pocket probing depth 4 to 7 mm
Relative attachment level 1 to 4 mm
Radiographic evidence of horizontal bone loss.
Patients who demonstrated acceptable oral hygiene prior to surgical therapy.
Patients willing to participate in
study.
 
 
ExclusionCriteria 
Details  •Patient with history of aggressive periodontitis.
•Vertical bone defects/ furcation defects requiring periodontal regeneration.
•History of known systemic diseases like hypertension, diabetes, HIV, Hepatitis, bone metabolic disorders, radiation therapy, immunosuppressive therapy, cancer, blood disorders.
•Medications known to affect the outcomes of periodontal therapy.
•Patients who had undergone any periodontal therapy in the preceding 6 months.
•Pregnant or lactating women.
•Use of tobacco in any form.
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To evaluate and compare probing pocket depth reduction following microsurgical and conventional periodontal flap surgery.
To assess and compare relative attachment level gain between the two surgical techniques.
 
1 week, 4 weeks, 3 months, 6 months 
 
Secondary Outcome  
Outcome  TimePoints 
To evaluate and compare the changes in gingival recession at baseline and at postoperative follow-up periods following microsurgical and convention periodontal flap surgery.
To compare the gingival inflammation using gingival index following both procedures.
To assess plaque control using plaque index in both groups.
To evaluate postoperative wound healing using Landry healing index.
To compare pain with VAS scale and patient comfort using patient satisfactory score between microsurgical and conventional flap surgery. 
1 week, 4 weeks, 3 months, 6 months 
 
Target Sample Size   Total Sample Size="32"
Sample Size from India="32" 
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)   01/08/2026 
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="2"
Months="0"
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 is a split-mouth randomized controlled trial comparing conventional open flap debridement and microsurgical open flap debridement in patients with chronic periodontitis and horizontal bone loss. Sixteen patients (32 sites) will undergo both techniques in different quadrants. Clinical, radiographic, and patient-centered parameters such as probing pocket depth, relative attachment level, gingival and plaque indices, wound healing, pain perception, and patient satisfaction score will be evaluated up to 6 months. The study aims to determine whether microsurgical flap surgery provides superior healing and patient comfort compared to the conventional approach. 
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