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CTRI Number  CTRI/2018/05/013842 [Registered on: 11/05/2018] Trial Registered Prospectively
Last Modified On: 10/05/2018
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia
Dentistry 
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   Effectiveness of local anesthesia with added magnesium sulphate for lower wisdom teeth extraction 
Scientific Title of Study   Evaluation of efficacy of magnesium sulphate as an adjuvant to lignocaine in inferior alveolar nerve block for extraction of mandibular third molar. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Mrinal Ranjan 
Designation  Dental intern 
Affiliation  Manipal College of dental sciences, manipal 
Address  Department of Oral and maxillofacial surgery, Manipal college of dental sciences, Manipal, Udupi

Udupi
KARNATAKA
576104
India 
Phone  9986937286  
Fax    
Email  mrinal.ranjan18@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Srikanth G 
Designation  Associate professor 
Affiliation  Manipal College of dental sciences, manipal 
Address  Department of Oral and maxillofacial surgery, Manipal college of dental sciences, Manipal, Udupi

Udupi
KARNATAKA
576104
India 
Phone  9986455201  
Fax    
Email  gadi_mds@rediffmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Srikanth G 
Designation  Associate professor 
Affiliation  Manipal College of dental sciences, manipal 
Address  Department of Oral and maxillofacial surgery, Manipal college of dental sciences, Manipal, Udupi

Udupi
KARNATAKA
576104
India 
Phone  9986455201  
Fax    
Email  gadi_mds@rediffmail.com  
 
Source of Monetary or Material Support  
Manipal college of Dental sciences, Madhavnagar, Eshwarnagar, Manipal, Karnataka 576104 
 
Primary Sponsor  
Name  Dr Srikanth G 
Address  Department of Oral and Maxillofacial surgery, Manipal college of dental sciences, Madhavnagar, Eshwarnagar, Manipal 576104, Karnataka 
Type of Sponsor  Other [MCODS, Manipal] 
 
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 
Mrinal Ranjan  Manipal College of Dental sciences, Manipal  Department number 4, Department of oral and maxillofacial surgery
Udupi
KARNATAKA 
9986937286

mrinal.ranjan18@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
KMC & KH Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Bilateral impacted mandibular third molars ,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Lignocaine   Lignocaine in the concentration 1:200,000 Injected once before the procedure 
Comparator Agent  Magnesium sulphate with lignocaine  0.2ml magnesium sulphate with 1.8ml lignocaine of the concentration 1:200,000 Injected once before the procedure 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  35.00 Year(s)
Gender  Both 
Details  Patients who require extraction of mandibular third molars on both left and right side. 
 
ExclusionCriteria 
Details  Patients younger than 18 years of age, pregnant, lactating, and significant medical comorbidities (ASA III or more), history of allergy to LA will be excluded from the study. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1) duration of action
 
1) effect of local anesthesia 4 hours after injection of anesthetic 
 
Secondary Outcome  
Outcome  TimePoints 
1) Pain perception
2) burning sensation on injection 
1) during procedure, number of NSAIDs used after procedure.
2) During injection of local anesthetic 
 
Target Sample Size   Total Sample Size="20"
Sample Size from India="20" 
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)   21/05/2018 
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="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   Not applicable 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

To assess the effect of combination of lignocaine (1:200000) and magnesium sulphate on

  • 1)      Duration of action
  • 2)      Pain perception
  • 3)      Burning sensation on injection

Several additives have been combined with local anaesthetics to improve block quality and post-operative analgesia. Magnesium sulphate is one potential additive. Based on previous clinical trials, magnesium sulphate has promising results and has been known to increase the duration of blocks. This additive, if successful can also decrease the number of injections required to achieve clinical levels of local anesthesia.

Patients with mandibular impacted third molars requiring trans-alveolar extraction on both right and left side (bilateral extraction). The left side of the patient will be considered as the control site where only lignocaine (1,200,000) will be injected whereas the right side will act as the test side where lignocaine(1:200,000)  with magnesium sulphate will be injected.

 


 
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