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CTRI Number  CTRI/2018/10/015977 [Registered on: 10/10/2018] Trial Registered Prospectively
Last Modified On: 05/10/2018
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Preventive
Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Assessment of oral health needs and to make a oral health education braille tool for blind children 
Scientific Title of Study   Assessment of Oral Health Status and treatment needs in visually impaired children and to develop a new Braille tool for Oral health education - A Randomised Controlled Trial 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Saraswathy 
Designation  Post Graduate 
Affiliation  Tamilnadu Government Dental College and Hospital 
Address  No:18/8, 3rd street, Periyar Nagar, Thorapadi,
NO.4 Public Health Dentistry Dept. NO.2,frazer bridge road park town,Chennai -600003
Chennai
TAMIL NADU
632002
India 
Phone  9962013227  
Fax    
Email  prabusaras@yahoo.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr M B Aswath Narayanan 
Designation  professor and head 
Affiliation  Tamilnadu Government Dental College and Hospital 
Address  room no:4, department of public health dentistry, tamilnadu government dental college and hospital,chennai

Chennai
TAMIL NADU
600003
India 
Phone    
Fax    
Email  mban1965@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr M B Aswath Narayanan 
Designation  professor and head 
Affiliation  Tamilnadu Government Dental College and Hospital 
Address  room no:4, department of public health dentistry, tamilnadu government dental college and hospital,chennai

Chennai
TAMIL NADU
600003
India 
Phone    
Fax    
Email  mban1965@yahoo.com  
 
Source of Monetary or Material Support  
self 
 
Primary Sponsor  
Name  GSaraswathy 
Address  NO.4,Public Health Dentistry. N0.2,Frazer Bridge Road,Park Town,Chennai -600003 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 3  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Mrs Jacquilne   Government Blind School  n0 : 4 trunk road poonamalle high road karaiyanchavadi chennai 600056
Chennai
TAMIL NADU 
9445089599

govtblindschoolpovai@gmail.com 
Mr Govindkrishnan  Nethrodaya self help organisation for visually impaired children  47/1 nolambur phase II Mogappair west chennai Tamilnadu 600007
Chennai
TAMIL NADU 
9382896636

nethrodaya@gmail.com 
John savier  St.Louis Institute for Blind  No: 25 canal bank road near old cancer hospital gandhinagar adyar chennai 600020
Chennai
TAMIL NADU 
044-24910886

stlouisadyar@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Tamil Nadu Government Dental college and Hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H540||Blindness, both eyes,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Braille tool for visually impaired children  Braille is a language and an important media for reading and writing for visually impaired children. It helps them to perceive and visualize the world via touch and understand.It consists of Oral hygiene instructions and knowledge about oral diseases for improving the oral health status of the visually impaired children 
Comparator Agent  Tooth models and audio aids  Audio aids used in education to help visually impaired to understand and grasp the matter.It consists of Oral hygiene instructions and knowledge about oral diseases for improving the oral health status of the visually impaired children 
 
Inclusion Criteria  
Age From  13.00 Year(s)
Age To  20.00 Year(s)
Gender  Both 
Details  Participants aged 13-20 years with both congenital and acquired blindness 
 
ExclusionCriteria 
Details  Children with systemic disease were excluded 
 
Method of Generating Random Sequence   Permuted block randomization, fixed 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Oral hygiene index,Plaque index and dental caries experience index [DMFT]  At the end of first month, Oral hygiene index,Plaque index and dental caries experience index [DMFT] Same outcomes will be measured after third month to compare the effectiveness of the Braille tool 
 
Secondary Outcome  
Outcome  TimePoints 
NA  NA 
 
Target Sample Size   Total Sample Size="160"
Sample Size from India="160" 
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)   16/10/2018 
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="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   none yet and will be submitted after the completion of study 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  
Background of study:
According to WHO [2009], it has been estimated that globally 314 million people are visually impaired and 45 million of them are blind. The Census 2011 shows that, in India 20.42 lakhs children aged 0-6 years are disabled among them 30% has difficulty in seeing.The prevalence of blindness in the Country ranges from 14 per 1000 to 3 per 1000 population.  In Tamil Nadu, the prevalence of blindness is 4 per 1000 population. Oral health of children with special health care needs has been one of grey areas in the field of paediatric dentistry. Children with special health care needs present unique challenges for both paediatric and general dentists in order to provide them access to the oral health care system by establishing a treatment plan for those with unique medical, behavioural and dental needs and maintaining oral health over the lifetime. Models, audiotapes, magnifying aids, large print materials, raised label markers; Braille scripts, bold scripts, etc. can be used as instructional aids. Positive reinforcement of the information provided is a very important factor in building a strong foundation, especially in the case of visually impaired children. Braille is the language and an important media for reading and writing for the visually impaired. It helps them perceive & visualize the world via touch and also to understand & assert a certain meaning to a word. Audio aids are being used in education to help the visually impaired to understand and grasp the matter. 
Need for study: In recent years, there have been an increasing number of studies concerning the dental health of general population. However, very little attention has been paid to the dental health of the physically handicapped population, who actually deserve special care and attention in this field. It is needless to say that due to their physical handicap these group of population cannot be expected to maintain proper oral hygiene and dental health for want of proper education.
Materials and  methods: It is a randomised controlled trial shall be conducted among  visually impaired children, in Chennai. Children who were congenitally and acquired blind were going to be  included. Children with underlying systemic disease and/or other handicapping conditions were going to be excluded. Informed consent shall be taken from parents and respective authorities of school. Base line scores using OHI-S ,Plaque score,DMFT indexes shall be taken first and oral prophylaxis shall be done to make the score 0. Braille tool shall be given to test group. Audio aids and tooth models will be given to control group. Then review shall be done after 1 and 3 months shall be done to check the effectiveness of Braille tool for visually impaired children.

 

 
 
 
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