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CTRI Number  CTRI/2018/10/015919 [Registered on: 08/10/2018] Trial Registered Prospectively
Last Modified On: 24/06/2021
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparative evaluation of bone healing after root canal treatment using BioRoot RCS,AH Plus and Zinc Oxide Eugenol as root canal sealers 
Scientific Title of Study   Comparative evaluation of periapical healing after root canal treatment using three different endodontic sealers – a randomised control trial 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Akshay Khandelwal 
Designation  Post Graduate 
Affiliation  Saveetha Dental College and Hospitals 
Address  Clinic 21, Department o Conservative Dentistry and Endodontics, Saveetha dental College and Hospitals, Chennai.

Chennai
TAMIL NADU
600077
India 
Phone  08197961025  
Fax    
Email  akshay92khandelwal@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Ajitha P 
Designation  Professor 
Affiliation  Saveetha Dental College and Hospitals 
Address  Clinic 21, Department o Conservative Dentistry and Endodontics, Saveetha dental College and Hospitals, Chennai.

Chennai
TAMIL NADU
600077
India 
Phone  9444174551  
Fax    
Email  ajitharijesh@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Akshay Khandelwal 
Designation  Post Graduate 
Affiliation  Saveetha Dental College and Hospitals 
Address  Clinic 21, Department o Conservative Dentistry and Endodontics, Saveetha dental College and Hospitals, Chennai.

Chennai
TAMIL NADU
600077
India 
Phone  08197961025  
Fax    
Email  akshay92khandelwal@gmail.com  
 
Source of Monetary or Material Support  
Gajanan Clinic, 5,Harish Mukherjee Road, Kolkata- 700025 
 
Primary Sponsor  
Name  Gajanan Clinic 
Address  5,Harish Mukherjee Road, Kolkata -700025 
Type of Sponsor  Private hospital/clinic 
 
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 
akshay khandelwal  Saveetha Dental College and Hospitals  Clinic 21, Department of Conservative Dentistry and Endodontics, Saveetha dental College and hospitals, 162, Poonamalle High Rd, Velappanchavadi,Chennai
Chennai
TAMIL NADU 
8197961025

akshay92khandelwal@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SRB, Saveetha Dental College and Hospitals  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Patients having teeth with periapical lesion and requires root canal treatment 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  AH Plus  Resin based Endodontic Sealer 
Comparator Agent  BioRoot RCS  Tricalcium silicate based endodontic sealer 
Intervention  Zinc Oxide Eugenol  Conventional Endodontic Sealer 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients requiring root canal treatment for single rooted teeth with periapical lesion and Periapical Index 2 or more. 
 
ExclusionCriteria 
Details  1.Patients with delibitating dideases like diabetes, HIV, TB etc.
2.Open apex cases
3.Endo-perio lesions
4.Pregnant or lactating women
5.Root fracture cases
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Periapical Healing after root canal treatment(Radiographic evaluation)  At 1 month and 3 months followup 
 
Secondary Outcome  
Outcome  TimePoints 
post treatment pain  immediate after obturation, 6 hours, 24 hrs and 1 week 
 
Target Sample Size   Total Sample Size="69"
Sample Size from India="69" 
Final Enrollment numbers achieved (Total)= "63"
Final Enrollment numbers achieved (India)="63" 
Phase of Trial   Post Marketing Surveillance 
Date of First Enrollment (India)   13/10/2018 
Date of Study Completion (India) 24/12/2019 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="7"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
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  

The success of root canal treatment depends on the elimination of the etiologic factors of the periapical pathology from the canals followed by  hermetic sealing of the cleaned and shaped canals with a filling material that is biocompatible to the periapical tissues. Root canal obturation can be done with various materials and by different methods. Most commonly used is gutta percha cones used in conjugation with a sealer. Root canal Sealers are necessary to seal the space between the dentinal wall and the obturating core interface.

The most popular sealers are zinc oxide-eugenol formulations, calcium hydroxide sealers, glass ionomer sealers, resin based (epoxy resin or methacrylate resin) sealers and the recently introduced calcium silicate-based sealers. Despite claims by manufacturers there is no evidence-based data, based on randomised clinical trials, demonstrating the superiority of one class of sealers over the other.

Zinc oxide-eugenol sealers have a history of successful use over a long period of time. AH Plus is an epoxy resin-based root canal sealer with good physical properties, good adhesion to dentin, excellent fluidity and stability in aqueous solution. BioRoot RCS is the newest endodontic sealer based on tricyclics silicate materials benefitting from both active biosilicate technology and biodentine. BioRoot RCS is bioactive by stimulating bone physiological process and mineralization of the dentinal structure

This study evaluates and compares the efficacy of  BioRoot RCS, AH Plus and Zinc oxide eugenol on  post obturation healing of the periapical lesions.


 
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