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CTRI Number  CTRI/2019/02/017737 [Registered on: 20/02/2019] Trial Registered Prospectively
Last Modified On: 15/02/2019
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Gum disease and diabetes before after low laser treatment 
Scientific Title of Study   Salivary TNF-alpha levels in periodontitis associated with diabetes mellitus after Low level laser therapy as an adjunct to scaling and root planing- A Randomised clinical trial  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Pulivarthi Praneetha 
Designation  Postgraduate 
Affiliation  Narayana Dental College and Hospital 
Address  Room no. 5, Second Floor, Department of Periodontology, Narayana Dental College and Hospital, Chinthareddypalem, Nellore-524003, Andhra Pradesh ,India.

Nellore
ANDHRA PRADESH
524003
India 
Phone  7095217673  
Fax    
Email  ppraneetha1@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Vijay Kumar Chava 
Designation  Professor and HOD 
Affiliation  Narayana Dental College and Hospital 
Address  Room no. 5, Second Floor, Department of Periodontology, Narayana Dental College and Hospital, Chinthareddypalem, Nellore-524003, Andhra Pradesh ,India.

Nellore
ANDHRA PRADESH
524003
India 
Phone  9441978737  
Fax    
Email  chava7@hotmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Vijay Kumar Chava 
Designation  Professor and HOD 
Affiliation  Narayana Dental College and Hospital 
Address  Room no. 5, Second Floor, Department of Periodontology, Narayana Dental College and Hospital, Chinthareddypalem, Nellore-524003, Andhra Pradesh ,India.

Nellore
ANDHRA PRADESH
524003
India 
Phone  9441978737  
Fax    
Email  chava7@hotmail.com  
 
Source of Monetary or Material Support  
Self Funded Pulivarthi Praneetha Room no. 5, Second Floor, Department of Periodontology, Narayana Dental College and Hospital, Chinthareddypalem, Nellore-524003, Andhra Pradesh ,India. 
 
Primary Sponsor  
Name  Pulivarthi Praneetha 
Address  Room no. 5, Second Floor, Department of Periodontology, Narayana Dental College and Hospital, Chinthareddypalem, Nellore-524003, Andhra Pradesh ,India. 
Type of Sponsor  Other [self funded by principle investigator] 
 
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 
Pulivarthi Praneetha  Narayana Dental College And Hospital  Room no. 5, Second Floor, Department of Periodontology, Narayana Dental College and Hospital, Chinthareddypalem, Nellore-524003, Andhra Pradesh ,India.
Nellore
ANDHRA PRADESH 
7095217673

ppraneetha1@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: E119||Type 2 diabetes mellitus without complications,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Low Level Laser Therapy, Scaling and Root Planing  Subjects aged between 30 -60 years with periodontitis, type 2 diabetes mellitus will be recruited from the outpatient, Department of Periodontology, Narayana Dental College and Hospital, Nellore, Andhra Pradesh All the participants will be explained about the aim, nature and design of the study along with the written informed consent for their participation before the commencement of the study Scaling and root planing is performed under local anesthesia by ultrasonic scalers in all groups, followed by low-energy-level diode laser(630-670nm) was applied externally with a light contact to the gingival tissues corresponding to pockets in apico-coronal direction for 15s per site, scanning both lingual and buccal side in group A2 and group B2. Oral hygiene instructions were given to participants. 
Comparator Agent  Scaling and Root Planing  Subjects aged between 30 -60 years with periodontitis, type 2 diabetes mellitus will be recruited from the outpatient, Department of Periodontology, Narayana Dental College and Hospital, Nellore, Andhra Pradesh. All the participants will be explained about the aim, nature and design of the study along with the written informed consent for their participation before the commencement of the study Scaling and root planing is performed under local anesthesia by ultrasonic scalers in all groups Oral hygiene instructions were given to participants. 
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Periodontitis with a probing pocket depth(PPD) ≥5 mm, clinical attachment level (CAL)≥ 2mm
Patients with periodontitis and type 2 diabetes mellitus(diagnosed by RBS)
 
 
ExclusionCriteria 
Details  Patients underwent laser therapy in the past 3 months.
Pregnancy, lactating women.
Patients underwent surgical or nonsurgical therapy within 6months prior to the study.
Patients who are deemed to be uncooperative.
Patients with any autoimmune disorders such as(rheumatoid arthritis, ankylosing spondylitis, inflammatory bowel disease, psoriasis, refractory asthma)
Patients with Oro mucosal abnormalities.
Patients with tobacco habit in any form.
Prosthetic teeth.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Whether TNF- alpha levels get reduced by using laser along with scaling and root planing in type 2 diabetes mellitus patients with periodontitis  base line and 8th week 
 
Secondary Outcome  
Outcome  TimePoints 
To asses clinical parametres following laser therapy as as adjunct to scaling and root planing  Base line and 8th week 
 
Target Sample Size   Total Sample Size="64"
Sample Size from India="64" 
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 1 
Date of First Enrollment (India)   01/06/2019 
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   None yet 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   A randomised clinical trial will be conducted by department of periodontology Narayana Dental College and Hospital Nellore, Andhra Pradesh, India 

    Patients aged 30 - 60 years based on inclusion and exclusion criteria were selected from the Department of Periodontology, Narayana dental hospital Nellore, Andhra Pradesh.

   All the participants will be explained about the aim, nature and design of the study along with the written informed consent for their participation (Annexure) before the commencement of the study.

An assessment of PPD, CAL, BIeeding index (BI) (Muhlemann & Son),Plaque Index (PI) (silness and loe) was done using UNC-15 probes Hu-friedy’s

Patients will be grouped into

Group A: Participants with periodontitis alone.

Group B: Participants with periodontitis and type 2 diabetes mellitus.

Group A1: Participants of the group a receiving SRP (Scaling and Root planing)

                  alone.

Group A2: Participants of the group a receiving SRP + LLLT (Low-Level Laser

                  Therapy).

Group B1: Participants of group b receiving SRP (Scaling and Root Planing) alone.

Group B2: Participants of group b receiving SRP + LLLT (Low-Level Laser

                  Therapy

        Scaling and root planing is performed under local anesthesia by ultrasonic scalers in all groups, followed by low-energy-level diode laser(630-670nm) was applied externally with a light contact to the gingival tissues corresponding to pockets in apico-coronal direction for 15s per site, scanning both lingual and buccal side in group A2 and group B2. Oral hygiene instructions were given to participants.

        Three milliliters of unstimulated whole expectorated saliva will be collected from each participant into sterile 5ml saliva collecting tubes and samples was stored at -80 degree centigrade

       Participants will be recalled after 8 weeks, saliva is collected in sterile 5ml collecting tube and stored at -80 degree centigrade and TNF-alpha levels will be determined by ELISA technique
All the parametres will be subjected for statistical analysis.





 
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