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CTRI Number  CTRI/2019/04/018540 [Registered on: 10/04/2019] Trial Registered Prospectively
Last Modified On: 09/04/2019
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A randomized controlled clinical trial to evaluate the efficacy of three rotary instruments in reducing microbial load of infected root canals. 
Scientific Title of Study   Comparing Antibacterial Efficacy of Three Rotary System with Different Geometry in Infected Root Canals Before and After Instrumentation – A Double Blinded Randomized Controlled 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  Riluwan Siddique 
Designation  Post graduate student 
Affiliation  saveetha dental college 
Address  Post graduate student Department of Conservative dentistry and endodontics Clinic No : 21 Saveetha dental college Chennai
Poonamalle high road
Chennai
TAMIL NADU
600056
India 
Phone  09743056316  
Fax    
Email  riluwanas@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Nivedhitha malli sureshbabu 
Designation  Professor and Head 
Affiliation  Saveetha dental college  
Address  Professor and Head Department of conservative dentistry and endodontics Saveetha dental college

Chennai
TAMIL NADU
600056
India 
Phone  9840912367  
Fax    
Email  Nivea16@hotmail.com  
 
Details of Contact Person
Public Query
 
Name  Riluwan siddique 
Designation  Post graduate student 
Affiliation  Saveetha dental college 
Address  Post graduate student Department of Conservative dentistry and endodontics Clinic no : 21 Saveetha dental college Chennai

Chennai
TAMIL NADU
600056
India 
Phone  9743056316  
Fax    
Email  riluwanas@gmail.com  
 
Source of Monetary or Material Support  
Dentsply India pvt Ltd No. 1308, 5th floor , shetty plaza, above bata show room, Hal 3rd stage , jeevan bhima nagar, Bangalore 560008 Confident sales India Pvt Ltd No. 47, 2nd floor , Pete Channappa Ind. Estate, Magadi main road, Kamakshipalya , Bangalore 
 
Primary Sponsor  
Name  riluwan siddique 
Address  Post graduate student Conservative dentistry and endodontics Saveetha dental college Chennai 
Type of Sponsor  Other [self] 
 
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 
Riluwan siddique  Saveetha dental college  Post graduate student Conservative dentistry & Endodontics Saveetha dental college Chennai Tamilnadu
Chennai
TAMIL NADU 
09743056316

riluwanas@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Saveetha institutional human ethical committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Infected root canals(asymptomatic apical periodontitis) 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  ProTaper Gold  Rotary system 
Comparator Agent  ProTaper Next  Rotary system 
Intervention  XP Endoshaper  Rotary system 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  : asymptomatic apical periodontitis, single & multi-rooted teeth with straight canals, intact pulp chamber walls, necrotic pulps confirmed by pulp tests and, clinical and radiographic evidence of asymptomatic apical periodontitis 
 
ExclusionCriteria 
Details  Teeth with gross carious lesion, crown or root fracture, retreatment, periodontal pocket deeper than 4mm were excluded. 
 
Method of Generating Random Sequence   Permuted block randomization, fixed 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Reduction in microbial load was evaluated using real time polymerase chain reaction  Samples were collected from infected root canals on same day of treatment procedure. No follow up samples collected
Samples collected before instrumentation(S1 samples)
Samples collected after instrumentation (S2 samples) 
 
Secondary Outcome  
Outcome  TimePoints 
Reduction in microbial load was evaluated using real time polymerase chain reaction.  Samples were collected from infected root canals on same day of treatment procedure. No follow up samples collected
Samples collected before instrumentation(S1 samples)
 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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)   12/04/2019 
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="0"
Months="3"
Days="10" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   Not yet 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   One of the major goals of the treatment of infected root canals of teeth with apical periodontitis is to promote maximal reduction in intracanal bacterial population.ProTaper Next was developed as the successor of the ProTaper Universal system.The Protaper next system was as effective as Protaper Universal and WaveOne in the removal of bacteria during root canal treatment.Recently introduced ProTaper Gold was found to produce less transportation compared to ProTaper Universal . XP-endo Shaper (XP) was introduced in 2015 and boasts of new rotary NiTi snake-shaped instrument developed with MaxWire technology. It has been proved that the XP Endoshaper follows the root canal anatomy of oval shaped canals by preparing and touching more walls than the Vortex Blue system.Till date no study has related to antimicrobial efficacy regarding ProTaper Next,ProTaper Gold and XP Endoshaper in clinical trials. Therefore aim of this randomized controlled clinical trial was to compare the microbial load reduction of  ProTaper Next, ProTaper Gold and XP Endoshaper in infected root canals of teeth with asymptomatic apical periodontitis. The null hypothesis was that there was no statistically significant difference in microbial load reduction between three rotary systems. 
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