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CTRI Number  CTRI/2020/06/025576 [Registered on: 03/06/2020] Trial Registered Prospectively
Last Modified On: 27/11/2022
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   STUDYING THE ROLE OF BIOLOGICAL MEMBRANES IN BONE HEALING AFTER TOOTH APEX SURGERY BY USING COLOR DOPPLER ULTRASOUND  
Scientific Title of Study   ROLE OF AMNIOTIC MEMBRANE AND PLATELET RICH FIBRIN IN BONE HEALING POST ENDODONTIC SURGERY: A COLOR DOPPLER SONOGRAPHY STUDY 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DR SAUMYA JOHRI 
Designation  JUNIOR RESIDENT 
Affiliation  KING GEORGES MEDICAL UNIVERSITY 
Address  DEPT OF CONSERVATIVE DENTISTRY AND ENDODONTICS,FIRST FLOOR, OLD DENTAL BUILDING FACULTY OF DENTAL SCIENCES KING GEORGES MEDICAL UNIVERSITY CHOWK

Lucknow
UTTAR PRADESH
226003
India 
Phone  9452901970  
Fax    
Email  saumya.johry@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR PROMILA VERMA 
Designation  PROFESSOR 
Affiliation  KING GEORGES MEDICAL UNIVERSITY 
Address  DEPT OF CONSERVATIVE DENTISTRY AND ENDODONTICS,FIRST FLOOR, OLD DENTAL BUILDING FACULTY OF DENTAL SCIENCES KING GEORGES MEDICAL UNIVERSITY CHOWK

Lucknow
UTTAR PRADESH
226003
India 
Phone  7007789709  
Fax    
Email  promilarajesh@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  DR SAUMYA JOHRI 
Designation  JUNIOR RESIDENT 
Affiliation  KING GEORGES MEDICAL UNIVERSITY 
Address  DEPT OF CONSERVATIVE DENTISTRY AND ENDODONTICS,FIRST FLOOR, OLD DENTAL BUILDING FACULTY OF DENTAL SCIENCES KING GEORGES MEDICAL UNIVERSITY CHOWK

Lucknow
UTTAR PRADESH
226003
India 
Phone  9452901970  
Fax    
Email  saumya.johry@gmail.com  
 
Source of Monetary or Material Support  
RESEARCH CELL COMMITTEE KING GEORGES MEDICAL UNIVERSITY LUCKNOW UTTARPRADESH (MONETARY) 
TATA MEMORIAL HOSPITAL PAREL MUMBAI MAHARASHTRA (MATERIAL) 
 
Primary Sponsor  
Name  DR SAUMYA JOHRI 
Address  DEPT OF CONSERVATIVE DENTISTRY AND ENDODONTICS FIRST FLOOR OLD DENTAL BUILDING FACULTY OF DENTAL SCIENCES KING GEORGES MEDICAL UNIVERSITY LUCKNOW UTTAR PRADESH 
Type of Sponsor  Other [self] 
 
Details of Secondary Sponsor  
Name  Address 
DR PROMILA VERMA  Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences King George’s Medical University, Lucknow Uttar Pradesh 226003  
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DR SAUMYA JOHRI  DEPARTMENT OF CONSERVATIVE DENTISTRY AND ENDODONTICS  FIRST FLOOR OLD DENTAL BUILDING FACULTY OF DENTAL SCIENCES KING GEORGES MEDICAL UNIVERSITY
Lucknow
UTTAR PRADESH 
9452901970

saumya.johry@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee king george medical university lucknow   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K045||Chronic apical periodontitis, (2) ICD-10 Condition: K046||Periapical abscess with sinus, (3) ICD-10 Condition: K047||Periapical abscess without sinus, (4) ICD-10 Condition: K048||Radicular cyst,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  FREEZE DRIED AMNIOTIC MEMBRANE WITH SYNTHETIC HYDOXYAPATITE BONE GRAFT  BONY CAVITY FORMED AFTER CURETTAGE OF PERI APICAL GRANULATION TISSUE/CYST WILL BE FILLED WITH HYDROXYAPATITE BONE GRAFT OVER WHICH AMNIOTIC MEMBRANE WILL BE PLACED  
Comparator Agent  PLATELET RICH FIBRIN WITH SYNTHETIC HYDROXYAPATITE BONE GRAFT  BONY CAVITY FORMED AFTER CURETTAGE OF PERI APICAL GRANULATION TISSUE/CYST WILL BE FILLED WITH HYDROXYAPATITE BONE GRAFT OVER WHICH PLATELET RICH FIBRIN MEMBRANE WILL BE PLACED 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  Single rooted, anterior teeth.
Non-surgical re-treatment cases showing signs of failure like pain, swelling, sinus, pus discharge, etc.
Patients who are not on any systemic medication affecting periapical healing
 
 
ExclusionCriteria 
Details  Patients having insufficient motivation and capablility of reporting back for follow up visits to the clinics.
Patients with any systemic diseases like Diabetes Mellitus, Hypertension, Hepatitis, HIV, bone disorders etc.
Surgical retreatment cases.
Patients with malignant tumors or undergoing chemotherapy/radiotherapy.
Pregnant females.
Uncooperative patients.
Periodontally compromised teeth.
 
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
1-Percentage reduction in the size of periapical lesion
2-Percentage change in blood velocity of periapical lesions  
1 month after endodontic surgery 
 
Secondary Outcome  
Outcome  TimePoints 
1-Percentage reduction in the size of periapical lesion
2-Percentage change in blood velocity of periapical lesions 
3 months after endodontic surgery 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="34" 
Phase of Trial   N/A 
Date of First Enrollment (India)   15/06/2020 
Date of Study Completion (India) 01/12/2020 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="8"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
Published  
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  
The current study is a randomised, double blinded, parallel group, single center study. The study will be done in the Department of Endodontics and Department of Radiodiagnosis of KGMU, Lucknow. Primary objective is to evaluate the efficacy of freeze dried, gamma irradiated amniotic membrane(AM)  in bone healing after periapical endodontic surgery and to compare it with autologous platelet rich fibrin membrane (PRF) that is one of the accepted standard treatment for regenerative procedures of oral cavity. Evaluation will be done using ultrasound and color doppler imaging technique.
Amniotic membrane will be availed from tisuue bank of Tata Memorial Hospital, Mumbai; while PRF will be made from patient’s own blood using a PRF centrifuge machine in the department itself.
The primary outcomes of the study are-
1)Percentage reduction in the size of the periapical lesion(surgical site) after bony curettage.
2)Percentage change in peak systolic velocity of blood, showing change in vascularity of the treated lesion. 
Time points of evaluation are baseline, 1 month and 3 months after surgery.
 
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