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CTRI Number  CTRI/2021/03/032334 [Registered on: 26/03/2021] Trial Registered Prospectively
Last Modified On: 17/03/2021
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Association of enlarged adenoids and tonsils with growth of jaws, teeth and breathing habit in 4-12 year old children  
Scientific Title of Study   Co-relation of Hypertrophic Adenoids and Tonsils with Craniofacial Growth, Occlusion and Breathing Habit in 4-12 Year Old Children 
Trial Acronym  HAT-CFG 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Vidhi Jaiswal 
Designation  Post-Graduate student (MDS 1st year) 
Affiliation  K M Shah Dental College and Hospital, Sumandeep Vidyapeeth 
Address  Department of pediatric and preventive dentistry K M Shah Dental College and Hospital, Sumandeep Vidyapeeth Deemed to be university,Pipariya, Waghodia Vadodara

Vadodara
GUJARAT
390022
India 
Phone  02668245266  
Fax    
Email  vidhijaiswal42@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Anshula Deshpande  
Designation  professor  
Affiliation  K M Shah Dental College and Hospital, Sumandeep Vidyapeeth 
Address  Department of pediatric and preventive dentistry K M Shah Dental College and Hospital, Sumandeep Vidyapeeth Deemed to be university,Pipariya, Waghodia Vadodara

Vadodara
GUJARAT
391760
India 
Phone    
Fax    
Email  dranshula@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Anshula Deshpande  
Designation  professor  
Affiliation  K M Shah Dental College and Hospital, Sumandeep Vidyapeeth 
Address  Department of pediatric and preventive dentistry K M Shah Dental College and Hospital, Sumandeep Vidyapeeth Deemed to be university,Pipariya, Waghodia Vadodara

Vadodara
GUJARAT
391760
India 
Phone    
Fax    
Email  dranshula@gmail.com  
 
Source of Monetary or Material Support  
K M Shah Dental College and Hospital, Sumandeep Vidyapeeth deemed to be university. 
 
Primary Sponsor  
Name  Dr Vidhi Jaiswal  
Address  K M Shah Dental College and Hospital, Sumandeep Vidyapeeth deemed to be university, Pipariya , Waghodia , Vadodara 
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 
Dr Vidhi Jaiswal   Sumandeep Vidyapeeth   Department of Pediatric and preventive dentistry (Dept No. 3), K M Shah Dental College and Hospital
Vadodara
GUJARAT 
9016613468

vidhijaiswal42@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Sumandeep Vidyapeeth Institutional Ethics Committee (SVIEC)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K08||Other disorders of teeth and supporting structures,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  4.00 Year(s)
Age To  12.00 Year(s)
Gender  Both 
Details  Inclusion criteria: (For cases-Group A)
1. The children between the age group of 4-12 years.
2. Children with hypertrophy of adenoids (value less than 1.0) or associated
to hypertrophy of palatine tonsils (grade 3 and 4) with signs of respiratory
obstruction.17,18
Page 15 of 58
3. The children whose parents will give the written informed consent and assent for study.
Inclusion criteria: (For controls-Group B)
1. The children between the age group of 4-12 years.
2. Children without hypertrophy of adenoids or palatine tonsils with no signs of respiratory obstruction.17,18
3. The children whose parents will give the written informed consent and assent for study. 
 
ExclusionCriteria 
Details  Exclusion criteria:
1. Children with history of maxillofacial trauma or surgery.
2. Children with cleft lip and cleft palate.
3. Children with systemic disease.
4. Children undergoing orthodontic treatment.
5. Children with mouth-breathing or Oro-nasal breathing habit. (for control group) 
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
To co-related the effect of hypertrophic Adenoids and Tonsils with Craniofacial Growth, Occlusion and Breathing Habit in 4-12 Year Old Children  Baseline  
 
Secondary Outcome  
Outcome  TimePoints 
to compare the effect of hypertrophic adenoids and tonsils with craniofacial growth and breathing habit in children in 4-12 years   Baseline  
 
Target Sample Size   Total Sample Size="90"
Sample Size from India="90" 
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)   01/04/2021 
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="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   Title "Co-relation of Hypertrophic Adenoids and Tonsils With Craniofacial Growth, Occlusion and Breathing Habit in 4-12 Year Old Children"
Methodology - It is an observational cross-sectional study.  4 - 12 years old children reported to Dhiraj Hospital and K M Shah Dental College and Hospital, Sumandeep Vidhyapeeth(Deemed To Be University) diagnosed with Hypertrophy of adenoids (Value lower than 1.0) and Enlarged tonsils (Grade 3 And 4, According to Brodsky’s Classification) will be selected as cases. After obtaining written consent from parents and assent from children, study will continue further. The participants will be selected as per the inclusion and exclusion criteria. Children with hypertrophy of adenoids (value lower than 1.0) and tonsils (grade 3 and 4) will be regarded as group A(cases) and children without hypertrophy of adenoids and tonsils will be regarded as group B(controls). Selection of age-matched controls will be carried out after the selection of cases is completed.

Examination of each participant will be carried out as follows:
1. First the demographic details will be collected and entered in the proforma.
2. Parents will be asked in for the history pertaining to respiratory obstruction or infection and it will be recorded.
3. Extra-oral photographs will be taken and evaluated for facial profile, facial divergence, facial symmetry and lip posture.
4. Mirror test/Fog test will be performed for evaluation of the breathing habit.
5. Intra-oral examination will be done for evaluation of orthodontic parameters 
6. Physical examination of the tonsils will be carried out
7. After clinical examination, a standardised lateral cephalogram will be taken 
8. Hypertrophy of adenoids will be assessed by measuring airway-to-soft palate ratio on lateral cephalogram 
9. Cephalometric analysis will be carried out to assess the growth pattern of maxilla and mandible. 

Reference - 
1] Valera FCP, Travitzki LVV, Mattar SEM, Matsumoto MAN, Elias, AM, & Anselmo-Lima, WT. Muscular, functional and orthodontic changes in pre school children with enlarged adenoids and tonsils. International Journal of Pediatric Otorhinolaryngology, 67(7), 761–770.
 
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