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CTRI Number  CTRI/2021/03/032008 [Registered on: 15/03/2021] Trial Registered Prospectively
Last Modified On: 25/02/2021
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia
Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Treatment for gum diseases using nanoparticles  
Scientific Title of Study   Efficacy of nanohydroxyapatite in Periodontal regeneration 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Kalyanam Rashmi Durga 
Designation  Post graduate 
Affiliation  JSS Dental College and Hospital 
Address  Room no-9 Department of Periodontology JSS Dental College and Hospital Bannimantap Mysore

Mysore
KARNATAKA
570015
India 
Phone  9573638899  
Fax    
Email  rashmikalyanam10@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ravindra S 
Designation  Principal and Professor 
Affiliation  JSS Dental College and Hospital 
Address  Room no-9 Department of Periodontology JSS Dental College and Hospital Bannimantap Mysore

Mysore
KARNATAKA
570015
India 
Phone  9481872469  
Fax    
Email  drsravindra@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Kalyanam Rashmi Durga 
Designation  Post graduate 
Affiliation  JSS Dental college and Hospital 
Address  Room no-9 Department of Periodontology JSS Dental College and Hospital Bannimantap Mysore

Mysore
KARNATAKA
570015
India 
Phone  9573638899  
Fax    
Email  rashmikalyanam10@gmail.com  
 
Source of Monetary or Material Support  
JSS Academy of higher education and Research Institute 
 
Primary Sponsor  
Name  JSS Academy of Higher Education and Research Institute 
Address  Bannimantap Mysore  
Type of Sponsor  Research institution and hospital 
 
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 
Kalyanam Rashmi Durga  JSS Dental College and Hospital  Department of Periodontology Room no 9 Bannimantap
Mysore
KARNATAKA 
9573638899

rashmikalyanam10@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
JSS Dental college and Hospital institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K053||Chronic periodontitis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Injectable Nano hydroxyapatite bone graft  Injectable Nano hydroxyapatite bone graft contains 35% of nano hydroxy apatite particles. Quantity of bone graft used will be based on the size of the infrabony defect  
Intervention  Injectable nanohydroxyapatite-nanochitosan bone graft  Injectable Bone graft contains 35% nanohydroxyapatite and 35% nano chitosan particles. Infrabony defects will be filled using this graft. Quantity of graft used will be based on the size of the defect 
 
Inclusion Criteria  
Age From  35.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Subjects with more than 20 remaining teeth
Subjects with Chronic Periodontitis with Periodontal pocket depth greater than 5mm
Systemically healthy subjects with any vertical bone loss
 
 
ExclusionCriteria 
Details  Pregnant and lactating mothers, smokers
Allergic to chitosan/HAP
Compromised immune system
Undergone periodontal therapy in previous 6 months
Subjects taking medication that could interfere with soft tissue/bone healing.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Periodontal regeneration  Baseline,3,months, 6 months,9months 
 
Secondary Outcome  
Outcome  TimePoints 
To reduce Periodontal pocket depth  Baseline,3,months, 6 months,9months 
 
Target Sample Size   Total Sample Size="20"
Sample Size from India="20" 
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)   25/03/2021 
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="0"
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 - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form

  3. Who will be able to view these files?
    Response - Anyone

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response (Others) -  will be visible to who ever is intrested

  6. For how long will this data be available start date provided 25-02-2021 and end date provided 25-02-2024?
    Response - Beginning 3 months and ending 5 years following article publication.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary  
Pre-surgical procedures:
Patients fulfilling the inclusion criteria and have willingly given informed consent will be subjected to phase-1 therapy comprising of full-mouth scaling, root planing, and occlusal corrections if required.
The subjects will be monitored for plaque control and tissue response and if found satisfactory will be prepared for surgery. Gingival index and plaque index will be recorded at baseline on the day of surgery. Intraoral radiographs with the grid will be taken by using paralleling technique to record osseous defect depth, Alveolar crest level.
Method:
Following local anesthesia with 2% Lignocaine, using block and infiltration techniques, intra-crevicular incisions will be given to reflect the full thickness mucoperiosteal flaps for defect access and debridement. 
The patients will be randomly divided into two study groups by computer alloted method
GROUP-A {Test group}; Intra-bony defects will be filled with injectable nano hydroxyapatite-chitosan scaffold.
GROUP-B {Control group}; Intrabony defects will be filled with nano-hydroxyapatite bone graft.
The surgical flaps will be repositioned and sutured using 4-0 black silk to achieve primary closure.
post-operative instructions will be given.

Post-surgical Evaluation:
Patients will be recalled after 7 days for surgical removal
Recall examinations will be scheduled at 3,6,9 months postoperatively and all the clinical parameters will be recorded
Radiographic parameters(IOPAR with grid) and CBCT will be assessed at baseline and after 9 months
Patients will be monitored periodically for their oral hygiene maintenance.

 
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