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CTRI Number  CTRI/2022/05/042789 [Registered on: 24/05/2022] Trial Registered Prospectively
Last Modified On: 19/10/2022
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia
Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparing the stability between dental implants placed with and without adding hyaluronic acid gel. 
Scientific Title of Study   Evaluation of stability, soft tissue and hard tissue changes in implants placed with and without application of hyaluronic acid gel 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr balla sowmya 
Designation  I MDS 
Affiliation  sibar institute of dental sciences 
Address  2nd floor,room number 8,departement of periodontology,sibar institute of dental sciences, takkellapadu, guntur

Guntur
ANDHRA PRADESH
522509
India 
Phone  9491488650  
Fax    
Email  ballasowmya26@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr D Ravindranath 
Designation  head of the department and professor of periodontology  
Affiliation  sibar institute of dental sciences 
Address  2nd floor,room number 8,departement of periodontology,sibar institute of dental sciences, takkellapadu, guntur

Guntur
ANDHRA PRADESH
522509
India 
Phone  9849222259  
Fax    
Email  ravident69@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr D Ravindranath 
Designation  head of the department and professor of periodontology  
Affiliation  sibar institute of dental sciences 
Address  2nd floor,room number 8,departement of periodontology,sibar institute of dental sciences, takkellapadu, guntur

Guntur
ANDHRA PRADESH
522509
India 
Phone  9849222259  
Fax    
Email  ravident69@gmail.com  
 
Source of Monetary or Material Support  
Sibar Institute of Dental sciences, takellapadu village, pedakakani mandal, Guntur 522509 
 
Primary Sponsor  
Name  Balla sowmya 
Address  room number 8, 2nd floor, sibar institute of dental sciences, guntur, andrapradesh, india 522509 
Type of Sponsor  Other [sibar institute of dental sciences] 
 
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 
Balla Sowmya  Sibar institute of dental sciences  roon no 8, 2nd floor, department of periodontics
Guntur
ANDHRA PRADESH 
9491488650

ballasowmya26@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
IEC Sibar institute of dental sciences guntur   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  isolated edentulous mandibular posterior sites 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  hyaluronic acid gel  Application of hyaluronic acid on implant surface is done during implant placement i.e once per patient and evaluated for every 3 months till 6th month. 
Comparator Agent  without hyaluronic acid gel  Implant placement is done without application of Hyaluronic acid and patient is evaluated for every 3 months till 6th month. 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. Individuals in need of tooth replacement.
2. Presence of adequate keratinized mucosa in the edentulous site.
3. Apparently healthy individuals.
4.Individuals with adequate bone volume with D2 and D3 type of bone.
5. Patient who are willing to give informed consent.
 
 
ExclusionCriteria 
Details  1. Smokers
2. Individuals with parafunctional habits.
3. Pregnant and lactating women.
4. Patients taking any medication or drug that could jeopardize treatment
outcome.
5. Systemic diseases that contraindicate implant placement and surgical
procedure.
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Centralized 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To evaluate and compare Resonant frequency analysis (RFA) and crestal bone level (CBL) between groups  baseline ,3months and 6 months 
 
Secondary Outcome  
Outcome  TimePoints 
To evaluate and compare plaque index(PI), gingival index(GI), Width of the keratinized tissue (WKT), Thickness of keratinized tissue (TKT)
 
baseline ,3months and 6 months 
 
Target Sample Size   Total Sample Size="28"
Sample Size from India="28" 
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)   25/05/2022 
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)
Modification(s)  
Closed to Recruitment of Participants 
Recruitment Status of Trial (India)  Closed to Recruitment of Participants 
Publication Details   not yet 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   Replacement of missing teeth with an implant in partially or fully edentulous sites has become a preferred and realistic alternative treatment without involving adjacent teeth. Single tooth replacement with endosseous dental implant comprises the most widely used form with success rates of 90% to 100% in terms of implant survival and prosthetic outcomes. Implant rehabilitation of missing tooth has been most widely opted treatment modality for partially/completely edentulous patients who aspire long term survival and success rates of the replaced prosthesis. However, implant success is mostly dependent on the concept of “OSSEOINTEGRATION” proposed by Branemark in the year 1969, which nearly takes 6 to 7 months to heal without any intervention. Osseointegration refers to a direct structural and functional connection between ordered, living bone and the surface of a load-carrying implant. Currently, an implant is considered as osseointegrated when there is no progressive relative movement between the implant and the bone with which it has direct contact. 

Different approaches have been introduced lately to positively enhance the healing around dental implants. One approach to enhance osseointegration of dental implants is the coating with organic components of the extracellular matrix. Hyaluronic acid (HA) was First discovered in the vitreous humour of the eye in 1934 and subsequently synthesized in vitro in 1964, hyaluronic acid (or hyaluronate or hyaluronan) is a negatively charged, with high molecular weight (up to 107 Daltons) glycosaminoglycan found predominantly in the extracellular matrix. Hyaluronic acid possesses physiological and structural functions in the tissues, including cellular and extracellular interactions, interactions with growth factors and regulation of the osmotic pressure and tissue lubrication, which helps in maintaining the tissues structural and homeostatic integrity. Hyaluronic acid has a multifunctional role in healing chronic lesions, including those that are observed in periodontal disease. HA-coated surface may possess a higher potency to enhance osteogenesis. This study is designed to  evaluate the efficacy of hyaluronic acid gel on implant stability, soft tissue and hard tissue changes when compared to conventional implant placement


 
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