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CTRI Number  CTRI/2021/08/035791 [Registered on: 18/08/2021] Trial Registered Prospectively
Last Modified On: 09/08/2021
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Other 
Public Title of Study   A Clinical Trail to explain the need of oral hygiene in gum disease patients 
Scientific Title of Study   Evaluation Of C-Reactive Protein Levels And Blood Parameters in Chronic Periodontitis patients following non-surgical periodontal therapy: A Clinico-biochemical study 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Fouzia Imran 
Designation  Academic Junior resident 
Affiliation  Banaras Hindu University 
Address  3rd Floor Periodontics and Implantology Faculty of Dental Sciences Trauma complex BHU

Varanasi
UTTAR PRADESH
221005
India 
Phone  9473528583  
Fax    
Email  fouziakhan9474@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Fouzia Imran 
Designation  Academic Junior resident 
Affiliation  Banaras Hindu University 
Address  3rd Floor Periodontics and Implantology Faculty of Dental Sciences Trauma complex BHU


UTTAR PRADESH
221005
India 
Phone  9473528583  
Fax    
Email  fouziakhan9474@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Fouzia Imran 
Designation  Academic Junior resident 
Affiliation  Banaras Hindu University 
Address  3rd Floor Periodontics and Implantology Faculty of Dental Sciences Trauma complex BHU


UTTAR PRADESH
221005
India 
Phone  9473528583  
Fax    
Email  fouziakhan9474@gmail.com  
 
Source of Monetary or Material Support  
Faculty of Dental Sciences IMS BHU Varanasi 
 
Primary Sponsor  
Name  Fouzia Imran 
Address  3rd Floor Periodontology and Implantrology Faculty of Dental Science Trauma complex BHU 
Type of Sponsor  Other [Self Sponsoring] 
 
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 Sarita Parihar  Faculty of Dental Science IMS BHU  Room no 5 Floor no 3 Periodontology and Implantology Faculty of Dental Sciences Trauma Complex IMS BHU
Varanasi
UTTAR PRADESH 
8004925677

drsarita6@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee IMS BHU  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Subjects with Chronic Periodontitis  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Subjects devoid of Chronic Periodontitis disease  Blood samples and Salivary samples of subjects who are devoid of any periodontal ailments are collected to assess hs-CRP and CBC levels 
Intervention  Subjects who are found out to have Chronic Periodontitis  Blood samples and Salivary samples of chronic periodontitis patients are collected to assess the levels of hs-CRP and CBC levels at pre-op,7 days and one month following therapy 
 
Inclusion Criteria  
Age From  15.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  1. For control group, the participants with at least 20 natural teeth and probing pocket depth of 2–3 mm with no attachment loss and bleeding on probing with <20% sites.
2. For the study group, the participants had to have five qualifying sites in two quadrants with a minimum of two affected teeth in each quadrant with each site having probing depth ≥5 mm, clinical attachment loss (CAL) ≥3 mm, and bleeding on probing.
3. Patients who consented to willingly follow the endorsed plaque control and follow-up routine. 
 
ExclusionCriteria 
Details  1. Medically compromised patients with presence of any systematic disease
2. Pregnant & Lactating women
3. Patients taking any medication for the past 3 months.
4. Patients who are not maintaining their oral hygiene
5. Current smokers. 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Not Applicable 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To show the importance of C-Reactive protein in the maintenance of oral hygiene and to discuss the importance of maintenance of oral hygiene  pre-op,7 days and 1month following therapy 
 
Secondary Outcome  
Outcome  TimePoints 
To show and study on the importance on C-Reactive protein in chronic periodontitis patients  pre-op,7days and 1 month following therapy 
 
Target Sample Size   Total Sample Size="49"
Sample Size from India="49" 
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   Phase 1 
Date of First Enrollment (India)   25/08/2021 
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 - NO
Brief Summary   Chronic periodontitis is a disease characterized by an intense inflammatory infiltrate associated with irreversible loss of alveolar bone and connective tissue attachment in the periodontium which ultimately results in the loss of teeth. The mechanism underlying this destructive process involves both direct tissue damage resulting from plaque bacterial products and indirect damage through bacterial induction in the host cells by an activation of inflammatory mediators such as cytokines, prostaglandins and acute phase proteins. In response to bacteria or endotoxins derived from these periodontal pathogens, several acute phase proteins orchestrate the inflammatory cascade to bring about a balance between host and inflammatory stimuli. One consequence of these inflammatory reactions has been the elevated levels of various acute phase proteins in the serum, plasma, saliva and in gingival crevicular fluid. These acute phase response are initiated by activation of local macrophages and other cells such as fibroblast and endothelial cells, leading to the release of mediators such as Tumor necrosis factor (TNF-α), Interleukin-6 (IL-6) and Interleukin-1β (IL-1β) which in turn stimulate these proteins causing systemic changes.

C-reactive protein (CRP) is a very strong acute phase protein produced in the liver and circulates in the blood. It was discovered by Tillett and Francis laboratory in 1930. It is a systemic marker of inflammation induced by various inflammatory stimuli such as trauma, infection and hypoxia. CRP and other acute phase proteins are usually present at low levels in plasma, but may arise dramatically within 72 hours of injury or with infection. It receives much attention as their level guides decision for diagnosis, monitoring and therapy for inflammatory process and associated diseases. It was proved to be a significant predictor of future cardiovascular events.

The main purpose of this study is to compare and to evaluate the serum level of hs-CRP and CBC in moderate and advanced chronic periodontitis patients before and after nonsurgical periodontal treatment correlated with clinical findings.


 
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