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CTRI Number  CTRI/2022/03/041537 [Registered on: 31/03/2022] Trial Registered Prospectively
Last Modified On: 13/06/2022
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Assessment of healing after tooth removal, using graft material (sourced from eggshell) and blood derivative  
Scientific Title of Study   Socket Preservation with and without eggshell derived nanohydroxyapatite and Platelet-rich fibrin (PRF) in Mandible: A Comparative Study 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
U1111-1275-3321  UTN 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Madhuri Shah 
Designation  Post-graduate Trainee 
Affiliation  KLE Society’s Institute of Dental Sciences 
Address  Department of Oral and Maxillofacial Surgery KLE Society’s Institute of Dental Sciences

Bangalore
KARNATAKA
560022
India 
Phone  9864359588  
Fax    
Email  madhurishah95@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ramdas Balakrishna 
Designation  Professor and Head, Department of Oral and Maxillofacial Surgery 
Affiliation  KLE Society’s Institute of Dental Sciences 
Address  KLE Institutions of Dental Sciences,20, Tumkur Road, Yeshwanthpur Suburb II Stage, Raja Industrial Estate, Yeshwanthpur

Bangalore
KARNATAKA
560022
India 
Phone  9845149261  
Fax    
Email  drramdas2007@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Dr Madhuri Shah 
Designation  Post-graduate Trainee 
Affiliation  KLE Society’s Institute of Dental Sciences 
Address  Department of Oral and Maxillofacial Surgery KLE Society’s Institute of Dental Sciences

Bangalore
KARNATAKA
560022
India 
Phone  9864359588  
Fax    
Email  madhurishah95@gmail.com  
 
Source of Monetary or Material Support  
KLE Society’s Institute of Dental Sciences, Bangalore, Karnataka 
 
Primary Sponsor  
Name  Dr Madhuri Shah 
Address  Department of Oral and Maxillofacial Surgery KLE Society’s Institute of Dental Sciences, Bangalore, Karnataka, India 560022  
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 Madhuri Shah  KLE Society’s Institute of Dental Sciences  No:3 Department Of Oral And Maxillofacial Surgery, KLE Society’s Institute of Dental Sciences, Bangalore, Karnataka, India 560022
Bangalore
KARNATAKA 
9864359588

madhurishah95@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
KLE Society’s Institute of Dental Sciences  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K039||Disease of hard tissues of teeth,unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  eggshell derived nanohydroxyapatite and Platelet-rich fibrin (PRF)   eggshell derived nanohydroxyapatite one time soon after extraction along with Platelet-rich fibrin (PRF) to fill the defect and observed over a period of 6 months 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  Mandibular 1st and 2nd molars indicated for extraction 
 
ExclusionCriteria 
Details  Periapical pathology, cyst and/or tumours associated with those teeth
Frankly infected bony sockets
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Centralized 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Bone regeneration, wound healing   3rd month and 6th month  
 
Secondary Outcome  
Outcome  TimePoints 
Bone width, height and periodontal health
 
3rd month and 6th month  
 
Target Sample Size   Total Sample Size="52"
Sample Size from India="52" 
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 2/ Phase 3 
Date of First Enrollment (India)   15/04/2022 
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)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   Socket grafting is vital to prevent bone resorption. Remodeling of alveolar bone is a continuous process in physiology and pathology, but alveolar bone is essential for the replacement of teeth. A systemic review of dimensional changes of the alveolar bone following extraction showed a mean reduction of 3.8 mm in width and 1.24 mm of height in the first six months after extraction. Replacement of missing teeth is essential, but without the support of adequate healthy alveolar bone, teeth replacement is difficult. Socket preservation attempts are therefore made to maintain bone to enable patients to have implant supported prosthesis in the future without the requirement for additional surgical procedures for augmentation. Socket preservation has been performed using different materials with varying success rates. Materials used for grafting include autogenous bone, allograft, xenograft, and alloplasts, among others. Various membranes have been used for wound closure, including polytetrafluoroethylene and bovine and porcine collagen matrices. Graft materials enhance bone formation by promoting osteoconduction, osteoinduction, and osteogenesis. However, no graft material to date is considered ideal. Recently, nanohydroxyapatite derived from chicken eggshell (nHA) was developed and used as an innovative graft material for bone regeneration purposes, but only few of these previous studies have evaluated the performance of nHA and a platelet-rich fibrin (PRF) membrane in socket preservation
 
 
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