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CTRI Number  CTRI/2022/07/043839 [Registered on: 08/07/2022] Trial Registered Prospectively
Last Modified On: 07/07/2022
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparison of bone supported EZY arch bars, Intermaxillary Fixation Screws and Conventional Erich arch bar in Maxillo-Mandibular fixation- A Randomised Control Study 
Scientific Title of Study   Comparison of bone supported arch bars, Intermaxillary Fixation Screws and Conventional arch bar in Maxillo-Mandibular fixation- A Randomised Control Study. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Acchuthakrishnan K A 
Designation  Post graduate student 
Affiliation  Karpaga Vinayaga Institute Of Dental Sciences 
Address  Department of Oral And Maxillofacial Surgery, Karpaga Vinayaga Institute of Dental Sciences, Gst Road, Palayanoor Post, Chinnakolambakkam Chengalpattu-603308
Pathy Villa, 23 First Cross, Pasumpon Nagar,Karaikal, Karaikal Puducherry- 609602
Kancheepuram
TAMIL NADU
603308
India 
Phone  7904307597  
Fax    
Email  acchu7.ak@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Karthikeyan G R 
Designation  Professor 
Affiliation  Karpaga Vinayaga Institute of Dental Sciences 
Address  Department of Oral And Maxillofacial Surgery, Karpaga Vinayaga Institute of Dental Sciences, Gst Road, Palayanoor Post, Chinnakolambakkam Chengalpattu-603308
Department of Oral And Maxillofacial Surgery, Karpaga Vinayaga Institute of Dental Sciences, Gst Road, Palayanoor Post, Chinnakolambakkam Chengalpattu-603308
Kancheepuram
TAMIL NADU
603308
India 
Phone  7904307597  
Fax    
Email  grkomfs@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Acchuthakrishnan K A 
Designation  Post graduate student 
Affiliation  Karpaga Vinayaga Institute Of Dental Sciences 
Address  Department of Oral And Maxillofacial Surgery, Karpaga Vinayaga Institute of Dental Sciences, Gst Road, Palayanoor Post, Chinnakolambakkam Chengalpattu-603308
Department of Oral And Maxillofacial Surgery, Karpaga Vinayaga Institute of Dental Sciences, Gst Road, Palayanoor Post, Chinnakolambakkam Chengalpattu-603308
Kancheepuram
TAMIL NADU
603308
India 
Phone  7904307597  
Fax    
Email  acchu7.ak@gmail.com  
 
Source of Monetary or Material Support  
Department of Oral And Maxillofacial Surgery, Karpaga Vinayaga Institute of Dental Sciences, Gst Road, Palayanoor Post, Chinnakolambakkam Chengalpattu-603308 
 
Primary Sponsor  
Name  Acchuthakrishnan K A 
Address  Department of Oral And Maxillofacial Surgery, Karpaga Vinayaga Institute of Dental Sciences, Gst Road, Palayanoor Post, Chinnakolambakkam Chengalpattu-603308 
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 Acchuthakrishnan  Karpaga Vinayaga Institute of Dental Sciences  Department of Oral And Maxillofacial Surgery, Karpaga Vinayaga Institute of Dental Sciences, Gst Road, Palayanoor Post, Chinnakolambakkam Chengalpattu-603308
Kancheepuram
TAMIL NADU 
7904307597

acchu7.ak@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Instituitional Ethical Commitee- Karpaga Vinayaga 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: S026||Fracture of mandible, (2) ICD-10 Condition: S026||Fracture of mandible, (3) ICD-10 Condition: V229||Unspecified motorcycle rider injured in collision with two- or three-wheeled motor vehicle in traffic accident,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  conventional arch bars  To evaluate Erich’s arch bar in Maxillo-Mandibular fixation in terms of surgical time taken, glove perforation post operative occlusion, IMF stability, oral hygiene, screw assesment, mucosal ulcerations and non vitality characteristics at preoperative, Ist week, 6th week postoperatively Radiological assessment- loss of screw, screw breakage, screw covered by mucosa and iatrogenic damage to dental roots in IMF screws and EZY arch bars postoperatively. Functional assessment- post operative occlusion and IMF stability were recorded as satisfactory and non satisfactory based on Andrews Six Keys of Occlusion. Mucosal ulcerations caused by the hardware were assessed. Pre and post operative tooth vitality by the help of Electrical Pulp Tester. Needle stick injury or perforations assessed by water inflation method. Intraoperative assessment. Surgical time-Stopwatch. Oral hygiene assessment- OHI-S given by Greene and vermillion, for a period of six weeks. 
Intervention  Bone supported arch bars and Intermaxillary fixation screw.  To evaluate Bone supported Ezy arch bars and IMF screw in Maxillo-Mandibular fixation in terms of surgical time taken, glove perforation post operative occlusion, IMF stability, oral hygiene, screw assesment, mucosal ulcerations and non vitality characteristics at preoperative, Ist week, 6th week postoperatively Radiological assessment- loss of screw, screw breakage, screw covered by mucosa and iatrogenic damage to dental roots in IMF screws and EZY arch bars postoperatively. Functional assessment- post operative occlusion and IMF stability were recorded as satisfactory and non satisfactory based on Andrews Six Keys of Occlusion. Mucosal ulcerations caused by the hardware were assessed. Pre and post operative tooth vitality by the help of Electrical Pulp Tester. Needle stick injury or perforations assessed by water inflation method. Intraoperative assessment-. Surgical time-Stopwatch. Oral hygiene assessment- OHI-S given by Greene and vermillion, for a period of six weeks. 
 
Inclusion Criteria  
Age From  16.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1.Patients who are consented to participate.
2.Patient’s in the age group of 16-60 years.
3. Patient’s with unilateral mandibular parasymphysis fracture

 
 
ExclusionCriteria 
Details  1. Edentulous patients with underlying medical conditions
2. Pathologic and communited fracture of mandible
3. Patients with multiple fractures
4. Patient with fracture in other parts of body
5. Patients with primary and mixed dentition was excluded from the study.

 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Other 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
1.Time required for the placement of device.

2.Pre operative occlusion ( Andrews six Keys of Occlusion)

3.Post operative occlusion ( Andrews six Keys of Occlusion)

 
1st week and 6th week.
 
 
Secondary Outcome  
Outcome  TimePoints 
1.Glove Perforation during Placement of the Device

2.Vitality of the teeth

3.Oral Hygiene Measure

4.Mucosal Ulcerations

5.Assesment of screws. 
1st week and 6th week 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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)   15/07/2022 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  15/07/2022 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)   Open to Recruitment 
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  

Ø To evaluate Bone supported Ezy arch bars, IMF screws and Erich’s arch bar in Maxillo-Mandibular fixation in terms of surgical time taken, glove perforation post operative occlusion, IMF stability, oral hygiene, screw assesment, mucosal ulcerations and non vitality characteristics at preoperative, Ist week, 6th week postoperatively Radiological assessment-  loss of screw, screw breakage, screw covered by mucosa and iatrogenic damage to dental roots in IMF screws and EZY arch bars postoperatively. Functional assessment- post operative occlusion and IMF stability were recorded as satisfactory and non satisfactory based on Angle’s classification. Mucosal ulcerations caused by the hardware were assessed. Pre and post operative tooth vitality by the help of Electrical Pulp Tester. Needle stick injury or perforations assessed by water inflation method. Intraoperative assessment-. Surgical time-Stopwatch. Oral hygiene assessment-  OHI-S   given by Greene and vermillion.    

 
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