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CTRI Number  CTRI/2022/07/043628 [Registered on: 01/07/2022] Trial Registered Prospectively
Last Modified On: 27/06/2022
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A new Innovative Oral Bioadhesive Formulation Incorporated With Nano Hydroxyapatite and Acorus Calamus Rhizome Extract To Enhance Remineralization of White Spot Lesions during braces Treatment – A Randomized Controlled Trial. 
Scientific Title of Study   A NOVEL ORAL BIOADHESIVE FORMULATION INCORPORATED WITH NANO HYDROXYAPATITE AND ACORUS CALAMUS RHIZOME EXTRACT TO COMBAT WHITE SPOT LESION- A RANDOMIZED CONTROLLED TRIAL 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Jerusha T 
Designation  Post Graduate Student 
Affiliation  JSS Dental College and Hospital 
Address  Department of Orthodontics SS Nagar Bannimantap Mysore

Mysore
KARNATAKA
570015
India 
Phone  9344989023  
Fax    
Email  jerushat77@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Suma S 
Designation  Reader 
Affiliation  JSS Dental College and Hospital 
Address  Department of Orthodontics SS Nagar Bannimantap Mysore

Mysore
KARNATAKA
570015
India 
Phone  8310099013  
Fax    
Email  dr.suma@jssuni.edu.in  
 
Details of Contact Person
Public Query
 
Name  Dr Jerusha T 
Designation  Post Graduate Student 
Affiliation  JSS Dental College and Hospital 
Address  Department of Orthodontics SS Nagar Bannimantap Mysore


KARNATAKA
570015
India 
Phone  9344989023  
Fax    
Email  jerushat77@gmail.com  
 
Source of Monetary or Material Support  
JSS Dental College and Hospital 
 
Primary Sponsor  
Name  Dr Jerusha T 
Address  PG Student Department of Orthodontics and Dentofacial Orthopedics SS Nagar Bannimantap Mysore 
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 Jerusha T  Department of orthodontics, Room number 11, JSS Dental College and Hospital, Mysore  SS Nagar Bannimantap Mysore
Mysore
KARNATAKA 
9344989023

jerushat77@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committe  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Healthy Individuals 
Patients  (1) ICD-10 Condition: K026||Dental caries on smooth surface,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Bio adhesive placement during Orthodontic Treatment  9-12 months 
Comparator Agent  Regular Orthodontic patients without any type of bioadhesive formulation.  9-12 months 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  25.00 Year(s)
Gender  Both 
Details  1. Subjects aged 18-25 years.
2. Healthy subjects with no other systemic diseases
3. Individuals undergoing fixed orthodontic treatment
 
 
ExclusionCriteria 
Details  1. Subjects with systemic diseases
2. Individuals under any medication.
3. Individuals with high caries risk
4. Periodontally compromised individuals
5. Individuals unwilling to participate in the study
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
To prepare an oral bioadhesive formulation with the use of nano hydroxyl apatite and herbal extract separately and in combination
To evaluate its efficacy in remineralization of white spot lesion. 
Total Duration of 18 months 
 
Secondary Outcome  
Outcome  TimePoints 
To check the usability of Oral Bio adhesive for other than treating White spot lesion   18 months 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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 
Date of First Enrollment (India)   01/07/2022 
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)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   Not Yet Started 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  

Description of Materials used:

Synthetic biomimetic Hydroxyapatite which has nano sized particles, in the powder form is to be purchased from outside source. The extract of the rhizome of Acorus calamus is to be done in the department of pharmacognosy,JSS College of Pharmacy. Acorus calamus alcoholic and aqueous extracts will be prepared by SOXHLET extraction and hot extraction process (refluxation). The MIC of the Acorus calamus rhizome extract on the microorganisms causing white spot lesion i.e. Streptococcus mutans and Lactobacilllus acidophilus will be evaluated. After the preparation of the oral bioadhesive formulation, 10% Nano Hydroxyapatite and/or rhizome extract of Acorus calamus will be incorporated into it.

Investigations to be done:

Biochemical analysis of saliva will be done to assess pH, Calcium and Phosphate levels. This is done in 3 phases for all the subjects. First before starting fixed orthodontic treatment which will be used as Baseline data, second during the mid-phase of the treatment and then third after completion of the treatment.

Procedure:

Randomization and group allocation: Eligible forty participants will be randomly selected and allocated to four different categories.

Group A: Oral bioadhesive formulation containing 10% Nano Hydroxyapatite.

Group B: Oral bioadhesive formulation containing rhizome extract of Acorus calamus.

Group C: Oral bioadhesive formulation containing both 10% Nano Hydroxyapatite and rhizome extract of Acorus calamus.

Group D: Control group.

Participants will be instructed to maintain good oral hygiene status. The participants will be asked to report immediately in case of any adverse effects to the contact details of investigator provided to him/ her.

Intervention:

After bonding of orthodontic brackets, each patient in the test group will be given oral bioadhesive formulation. 
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