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CTRI Number  CTRI/2025/11/097274 [Registered on: 12/11/2025] Trial Registered Prospectively
Last Modified On: 10/11/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Study of effect of gum surgery procedure along with connection of posterior teeth with each other on activity of muscle mastication and also improvement in quality of life in individuals having pyorrhoea. 
Scientific Title of Study   Effect of periodontal therapy with splinting of posterior teeth on masticatory muscles activity and quality of life in stage II, III periodontitis - a prospective randomised control trial. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Manish A Ashtankar  
Designation  Reader 
Affiliation  VYWS Dental College & Hospital Amravati  
Address  Room No 16 First Floor epartment of Periodontology
Room No 16 First Floor epartment of Periodontology
Amravati
MAHARASHTRA
444602
India 
Phone  9284203288  
Fax    
Email  manishashtankar@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Mangesh Phadnaik 
Designation  Professor & HOD 
Affiliation  Government dental college and Hospital Nagpur 
Address  Government Dental College and Hospital, Hanuman Nagar, Medical Chawk, Nagpur

Nagpur
MAHARASHTRA
440003
India 
Phone  9422203650  
Fax    
Email  drmbphadnaik@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Mr Manish A Ashtankar  
Designation  Reader 
Affiliation  VYWS Dental College & Hospital Amravati  
Address  Room No 16 First Floor epartment of Periodontology
Room No 16 First Floor epartment of Periodontology
Amravati
MAHARASHTRA
444602
India 
Phone  9284203288  
Fax    
Email  manishashtankar@gmail.com  
 
Source of Monetary or Material Support  
V.Y.W.S. DENTAL COLLEGE & HOSPITAL AMRAVATI, Tapovan-Wadali Road, Camp Rd, SRPF Colony, Amravati, Maharashtra 444602 
 
Primary Sponsor  
Name  Dr Manish A Ashtankar 
Address  DEPARTMENT OF PERIODONTOLOGY FIRST FLOOR Room No 16 Pin code 444602 
Type of Sponsor  Other [Self funded by researcher] 
 
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 Manish A Ashtankar   VYWS Dental College & Hospital, Amravati  Room no 16 First floor Department of Periodontology Tapovan-Wadali Road, Camp Rd, SRPF Colony, Amravati, Maharashtra 444602
Amravati
MAHARASHTRA 
9284203288

manishashtankar@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
IECVYWSDCHA  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K053||Chronic periodontitis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  No splinting   No splinting will be done in control group after flap surgery. Duration 6 month  
Intervention  sEMG recording after splinting of posterior teeth.  sEMG testing of masticatory muscles will be done in experimental group after splinting of posterior teeth. At baseline, 6 month after flap surgery and immediately after splinting (6 month after flap surgery) 
Comparator Agent  sEMG without splinting  sEMG testing of masticatory muscles will be done in the control group without splinting of posterior teeth. Frequency -At baseline and 6 month after flap surgery  
Intervention  Splinting   Splinting of premolars and molars by 22 gauge SS wire and composite in all quadrants. Frequency only once 6 month after flap surgery  
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Individuals with Generalised Stage II, III Periodontitis with the following criteria will be selected for the study and control group.
i)Age 30 to 60 years.
ii)Individuals with more than 20 vital teeth with the presence of upper and lower premolars and first, and second molars.
iii)None of the molars & premolars will have a crown, FPD, or endodontic lesion.
iv)With probing pocket depth (PPD) > 4mm and Clinical attachment loss (CAL) > 3mm i.e. Stage II, III Periodontitis. 
 
ExclusionCriteria 
Details  i)Systemic conditions that affect the periodontium and muscles of mastication.
ii)Patients with Temporomandibular joint disorders and Myofunctional Pain Dysfunction Syndrome, Bruxism.
iii)Pregnancy and lactation.
iv)Central nervous system disorders.
v)Individuals with dental implants.
v)History of periodontal or orthodontic treatment in the last 6 months.
Individuals taking antihistamines, sedatives, Homoeopathic medical medicines, or central nervous system depressants, which may interfere with muscular activity. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
changes in masticatory muscle activity in individuals with Generalised stage II, III Periodontitis after periodontal therapy along with splinting of Premolars & Molars.  3 years 
 
Secondary Outcome  
Outcome  TimePoints 
An improvement in Quality of individual’s life with Generalised stage II, III Periodontitis after periodontal therapy along with splinting of Premolars & Molars.  3 years 
 
Target Sample Size   Total Sample Size="70"
Sample Size from India="70" 
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 4 
Date of First Enrollment (India)   30/11/2025 
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="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

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

Response - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report

  3. Who will be able to view these files?
    Response - Anyone

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response (Others) -  through publication

  6. For how long will this data be available start date provided 21-08-2023 and end date provided 31-08-2027?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary  

This is a prospective randomized controlled trial with the primary aim to compare the changes in masticatory muscle activity and Quality of life in individuals with Generalised stage II, and III Periodontitis before and after periodontal therapy along with splinting of Premolars and Molars. the hypothesis behind the study there is a difference in masticatory muscle activity in individuals with Generalised stage II, and III  Periodontitis after periodontal therapy and splinting of Premolars and Molars. The primary outcome will be the changes in masticatory muscle activity and an improvement in the Quality of an individual’s life with Generalised stage II, and III  Periodontitis after periodontal therapy along with splinting of Premolars and Molars. the secondary outcome will be the advantage of splinting of molars and premolars on masticatory muscles activity because of the summation of  PDL mechanoreceptors.

 
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