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CTRI Number  CTRI/2023/10/059333 [Registered on: 31/10/2023] Trial Registered Prospectively
Last Modified On: 30/10/2023
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Non-randomized, Multiple Arm Trial 
Public Title of Study   Evaluation of blood cell ratios in periodontitis patients with and without Type 2 Diabetes Mellitus Before and one month after scaling and root planing 
Scientific Title of Study   Evaluation of Neutrophil to Lymphocyte (NLR),Platelet to lymphocyte (PLR) and Lymphocyte to Monocyte (LMR) ratios in peripheral blood of patients having periodontitis with type 2 diabetes mellitus before and one month after scaling and root planing  
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 Vishnudas Bhandari 
Designation  HOD and professor 
Affiliation  Maharashtra Institute of Dental Sciences and Research Latur 
Address  Room no -10 First floor, Department of Periodontology and Implantology, Maharashtra institute of dental sciences and research Latur.

Latur
MAHARASHTRA
413512
India 
Phone  9823525229  
Fax    
Email  vishnudas.bhandari@mitmidsr.edu.in  
 
Details of Contact Person
Scientific Query
 
Name  Nikita Vikasrao Palkar 
Designation  PG student 
Affiliation  Maharashtra Institute of Dental Sciences and Research Latur 
Address  Room no -10 First floor, Department of Periodontology and Implantology, Maharashtra institute of dental sciences and research Latur.

Latur
MAHARASHTRA
413512
India 
Phone  9975256390  
Fax    
Email  nikkipalkar95@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Vishnudas Bhandari 
Designation  HOD and professor 
Affiliation  Maharashtra Institute of Dental Sciences and Research Latur 
Address  Room no -10 First floor, Department of Periodontology and Implantology, Maharashtra institute of dental sciences and research Latur.

Latur
MAHARASHTRA
413512
India 
Phone  9823525229  
Fax    
Email  vishnudas.bhandari@mitmidsr.edu.in  
 
Source of Monetary or Material Support  
Self supported by (Dr. Nikita Vikasrao Palkar and Dr. Vishnudas Bhandari). Monetary support from Maharashtra Institute of Dental Sciences and Research Dental College Latur. 
 
Primary Sponsor  
Name  Dr. Nikita Vikasrao Palkar 
Address  Room No. 10 first floor, Department of Periodontology and Implantology, Maharashtra Institute of Dental Sciences and Research Dental College, Latur. 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
Dr Vishnudas Bhandari  Room No. 10 first floor, Department of Periodontology and Implantology, Maharashtra Institute of Dental Sciences and Research Dental College, Latur. 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Vishnudas Bhandari  Maharashtra Institute of Dental Sciences and Research Dental College, Latur  Room no. 10 first floor, Department of Periodontology and Implantology, Maharashtra Institute of Dental Sciences and Research Dental College, Latur
Latur
MAHARASHTRA 
9823525229

vishnudas.bhandari@mitmidsr.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethics committee for Human Research MIDSR dental college , Latur  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  periodontitis patients with or without diabetes mellitus 
Patients  (1) ICD-10 Condition: K053||Chronic periodontitis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Healthy participants, participants with periodontitis, and participants with periodontitis plus diabetes mellitus   measuring blood cell ratios at baseline that is twice in one month 
Intervention  Healthy participants, participants with periodontitis, and participants with periodontitis plus diabetes mellitus treated with mechanical periodontal therapy  measuring blood cell ratios after one month of mechanical periodontal therapy that is twice in one month 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Group A
1.Subjects with clinically healthy periodontium, with no attachment loss and probing depth of less than or equal to 3 mm, <10%bleeding sites, subject with gingival index score of maximum up to <1, included which were considered to be relatively healthy and subject having HbA1c level between 4%–6% considered as control group.
2.Group B:
1.Patients with Periodontitis stage II and stage III as per the 2017 American Academy of Periodontology Classification.
2.Patients with periodontitis stage II having clinical attachment loss of 3-4mm and maximum probing pocket depth ≤5 mm.
3.Patients with periodontitis stage III having clinical attachment loss of ≥5 mm and maximum probing pocket depth ≥ 6mm.35
3.Group C:
1.Patients with periodontitis (stage II and stage III as per the 2017 American Academy of Periodontology classification) with diagnosed case of type 2 diabetes mellitus (Good diabetes control, HbA1c level 7%)

 
 
ExclusionCriteria 
Details  1.Patient refusal
2.Patient who has received periodontal treatment in last 6months.
3.Patient who is smoker or consuming any other form of tobacco.
4.Pregnant, lactating or postmenopausal women.
5.Hospitalized patients.
6.Subjects consuming antibiotic or other drugs in the past 6 months that affect their periodontal status.
7.History of any systemic disease which influences the values of NLR, PLR, and LMR ratio like any malignancy, cardiovascular diseases, rheumatic diseases, bipolar disorder, thyrotoxicosis, psoriasis other than type 2 diabetes mellitus for the test group (Group III)
8.History of any systemic disease for the control group.
9.If subject cannot maintain oral hygiene after non-surgical periodontal therapy (Gingival index score >1, plaque index>1).
 
 
Method of Generating Random Sequence   Adaptive randomization, such as minimization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
changes in blood cell ratios   one month 
 
Secondary Outcome  
Outcome  TimePoints 
Plaque index ,gingival index, probing pocket depth  one month 
 
Target Sample Size   Total Sample Size="63"
Sample Size from India="63" 
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)   25/11/2023 
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   N/A 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  

NLR,PLR,LMR ratios is  useful in the prediction and the detection of inflammatory and infectious conditions, and their postoperative complications. They  also reflects the degree of systemic inflammation, can be consider as prognostic markers.

Hence this study is focused on analysis of the blood cell ratios in periodontitis patients with and without diabetes mellitus before and after scaling and root planing. 
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