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CTRI Number  CTRI/2025/07/090473 [Registered on: 08/07/2025] Trial Registered Prospectively
Last Modified On: 08/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Evaluation of 2 different mouthrinse on plaque induced gingivitis patient with fixed orthodontic appliances  
Scientific Title of Study   Comparative evaluation of the Efficacy of mouthrinse containing 0.1% Hyaluronic Acid and 0.2% Chlorhexidine gluconate and mouthrinse containing 0.2% Chlorhexidine gluconate alone in plaque induced gingivitis patients with fixed orthodontic appliance: A Clinico- biochemical study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  JOHNVEE S 
Designation  Post graduate student  
Affiliation  Yenepoya Dental College  
Address  Room 7 2nd floor Department of Periodontology Yenepoya Dental College Yenepoya University Mangaluru Dakshina Kannada KARNATAKA

Dakshina Kannada
KARNATAKA
575018
India 
Phone  9962198874  
Fax    
Email  24286@yenepoya.edu.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Rajesh K S 
Designation  Professor  
Affiliation  Yenepoya Dental College  
Address  Room 7 2nd floor Department of Periodontology Yenepoya Dental College Yenepoya University Mangaluru Dakshina Kannada KARNATAKA

Dakshina Kannada
KARNATAKA
575018
India 
Phone  9448529518  
Fax    
Email  rksdental@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Rajesh K S 
Designation  Professor  
Affiliation  Yenepoya Dental College  
Address  Room 7 2nd floor Department of Periodontology Yenepoya Dental College Yenepoya University Mangaluru Dakshina Kannada KARNATAKA

Dakshina Kannada
KARNATAKA
575018
India 
Phone  9448529518  
Fax    
Email  rksdental@gmail.com  
 
Source of Monetary or Material Support  
Room 7 Department of Periodontology Yenepoya Dental College Yenepoya University Dakshina Kannada, Mangalore , Karnataka  
 
Primary Sponsor  
Name  Johnvee S 
Address  Yenepoya Dental College Deralakatte Mangalore Karnataka 575018 
Type of Sponsor  Other [Self funded] 
 
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 Johnvee S  Yenepoya dental college   Room 7 2nd floor Department of Periodontology Yenepoya Dental College Yenepoya University Mangaluru Dakshina Kannada
Dakshina Kannada
KARNATAKA 
9962198874

24286@yenepoya.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Yenepoya ethics committee 1  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Fixed orthodontic appliance  
Patients  (1) ICD-10 Condition: K051||Chronic gingivitis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  0.2% Chlorhexidine gluconate  Mouthrinse containing 0.2% Chlorhexidine gluconate alone in plaque induced gingivitis patient with fixed orthodontic appliance  
Intervention  0.1% hyaluronic acid and 0.2% Chlorhexidine gluconate   Efficacy of Mouthrinse containing 0.1% hyaluronic acid and 0.2% Chlorhexidine gluconate in plaque induced gingivitis patients with orthodontic appliance and check for the reduction in gingival inflammation score and also biomarker levels  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  Participants with full-mouth fixed orthodontic appliance with plaque-induced gingivitis
Participants between age group of 18 years and above.
Presence of at least 24 natural teeth in the mouth excluding the third molars
Mild/moderate/severe gingivitis ( GI score by Loe & Silness 0.1-3.0)
Probing depth not more than 3 mm
 
 
ExclusionCriteria 
Details  Physical or mental handicap.
Syndromic / systemic diseases contributing to inflammatory process.
Participants who had taken antibiotic therapy in the month prior to the commencement of the study.
Participants with known allergy to chlorhexidine or Hyaluronic acid.
Participants currently using mouthwashes
Smoking
Pregnant and lactating women.
Active caries.
Participants on anticoagulants
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Reduction in plaque score and gingival index score ( gingival inflammation)   Assessed at baseline , 15 th day and at 1 month  
 
Secondary Outcome  
Outcome  TimePoints 
Changes in inflammatory biomarker levels in both the groups   Assessed at baseline and at 1 month from baseline  
 
Target Sample Size   Total Sample Size="32"
Sample Size from India="32" 
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)   31/07/2025 
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="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Closed to Recruitment of Participants 
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 - Clinical Study Report
    Response -  Analytic Code

  3. Who will be able to view these files?
    Response - Researchers who provide a methodologically sound proposal.

  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) -  Documentation in form excel by the principle investigator

  6. For how long will this data be available start date provided 01-08-2025 and end date provided 01-10-2025?
    Response - Beginning 3 months and ending 5 years following article publication.

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

In the oral cavity, plaque forms biofilm over the tooth surface, that harbors numerous microorganism. The role of dental plaque at the interfaces of tooth and gingiva causes gingival inflammation, which could eventually lead to periodontitis.

Orthodontics brackets are one of the plaque retentive factor which leads to gingivitis. Therapy for gingivitis is mainly directed at minimizing the etiologic factors to eliminate inflammation, thus allowing gingival tissues to heal. It can be managed with an effective plaque control program and debridement of tooth surfaces coupled with continued periodontal maintenance procedures to prevent re-initiation of inflammation.

Chlorhexidine is one of the most effective topical antiseptics reported so far that has been used successfully for treating gingivitis and remains as gold standard for all chemical antiplaque agents.

This study aims to assess the clinical and biochemical parameters to determine the efficacy of mouthrinse containing hyaluronic acid and Chlorhexidine gluconate in controlling plaque induced gingivitis in patients with fixed orthodontic appliance.

HA has shown anti- inflammatory, anti-bacterial, and antioxidant effects in the treatment of periodontal diseases. Because of its biocompatibility and non-toxicity, the use of exogenous HA-based biomaterials, topically on to inflamed periodontal sites would provide beneficial effects in accelerating and modulating the host response

 
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