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CTRI Number  CTRI/2024/02/062302 [Registered on: 06/02/2024] Trial Registered Prospectively
Last Modified On: 02/02/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A study to understand the healing of gum surgery with enzymes  
Scientific Title of Study   Assessment of post-surgical healing and patient reported outcomes of adjunctive systemic enzyme therapy after periodontal flap surgery- A randomized clinical 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 N V S Sruthima G 
Designation  Professor 
Affiliation  Vishnu Dental College 
Address  Department of periodontics and implantology, block-2, room no-7, Vishnu Dental College Vishnupur Bhimavaram West Godavari ANDHRA PRADESH 534202 India

West Godavari
ANDHRA PRADESH
534202
India 
Phone  9492293808  
Fax    
Email  sruthima@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Garapati Nitya Sri 
Designation  Under Graduate Student 
Affiliation  Vishnu Dental college 
Address  Department of periodontics and implantology, block-2, room no-7, Vishnu Dental College Vishnupur Bhimavaram West Godavari ANDHRA PRADESH 534202 India

West Godavari
ANDHRA PRADESH
534202
India 
Phone  8688155211  
Fax    
Email  garapatinityasri@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Garapati Nitya Sri 
Designation  Under Graduate Student 
Affiliation  Vishnu Dental college 
Address  Department of periodontics and implantology, block-2, room no-7, Vishnu Dental College Vishnupur Bhimavaram West Godavari ANDHRA PRADESH 534202 India

West Godavari
ANDHRA PRADESH
534202
India 
Phone  8688155211  
Fax    
Email  garapatinityasri@gmail.com  
 
Source of Monetary or Material Support  
Vishnu Dental College, Vishnupur,Bhimavaram Pin-534202 west godavari Andhra Pradesh 
 
Primary Sponsor  
Name  Garapati Nitya sri 
Address  Department of periodontics and implantology, Vishnu Dental College, Vishnupur, Bhimavaram-534202 West godavari, Andhra pradesh 
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 Sruthima NVS G  Vishnu Dental College   Department of periodontics,Block 2, Vishnu Dental College,vishnupur,bhimavaram,Andhra pradesh
West Godavari
ANDHRA PRADESH 
0881625083

Sruthima@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTE ,VISHNU DENTAL COLLEGE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K055||Other periodontal diseases,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NSAID group   After the periodontal flap surgery the participants will be prescribed with Tab Diclofenac sodium, BID for five days.  
Intervention  Systemic Enzyme Therapy group  After the periodontal flap surgery the participants will be prescribed with systemic enzymes in the form of Phlogam®tablets each providing 90 mg (450 FIP units) bromelain from pineapple, 48 mg (1440 FIP units) trypsin from bovine and porcine pancreas, and 100 mg rutin from Sophora Japonica, BID for five days 
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. Patients with persistent probing pocket depths of ≥5mm in at least four adjacent teeth (Periodontitis Stage II, III and Grade B, C)  
 
ExclusionCriteria 
Details  1.Patients who have any active infections i.e., periapical, periodontal or odontogenic lesion
2.Any allergic reactions to the components of the systemic enzyme supplement
3.Severe congenital or acquired coagulation disorders (e.g. hemophilia, in dialysis patients) or liver damage,
4.Pregnancy or breastfeeding,
5.Any clinical signs or laboratory evidence for severe inflammatory, endocrine, renal/pulmonary, neurological, cardiovascular, metabolic, gastrointestinal, hematological, or psychiatric condition
6.Active malignancy of any type
7.Current use of anticoagulants or platelet aggregation inhibitors, chemotherapeutic agents, antibiotics, medication for lipids, diabetes, hypertension, inflammation, autoimmune diseases, mood disorders
8.Use of NSAID within 1 month of entering the study,
9.Alcoholism, smoking,
10.Current use of nutritional supplements  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Early wound healing score (EHS)   T1-7days post surgically
T2-14 days post surgically
T3-30days post surgically  
 
Secondary Outcome  
Outcome  TimePoints 
Pain using Visual analog scale (VAS)  T1-7 days post surgically
T2-14 days post surgically
T3-30 days post surgically 
 
Target Sample Size   Total Sample Size="24"
Sample Size from India="24" 
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)   20/02/2024 
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="0"
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 - YES
  1. What data in particular will be shared?
    Response (Others) -  NA

  2. What additional supporting information will be shared?
    Response - Informed Consent Form

  3. Who will be able to view these files?
    Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.

  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) -  NA

  6. For how long will this data be available start date provided 31-12-2023 and end date provided 30-06-2024?
    Response - Immediately following publication. No end date.

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

Title:Assessment of Postsurgical healing and patient reported outcomes of systemic enzyme therapy after periodontal flap surgery- A  randomized clinical trial



Objectives:

To evaluate the effectiveness of systemic enzyme therapy post surgically in patients after periodontal flap surgery

To compare and evaluate the effectiveness of systemic enzyme therapy against NSAIDs among post operative healing and pain after periodontal flap surgery


Methodology

The objectives of the present study are (1) to assess healing after periodontal surgery using Early wound healing score (EHS) at 714, and 30 days postoperatively, and (2) to assess pain after periodontal surgery using Visual Analog Score (VAS) at 714 days postoperatively, and (3)to compare the post operative healing and pain between groups.


Source of the data:Patients attending Vishnu dental college.


 
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