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CTRI Number  CTRI/2024/04/066238 [Registered on: 24/04/2024] Trial Registered Prospectively
Last Modified On: 24/04/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Other 
Public Title of Study   Comparative Study: Examining Two Implant Systems for Treating Patients with Missing Teeth 
Scientific Title of Study   Comparative evaluation of clinical and radiographic outcomes of two commercially available implant systems for treating partially edentulous patients – a prospective 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  Dr Shreya Singh 
Designation  Post Graduate Student 
Affiliation  SMBT dental college and hospital 
Address  G-02 Department of Periodontics SMBT Dental college and hospital
amrutnagar Sangamner
Ahmadnagar
MAHARASHTRA
422608
India 
Phone  9820951819  
Fax    
Email  shreyasingh991@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Purushottam Rakhewar 
Designation  Professor and Head of Department 
Affiliation  SMBT Dental college and Hospital 
Address  G-02 Department of Periodontics SMBT Dental college and hospital
Sangamner
Ahmadnagar
MAHARASHTRA
422608
India 
Phone  9370017343  
Fax    
Email  drpsrakhewar@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Purushottam Rakhewar 
Designation  Professor and Head of Department 
Affiliation  SMBT Dental college and Hospital 
Address  G-02 Department of Periodontics SMBT Dental college and hospital
amrutnagar Sangamner
Ahmadnagar
MAHARASHTRA
422608
India 
Phone  9370017343  
Fax    
Email  drpsrakhewar@gmail.com  
 
Source of Monetary or Material Support  
SMBT Dental college and Hospital,amrutnagar,sangamner-422608 
 
Primary Sponsor  
Name  none 
Address  none 
Type of Sponsor  Other [none] 
 
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 Shreya Singh  SMBT Dental college and hospital  G-02 Department of Periodontics Sangamner
Ahmadnagar
MAHARASHTRA 
9820951819

shreyasingh991@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Commitee on Ethics, SMBT Dental College,Sangamner  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Partially edentulous patients 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Placement of Adin implants in partially edentulous patients  Adin implants will be placed in partially edentulous patients and then will be evaluated for to assess the clinical and radiographic changes and the resultant outcome after placement of implant at stage 1 surgery, stage 2 surgery, 6 months and 1 year follow up 
Comparator Agent  Placement of Osstem implants in partially edentulous patients  Osstem implants will be placed in partially edentulous patients and then will be evaluated for to assess the clinical and radiographic changes and the resultant outcome after placement of implant at stage 1 surgery, stage 2 surgery, 6 months and 1 year follow up 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  1)Partially edentulous patient requiring 1 or more single implant supported crown
2)Absence of any local anatomical limitations
3)Patient willing for surgery 
 
ExclusionCriteria 
Details  1)General contraindications to implant surgery
2)Local and systemic conditions affecting bone
3)Poor oral hygiene and motivation
4)Untreated periodontitis or acute/purulent infection in the area intended for implant
placement
5)Unable to commit to 1-year follow-up
6)Treated or under treatment with intravenous amino-bisphosphonates
7)Lacking antagonistic occlusal surfaces for the study implants at implant loading
8)Implant site requiring major bone grafting procedures including sinus lift with lateral
approach, minor augmentation procedures such as crestal sinus lift. 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Alternation 
Blinding/Masking   Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
evaluation of implant
stability quotient  
at baseline that is after stage 1 surgery, after stage 2 surgery , 6 months and
1 year 
 
Secondary Outcome  
Outcome  TimePoints 
to evaluate marginal bone level  at baseline to one year 
 
Target Sample Size   Total Sample Size="20"
Sample Size from India="20" 
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)   10/05/2024 
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="1"
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 - NO
Brief Summary   Aim of the study is to  evaluate and compare the clinical and radiographic outcomes of two different implant systems Adin and Osstem in the treatment of partially edentulous arches. All the participants will be explained the need and design of the study. Informed and written consent will obtained from the patients. Thorough clinical case history will be recorded. A full mouth supragingival and subgingival scaling and root planing procedure will be performed. 2 weeks after phase I therapy, a clinical and radiographic evaluation will be performed to confirm the suitability of the sites for this study. The selected sites will be divided randomly into A and O groups. Group A will be treated with ADIN implants, whereas group O will be treated with OSSTEM implants. Clinical parameters like pain intensity from implant region using visual analogue scale (VAS), implant stability using the first generation Osstell instrument , modified plaque index (PI) , modified sulcus bleeding index,  probing pocket depth, width of masticatory mucosa (Wma) and radiographic assessment will be done.  Intraoral antisepsis will be performed with 0.2% chlorhexidine digluconate rinse and an iodine solution will be used to carry out extra oral antisepsis. After administration of local anesthesia, horizontal crestal incision following, mucoperiosteal flaps will be reflected. Care will be taken to preserve as much interproximal soft tissue as possible. Sequential osteotomy will be done and suitable size implant body will be placed with the help of a rachet. The implant body will be covered by cover screw. The mucoperiosteal flaps will be repositioned and secured in place using non-absorbable black silk surgical suture. The interrupted suture will be placed. Surgery will be performed at 2 stages in both site A and O : Stage 1 – implant body will be placed covered by cover screw. Stage 2 – cover screw will be removed and healing abutment will be placed (4 months after stage 1 surgery) 1 month after stage 2 surgery impression will be taken for crown prosthesis and crown will be delivered soon after it is prepared. All implants placement will be done by single trained surgeon at stage 1 and stage 2 surgery. In postoperative care antibiotics Amoxcillin 500mg tid for 5 days and analgesic diclofenac sodium 50mg + paracetamol 500mg tid for 5 days will be prescribed, along with chlorhexidine digluconate rinse twice daily for 2 weeks. Sutures will be removed after 10 days postoperatively. Each patient will be reinstructed for proper oral hygiene measures at each appointment, and re-examined at 6 months and 1 year. Soft and hard tissue evaluation will be performed at 6 months and 1year. Hard tissue evaluation will be done radiographically for the same study. 
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