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CTRI Number  CTRI/2024/03/064169 [Registered on: 14/03/2024] Trial Registered Prospectively
Last Modified On: 14/03/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Single Arm Study 
Public Title of Study   Comparison of ratio of blood components in pyorrhea patients before and after treatment. 
Scientific Title of Study   Comparative evaluation of Neutrophil-to- Lymphocyte Ratio (NLR) and Platelet to Lymphocyte Ratio (PLR) in chronic periodontitis patients before and after surgical periodontal therapy- An interventional 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  SURABHI TANDEL 
Designation  PG STUDENT 
Affiliation  DR HSRSM DENTAL COLLEGE AND HOSPITAL, HINGOLI 
Address  Room Number 15, Department of Periodontics, Dr HSRSM Dental College and Hospital, Basamba Phata, Akola Road, Hingoli.
Room Number 15, Department of Periodontics, Dr HSRSM Dental College and Hospital, Basamba Phata, Akola Road, Hingoli.
Hingoli
MAHARASHTRA
431513
India 
Phone  9930125665  
Fax    
Email  drsurabhiperio@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR ANUP U SHELKE 
Designation  PROFESSOR 
Affiliation  DR HSRSM DENTAL COLLEGE AND HOSPITAL, HINGOLI 
Address  Room Number 15, Department of Periodontics, Dr HSRSM Dental College and Hospital, Basamba Phata, Akola Road, Hingoli.
Room Number 15, Department of Periodontics, Dr HSRSM Dental College and Hospital, Basamba Phata, Akola Road, Hingoli.
Hingoli
MAHARASHTRA
431513
India 
Phone  9890395919  
Fax    
Email  dranup001@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DR ANUP U SHELKE 
Designation  PROFESSOR 
Affiliation  DR HSRSM DENTAL COLLEGE AND HOSPITAL, HINGOLI 
Address  Room Number 15, Department of Periodontics, Dr HSRSM Dental College and Hospital, Basamba Phata, Akola Road, Hingoli.

Hingoli
MAHARASHTRA
431513
India 
Phone  9890395919  
Fax    
Email  dranup001@gmail.com  
 
Source of Monetary or Material Support  
DR HSRSM DENTAL COLLEGE AND HOSPITAL, HINGOLI 
 
Primary Sponsor  
Name  DR SURABHI TANDEL 
Address  Room Number 15, Department of Periodontics, Dr HSRSM Dental College and Hospital, Basamba Phata, Akola Road, Hingoli. 
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 SURABHI TANDEL  DR HSRSM DENTAL COLLEGE AND HOSPITAL  ROOM NO. 15,DEPARTMENT OF PERIODONTICS,DR HSRSM DENTAL COLLEGE AND HOSPITAL, BASAMBA PHATA, AKOLA ROAD
Hingoli
MAHARASHTRA 
9930125665

drsurabhiperio@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
DR HSRSM DENTAL COLLEGE HINGOLI  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  NIL  NIL 
Intervention  Periodontal Flap Surgery. Comparator agent not applicable for single arm study.  Plaque index, Gingival index, Modified sulcus bleeding index, Probing pocket depth, Clinical Attachment Level, Neutrophil to Lymphocyte ratio and Platelet to Lymphocyte ratio will be evaluated at baseline. After Scaling and root planing, patient is reevaluated after 4 weeks for periodontal status. If Stage three periodontitis persists Periodontal Flap surgery is performed. Local anesthesia is administered and the mucoperiosteal flap is elevated using the required flap design. Debridement of the surgical area is done using curettes and ultrasonic scalers. Sutures are placed for closure of the flap. Patient is recalled after 7 days for suture removal. Plaque index, Gingival index, Modified sulcus bleeding index, Probing pocket depth, Clinical Attachment Level, Neutrophil to Lymphocyte ratio and Platelet to Lymphocyte ratio will be evaluated after 6 weeks. Time of intervention is 10 weeks. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  55.00 Year(s)
Gender  Both 
Details  Minimum of 20 teeth to be present in every patient and minimum 4 teeth present in each quadrant
Cases of stage three periodontitis CAL greater than or equal to 5mm and PPD greater than or equal to 6mm 
 
ExclusionCriteria 
Details  Patients suffering from known systemic diseases and known allergy
Pregnant, lactating and menopause female patients
Patients with habit of any form of tobacco
Patients who have received any antibiotic and or anti-inflammatory drug therapy during past 3 months
Patients who received surgical or nonsurgical periodontal therapy in last 6 months
Patients with autoimmune diseases
Patients with any systemic/ hematologic disorder
Patients with history of fever in last 1 month
 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Other 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Change in Neutrophil to Lymphocyte ratio and Platelet to Lymphocyte ratio after surgical periodontal therapy in chronic periodontitis patients   10 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Change in Plaque index (PI) (Silness & Loe, 1964)
Gingival Index (GI) (Loe & Silness, 1963)
Modified Sulcus Bleeding Index (Mombelli et al, 1987)
PROBING POCKET DEPTH(PPD)
CLINICAL ATTACHMENT LEVEL(CAL)

 
10 weeks 
 
Target Sample Size   Total Sample Size="104"
Sample Size from India="104" 
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 2 
Date of First Enrollment (India)   25/03/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  25/03/2024 
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 Yet Recruiting 
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   The sample size for the study is 104 individuals out of which 52 are present in test and control groups each.  Test group consists of stage three periodontitis patient and control group consists of periodontally healthy individuals. Plaque index, Gingival index, Modified sulcus bleeding index, Probing pocket depth, Clinical Attachment Level, Neutrophil to Lymphocyte ratio and Platelet to Lymphocyte ratio will be evaluated at baseline for both the groups and after 10 weeks for test group. 
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