| CTRI Number |
CTRI/2024/02/062326 [Registered on: 06/02/2024] Trial Registered Prospectively |
| Last Modified On: |
23/09/2025 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Drug |
| Study Design |
Randomized, Parallel Group Trial |
|
Public Title of Study
|
Comparing the healing ability of two gels on the gum wounds that gets exposed after the treatment. |
|
Scientific Title of Study
|
Comparative evaluation of BlueM gel with hyaluronic acid gel as wound healing
agents for topical application following gingivectomy. |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Riddhi pareshbhai vyas |
| Designation |
postgraduate student, 2nd year |
| Affiliation |
Manipal College of Dental Sciences, MAHE, Manipal |
| Address |
Periodontology dept., Manipal College of Dental
Sciences, Manipal.
Udupi KARNATAKA 576104 India |
| Phone |
7265963646 |
| Fax |
|
| Email |
vyas.mcodsmpl2022@learner.manipal.edu |
|
Details of Contact Person Scientific Query
|
| Name |
Dr. santhosh kumar |
| Designation |
Associate Professor |
| Affiliation |
Manipal College of Dental Sciences, MAHE, Manipal |
| Address |
Periodontology dept., Manipal College of Dental
Sciences, Manipal.
Udupi KARNATAKA 576104 India |
| Phone |
9741968550 |
| Fax |
|
| Email |
santhosh.kumar@manipal.edu |
|
Details of Contact Person Public Query
|
| Name |
Riddhi pareshbhai vyas |
| Designation |
postgraduate student, 2nd year |
| Affiliation |
Manipal College of Dental Sciences, MAHE, Manipal |
| Address |
Periodontology dept., Manipal College of Dental
Sciences, Manipal.
Udupi KARNATAKA 576104 India |
| Phone |
7265963646 |
| Fax |
|
| Email |
vyas.mcodsmpl2022@learner.manipal.edu |
|
|
Source of Monetary or Material Support
|
| Manipal College of Dental Sciences, Manipal,MAHE |
|
|
Primary Sponsor
|
| Name |
Riddhi pareshbhai vyas |
| Address |
Manipal College of Dental sciences. Manipal |
| Type of Sponsor |
Other [self] |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Riddhi vyas |
Manipal College of Dental sciences, Manipal |
room 3, dept. of Periodontology,Manipal College of Dental sciences, Manipal Udupi KARNATAKA |
7265963646
vyas.mcodsmpl2022@learner.manipal.edu |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional Ethics Committee, MAHE, Manipal |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: O||Medical and Surgical, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
blue m gel |
A team of dental surgeons in Netherlands recently developed an active oxygen formula (BlueM gel), with impressive results via the interaction of its active ingredients honey enzymes and sodium perborate. It has the particularity to release oxygen at a therapeutic concentration in the affected tissues. Several studies have shown significant wound healing potential of this novel formulation and neovascularization and pain reduction when applied topically post-operatively. It is available commercially. 0.1 ml of the gel to be applied over the surgical site topically for 3 times a day for 7 days. |
| Intervention |
Hyaluronic acid gel |
Hyaluronic acid is a linear polysaccharide which consists of alternating units of D-glucuronic acid and N-acetyl-D-glucosamine linked by 11-3 and 11-4 linkages. Many studies have shown its beneficial effect on wound healing following periodontal surgery along with subsequent reduction of pain post-operatively. 0.1 ml of the gel to be applied over the surgical site topically for 3 times a day for 7 days. |
|
|
Inclusion Criteria
|
| Age From |
20.00 Year(s) |
| Age To |
60.00 Year(s) |
| Gender |
Both |
| Details |
patient who underwent gum surgery of 2 or more teeth for functional crown lengthening procedure are
considered. |
|
| ExclusionCriteria |
| Details |
The exclusion criteria involve participants that used drugs that could directly interfere with the
tissue response, such as anticoagulants and antiplatelet agents, participants who have been on antibiotic or anti-inflammatory therapy
in the past three months, diabetics, smokers, pregnant and lactating mothers, irradiated patients are considered excluded |
|
|
Method of Generating Random Sequence
|
Permuted block randomization, fixed |
|
Method of Concealment
|
Pre-numbered or coded identical Containers |
|
Blinding/Masking
|
Participant and Investigator Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
| healing of surgical site assessed by early wound healing index by lorenzo and wound healing index by landry |
to be examined every 1st, 2nd and 3rd week |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| patient outcome for post-operative pain |
to be examined after 1st, 2nd and 3rd day by numeric rating scale over telephone |
|
|
Target Sample Size
|
Total Sample Size="40" Sample Size from India="40"
Final Enrollment numbers achieved (Total)= "40"
Final Enrollment numbers achieved (India)="40" |
|
Phase of Trial
|
Phase 4 |
|
Date of First Enrollment (India)
|
15/02/2024 |
| Date of Study Completion (India) |
01/02/2025 |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Date Missing |
|
Estimated Duration of Trial
|
Years="2" Months="0" Days="0" |
Recruitment Status of Trial (Global)
Modification(s)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Completed |
|
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 present study will be commenced only after
approval is obtained from the institutional ethical committee, KMC - Kasturba Hospital, MAHE, Manipal.IN-VIVO
STUDY DESIGN:40 otherwise healthy individuals who require functional crown lengthening procedure as a
standard of care will be selected for present study. The sample size was determined using G*power, version
3.0.1(Franz Faul universitat, Kiel, Germany).ALLOCATION RANDOMIZATION AND BLINDING:- Selection of the
participants will be based on the exclusion and the inclusion criteria. All the 40 participants will be divided into
test and the control groups. The randomized block procedure will be carried out by the co-investigator for
allocation of the participants into the test and the control groups. Block randomization will be done in block of
4, with a balanced combination of 6. Accordingly, before the procedure, the participants will be allocated to the
randomly chosen blocks, co-investigator will divide the gels according to groups and give it to the principal
investigator. participants will be receiving gel formulations in identical tubes/container. Principal Investigator
will be blinded to the randomization process. Participants will be explained about benefits and side effects of
both the products but will not be informed about which group product will be given to them. CROWN
LENGTHENING PROCEDURE IN PARTICIPANT:- Area of surgical site to be anesthetized using 2% lignocaine local
anaesthesia.- Sulcus depth on each surface is explored with periodontal probe.- Periodontal knives
(Kirkland knives) to be used to give incision on facial and lingual surfaces.- The incision is started apical to
the points marking the course of the sulcus and is directed coronally to a point between the base of the sulcus
and the crest of the bone.- Excised tissue wall to be removed, cleaned, and closely examined for any tissue
tags which is to be curetted.- Osseous reduction to be done to maintain biological width to minimum 1 mm in
every participant.- Area of surgical site prepared to receive topical application post-surgery. .PREPARATION
OF HA GEL:Gel base was prepared using Carbopol 940 (manufactured by Sigma-Aldrich) by soaking in water
overnight. 0.1% w/v concentration of Carbopol gel was prepared with suitable dilution in water.1% and 5% Low
MW + High MW HA gel to be prepared by dissolving an appropriate amount of HA in 0.1% w/v of Carbopol gel
under sterile laboratory conditions of GO-K Bioincubator facilities. PACKAGING OF MATERIALS:- Packaging of
both the materials to be done in identical packaging.APPLICATION OF HA GEL (group A):-20 participants are
randomly selected based on inclusion criteria. After the gingivectomy procedure, surgical site to be covered by
HA gel formulation which is being prepared.- Pea sized volume of gel to be applied over the surgical area
immediately after the procedure.- participants are advised to apply the gel 3 times a day for one week.-
participant to be recalled for subsequent follow-ups. APPLICATION OF BLUE M GEL (group B):- 20
participants are randomly selected based on inclusion criteria. After the gingivectomy procedure, surgical site to
be covered by Blue M gel which is commercially available.- Pea sized volume of gel to be applied over the
surgical area immediately after the procedure.- participants are advised to apply the gel 3 times a day for one
week.- Participant to be recalled for subsequent follow-ups. COE pack dressing material which is standard of
care and currently practiced treatment in the dept. is not included in the comparison for the following reasons:
1) - They do not possess any anti-bacterial, pain control as well as healing properties. (O’neil, T. C.
(1975))(Jorkjend, L., & Skoglund, L. A. (1990).2)-It hardens after application.- 3) plaque accumulation more in
area of pack application.- 4)severe tissue reaction and irritation (Nezwek et al., 1980, Grant and Bernick, 1972).
5) Zinc oxide is cytotoxic in nature (Seker et.al., 2018) 6) Bluem gel and PERIO-AID gel, that are to be compared
in the study are available in topical gel formulation which absorbs into the gums with similar mechanism and
hence it is comparable in terms of properties whereas mechanism of action for COE-pack material is completely
different, as mentioned earlier it hardens after application. |