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CTRI Number  CTRI/2024/02/063000 [Registered on: 21/02/2024] Trial Registered Prospectively
Last Modified On: 14/02/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   To compare the antimicrobial efficacy of liquorice and chlorhexidine (1%) gel as cavity disinfectants in deciduous molars 
Scientific Title of Study   “A Randomized Controlled Trial to Compare the Antimicrobial Efficacy of Licorice and CHLORHEXIDINE (1%) GEL as cavity disinfectants in deciduous molars” 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Wajiha khan 
Designation  PG student  
Affiliation  Sudha rustagi college of dental science and research faridabad 
Address  room number 6 department of pedodontics sudha rustagi college of dental science and research faridabad

Faridabad
HARYANA
121002
India 
Phone  9711760277  
Fax    
Email  wajiha.khan4@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Bhavna gupta saraf 
Designation  HOD 
Affiliation  Sudha rustagi college of dental science and research faridabad 
Address  room number 6 department of pedodontics sudha rustagi college of dental science and research faridabad

Faridabad
HARYANA
121002
India 
Phone  9899124779  
Fax    
Email  guptabhavna2000@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Bhavna gupta saraf 
Designation  HOD 
Affiliation  Sudha rustagi college of dental science and research faridabad 
Address  room number 6 department of pedodontics sudha rustagi college of dental science and research faridabad

Faridabad
HARYANA
121002
India 
Phone  9899124779  
Fax    
Email  guptabhavna2000@yahoo.com  
 
Source of Monetary or Material Support  
SUdha rustagi College of dental science and research Room number 6 Paediatric and preventive dentistry Faridabad  
 
Primary Sponsor  
Name  DR WAJIHA KHAN 
Address  Room number 6, Department of paediatric and preventive dentistry Sudha rustagi college of dental science and research 
Type of Sponsor  Other [] 
 
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 WAJIHA KHAN  Sudha rustagi dental college  Room number 6 Department of paediatric and preventive dentistry Sudha rustagi dental college
Faridabad
HARYANA 
9711760277

wajiha.khan4@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
IEC-SRCDSR  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K02||Dental caries, (2) ICD-10 Condition: K029||Dental caries, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Group 1- CHLORHEXIDINE GLUCONATE (1%)  1% chlorhexidine Di gluconate which is commercially available as Hexigel. will be applied at the baseline and for 1 minute. Total duration of application is 1 minute at the base line. Chlorhexidine is a gold standard agent with prolonged broad-spectrum antimicrobial abilities efficiently reducing counts of mutans streptococci and Lactobacillus. Different formulations of chlorhexidine (liquid and gel forms) have been used to reduce the number of cariogenic bacteria in the saliva 
Comparator Agent  Group 3-NORMAL SALINE (CONTROL GROUP)  Normal saline will be taken as the control group . A 2ml syringe will be filled with normal saline applied at the baseline and the cavity will be rinsed with it for 1 minute. Total duration of application is 1 minute at the baseline. Normal saline simply physically flushes the debris out of the cavity and the root canals since it is chemically inert. It is well known that periapical tissues as well as soft tissues are biocompatible with normal saline. Without having any antibacterial properties, it cannot eliminate the smear layer; this can be inferred from the results smallest reduction in total viable count 
Intervention  LIQUORICE   LIQUORICE is commercially available as Powder- 500G .100mg of liquorice agent will be prepared freshly by adding 1 ml glycerol to form a gel just before performing the restoration procedure and which is applied as baseline and 1 minute after application. Total duration of application is 1 minute at the base line. Glycyrrhiza glabra Linn., commonly known as liquorice, is known to have therapeutic effects to relieve coughs, sore throats, and gastric inflammation. Recent research suggests that attributing to its anti-adherence, antimicrobial, and anti-inflammatory properties, liquorice and its various bioactive ingredients (glycyrrhizol A) have potential effects against cariogenic bacteria 
 
Inclusion Criteria  
Age From  5.00 Year(s)
Age To  9.00 Year(s)
Gender  Both 
Details  Children with deep dentinal carious deciduous teeth with no symptoms, signs and radiographic findings pertained to irreversible pulpitis( abscess, fistula, sinus) were selected. 
 
ExclusionCriteria 
Details   
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
a study is planned to evaluate and compare the antimicrobial effectiveness of Liquorice (Mulethi) and Chlorhexidine (1%) gel in children aged 5 to 9 years old as cavity disinfectants.  Liquorice (Mulethi) and Chlorhexidine (1%) gel in children and normal saline are applied as baseline and 1 minute after application the samples will be taken. 
 
Secondary Outcome  
Outcome  TimePoints 
1. To evaluate & comparison of the antimicrobial efficiency of pre & post-application of liquorice as cavity disinfectant.
2. To evaluate & comparison of the antimicrobial efficiency of pre & post-application of chlorhexidine (1%) gel as cavity disinfectant.
3. To evaluate & comparison of the antimicrobial efficiency of post-liquorice & post-chlorhexidine (1%) gel as cavity disinfectant.
4. To evaluate & comparison of the antimicrobial efficiency of post-liquorice & post-chlorhexidine (1%) gel with saline (control) as cavity disinfectants.
 
liquorice, chlorhexidine gel & normal saline samples will be taken at baseline & 1 minute after application of agents 
 
Target Sample Size   Total Sample Size="84"
Sample Size from India="84" 
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 1/ Phase 2 
Date of First Enrollment (India)   28/02/2024 
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="2"
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  

Background: It is pivotal to eliminate any remaining bacteria present on the cavity walls, in the smear layer, at the enamel–dentin junction, or in the dentinal tubules after removal of the carious dentin. In recent years, there has been an increase in the practice of "phytotherapeutics" or "ethnopharmacology," which is the study of natural treatments as a part of medical and dental therapy as cavity disinfectants.

Aim: This study aims to evaluate and compare the antimicrobial effectiveness of LIQUORICE(MULETHI)AND CHLORHEXIDINE (1%) GEL with normal saline(as control)  in children aged 5 to 9 years old, as cavity disinfectants.

Materials and methods: In this study, a total of 84 subjects (28 per group) within the age group of 5 to 9 years will be included and will be randomly divided into three groups: Group I [Hexigel containing Chlorhexidine gluconate (1%) gel], Group II [Liquorice], and Group III [Normal saline] as a Control group.

The  sample will be collected by excavating carious dentine before disinfection. After disinfecting the cavities with test agents, samples will be again collected and forwarded to the college’s microbiological laboratory for a total viable count of bacteria. The Kruskal Wallis test, Mann-Whitney U test and the Wilcoxon paired t-test will be used to statistically analyze the given data.

 


 
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