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CTRI Number  CTRI/2024/02/063384 [Registered on: 29/02/2024] Trial Registered Prospectively
Last Modified On: 23/02/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparison of 2 methods for treatment of missing gums in between teeth. 
Scientific Title of Study   Comparative evaluation of two minimally invasive techniques for the treatment of interdental papillary reconstruction using injectable PRF and 5%Hyaluronic acid gel-A Randomized controlled 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. Bindu D. R. 
Designation  Post Graduate Student 
Affiliation  Dayananda Sagar College of Dental Sciences, Bangalore 
Address  Room 402, Department of Periodontics, Dayananda Sagar College of Dental Sciences, Shavige Malleshwara Hills, Kumarswamy Layout, Bangalore

Bangalore
KARNATAKA
560078
India 
Phone  8904479704  
Fax    
Email  bindhudr123@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr. Archana R Naik 
Designation  Reader 
Affiliation  Dayananda Sagar College of Dental Sciences,Bangalore 
Address  Room 402, Department of Periodontics, Dayananda Sagar College of Dental Sciences, Shavige Malleshwara Hills, Kumarswamy Layout, Bangalore

Bangalore
KARNATAKA
560078
India 
Phone  9986204322  
Fax    
Email  archananaik@dscds.edu.in  
 
Details of Contact Person
Public Query
 
Name  Dr. Bindu D. R. 
Designation  Post Graduate Student 
Affiliation  Dayananda Sagar College of Dental Sciences, Bangalore 
Address  Room 402, Department of Periodontics, Dayananda Sagar College of Dental Sciences, Shavige Malleshwara Hills, Kumarswamy Layout, Bangalore

Bangalore
KARNATAKA
560078
India 
Phone  8904479704  
Fax    
Email  bindhudr123@gmail.com  
 
Source of Monetary or Material Support  
Self funded study, infrastuctural support provided by Dayananda Sagar College of Dental Sciences. 
 
Primary Sponsor  
Name  Bindu DR 
Address  Room 402, Department of Periodontics, Dayananda sagar college of dental sciences, KS Layout, Bengaluru. 
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 Bindu D R  Dayananda Sagar College of Dental Sciences, Bangalore  Room 402, Department of Periodontics, Shavige Malleshwara Hills, Kumarswamy Layout
Bangalore
KARNATAKA 
8904479704

bindhudr123@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Review Board  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  Injection of commercially available Hyaluronic acid gel  Commercially available Hyaluronic acid gel will be injected using insulin syringe needle at the respective sites 2 mm apical to the coronal tip of the papilla. Similar follow up method will be carried out for test group. The procedure is repeated 2 times at 10 days interval. 
Intervention  Injection of i-PRF  The patient’s blood sample is drawn in i-PRF tube and immediately centrifuged at 700 rpm for 3 minutes, in centrifugation machine. The liquid form of i- PRF is taken in insulin syringe needle and inserted at a 45 degree angle In an area 2 mm apical to interdental papilla tip and injected to respective sites 2 mm apical to the coronal tip of the papilla.The procedure is repeated 2 times at 10 days interval. 
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  45.00 Year(s)
Gender  Both 
Details  1) Subjects who have agreed to be participate voluntarily.
2) Males and females in the age group of 25 - 45 years.
3) Subjects who have undergone periodontal flap surgery at least before three months.
4) Class 1 and 2 interdental papilla loss (Nordland and Tarnow 1998).
5) Subjects with history of compliance to oral hygiene instructions.

 
 
ExclusionCriteria 
Details  A history of Subjects with known allergy to hyaluronic acid
Pregnant & lactating woman.
Current Smokers.  
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1) To assess the gain in papilla height after application of i-PRF in maxillary and mandibular IDP deficiencies from baseline to one month and four months.
2) To assess the gain in papilla height after application of injectable 5% Hyaluronic acid gel in maxillary and mandibular IDP deficiencies from baseline to one month and four months.

 
Outcome assesments will be made at 3 timepoints during the study period. At Baseline, 1 month and 4 months.

 
 
Secondary Outcome  
Outcome  TimePoints 
To compare the gain in papilla height and clinical outcomes between the two groups, after application of iPRF and 5% Hyaluronic acid gel in maxillary and mandibular IDP deficiencies from baseline to one month and four months.   one year six months 
 
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 3/ Phase 4 
Date of First Enrollment (India)   31/03/2024 
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="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 - NO
Brief Summary  
The study is a Randomized Controlled Clinical Trial with parallel group study design.the study is to evaluate the efficacy of injectable PRF and 5% hyaluronic acid gel in interdental papilla reconstruction.

The patients who have undergone periodontal flap surgery in the past with complaints of black triangles will be screened for the study.  In the first session oral hygiene instructions will be rendered followed by thorough scaling. Clinical parameters will be recorded using a UNC-15 probe, and No 15 spreaders used for gingival thickness of interdental papillary deficiency.The occlusal stent for interdental papillary measurement will be fabricated with cold- cure clear acrylic resin on the cast model obtained from the alginate impression. The selected site will be anesthetized using topical lignocaine spray.In the test group prior to injection of i-PRF, the patient’s blood sample is drawn in i-PRF tube and immediately centrifuged at 700 rpm for 3 minutes, in centrifugation machine. The liquid form of i- PRF is taken in insulin syringe needle and inserted at a 45 degree angle in an area 2 mm apical to interdental papilla tip and injected to respective sites 2 mm apical to the coronal tip of the papilla.The procedure is repeated twice at a ten day interval. Patients will be followed for 1 and 4 months. Clinical parameters will be recorded in the above mentioned follow up time period.  In the control group commercially available Hyaluronic acid gel will be injected using insulin syringe needle at the respective sites 2 mm apical to the coronal tip of the papilla. Similar follow up method will be carried out for test group.

 
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