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The Association of Blood Haemoglobin and Colour of Gums

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ClinicalTrials.gov Identifier: NCT03791957
Recruitment Status : Unknown
Verified December 2019 by Dr. Riya Achamma Daniel, KLE Society's Institute of Dental Sciences.
Recruitment status was:  Not yet recruiting
First Posted : January 3, 2019
Last Update Posted : December 17, 2019
Sponsor:
Information provided by (Responsible Party):
Dr. Riya Achamma Daniel, KLE Society's Institute of Dental Sciences

Brief Summary:

AIM:

To evaluate the association of the levels of blood haemoglobin to the distribution and severity of gingival melanin pigmentation at 3 different periodontal health status

SAMPLE SIZE ESTIMATION

  • Done using GPower v.3.1.9.2
  • Total sample size = 60 (20 each in 3 groups)
  • Effect size = 40%
  • Power = 80%
  • α-error = 5%

SAMPLING:

  • Simple random sampling
  • Subjects to be recruited from out patient pool of KLE Society's Institute of Dental Sciences, Bangalore
  • Subjects to be categorised into 3 groups (20 subjects each)

    1. Group A - Healthy periodontium
    2. Group B - Gingivitis
    3. Group C - Periodontitis

PARAMETERS ASSESSED

  • Blood Haemoglobin Concentration (in %gm/dL)
  • Hedin Melanin Index Score 0: No pigmentation Score 1: one or two solitary unit(s) of pigmentation in papillary gingiva without formation of a continuous ribbon between solitary units Score 2: More than three units of pigmentation in papillary gingiva without the formation of a continuous ribbons of pigmentation Score 3: One or more short continuous ribbons of pigmentation Score 4: One continuous ribbon including the entire area between canines

STATISTICAL ANALYSIS

  • SPSS for Windows Version 22.0 to be used
  • Descriptive statistics: It includes expression of study parameters in terms of Mean & SD for continuous variables, whereas in terms of frequency and proportions for categorical variables.
  • Inferential Statistics:

Chi Square Test will be used to compare the pigmentation index between 03 groups. And similarly, gender wise comparison of hemoglobin concentration will be done using the same test.

One-way ANOVA test followed by Tukey's HSD post hoc Analysis will be used to compare the mean hemoglobin levels based on the pigmentation index scores in each group.

The level of significance [P-Value] was set at P<0.05


Condition or disease Intervention/treatment
Gingival Pigmentation Gingivitis Periodontitis Healthy Other: Blood Haemoglobin

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Study Type : Observational [Patient Registry]
Estimated Enrollment : 60 participants
Observational Model: Other
Time Perspective: Cross-Sectional
Target Follow-Up Duration: 1 Week
Official Title: The Association of the Levels of Blood Haemoglobin to the Distribution and Severity of Gingival Melanin Pigmentation at 3 Different Periodontal Health Status
Estimated Study Start Date : December 20, 2019
Estimated Primary Completion Date : January 2020
Estimated Study Completion Date : January 2020

Group/Cohort Intervention/treatment
Group A - Healthy Periodontium
Absence of clinical signs of inflammation like bleeding on probing, erythema, edema, attachment loss, bone loss, patient symptoms, (bone levels at 1-3mm apical to CEJ) n=20
Other: Blood Haemoglobin
Routine haemotological investigation of blood haemoglobin levels in gm/dL will be recorded from withdrawn venous blood

Group B - Gingivitis
Presence of cardinal signs of inflammation along with, bleeding and discomfort on gentle probing, loss of knife-edged margin and blunting of papilla, n=20
Other: Blood Haemoglobin
Routine haemotological investigation of blood haemoglobin levels in gm/dL will be recorded from withdrawn venous blood

Group C - Periodontitis
Presence of cardinal signs of inflammation along with, bleeding and discomfort on gentle probing, loss of knife-edged margin and blunting of papilla,periodontal pocketing, clinical attachment loss, radiographically assessed bone loss n=20
Other: Blood Haemoglobin
Routine haemotological investigation of blood haemoglobin levels in gm/dL will be recorded from withdrawn venous blood




Primary Outcome Measures :
  1. Blood Haemoglobin to Melanin pigmentation [ Time Frame: Baseline ]
    To assess the association of the levels of blood haemoglobin to the distribution and severity of gingival melanin pigmentation at 3 different periodontal health status by Hedin Melanin Index both by intragroup comparison within each of the 3 groups and intergroup comparison between the three groups



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Ages Eligible for Study:   20 Years to 60 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Probability Sample
Study Population
Subjects to be recruited from out patient pool of KLE Society's Institute of Dental Sciences, Bangalore, India
Criteria

Inclusion Criteria:

  • Systemically healthy individuals
  • Absence of pathological gingival pigmentation

    1. Group A - Healthy Periodontium: Absence of clinical signs of inflammation like bleeding on probing, erythema, edema, attachment loss, bone loss, patient symptoms, (bone levels at 1-3mm apical to CEJ)
    2. Group B - Gingivitis: Presence of cardinal signs of inflammation along with, bleeding and discomfort on gentle probing, loss of knife-edged margin and blunting of papilla,
    3. Group C - Periodontitis: Presence of cardinal signs of inflammation along with, bleeding and discomfort on gentle probing, loss of knife-edged margin and blunting of papilla,periodontal pocketing, clinical attachment loss, radiographically assessed bone loss

Exclusion Criteria:

  • Tobacco associated pigmentation - smoker's melanosis, chewing/ pouching tobacco
  • Pigmentation from exogenous pigments - amalgam tattoo, cultural tattooing, beverages, food colours, betelnut/khat chewing, heavy metals ( mercury, silver, arsenic, bismuth, graphite, lead), topical medications, other foreign bodies
  • Pigmentation from endogenous pigments - jaundice, ecchymosis/ petechiae, haemochromatosis, hemosiderin
  • Long term consumption of pigmentation causing drugs - ACTH, antimalarial drugs, busulfan, doxorubicin, minocycline, oral contraceptives, phenothiazies
  • Syndromes and systemic diseases associated with pigmentation - Addison's disease. Albright's syndrome, basila melanosis, β-thalassemia, healed / healing mucocutaneous lesions, hereditary hemorrhagic Telangiectasia, HIV-associated melanosis, Neurofibromatosis, Peutz Jeghers syndrome, hamartoma, pyogenic granuloma, epulis
  • Benign or malignant lesions involving gingival - angiosarcoma, hemangioma, Kaposi's sarcoma, malignant melanoma, melanocytic nevus, pigmented vaculoe

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03791957


Contacts
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Contact: Riya A Daniel, BDS, PG student 9444140560 ext +91 riyaad.rd@gmail.com

Sponsors and Collaborators
KLE Society's Institute of Dental Sciences
Additional Information:

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Responsible Party: Dr. Riya Achamma Daniel, Post graduate student, Principal investigator, Department of Periodontics, KLE Society's Institute of Dental Sciences, Bangalore, KLE Society's Institute of Dental Sciences
ClinicalTrials.gov Identifier: NCT03791957    
Other Study ID Numbers: riya2pigmentation
First Posted: January 3, 2019    Key Record Dates
Last Update Posted: December 17, 2019
Last Verified: December 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Gingivitis
Periodontitis
Periodontal Diseases
Mouth Diseases
Stomatognathic Diseases
Infections
Gingival Diseases