The Association of Blood Haemoglobin and Colour of Gums
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| ClinicalTrials.gov Identifier: NCT03791957 |
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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
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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
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Subjects to be categorised into 3 groups (20 subjects each)
- Group A - Healthy periodontium
- Group B - Gingivitis
- 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 |
| 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 |
|---|---|
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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
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Other: Blood Haemoglobin
Routine haemotological investigation of blood haemoglobin levels in gm/dL will be recorded from withdrawn venous blood |
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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
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Other: Blood Haemoglobin
Routine haemotological investigation of blood haemoglobin levels in gm/dL will be recorded from withdrawn venous blood |
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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
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Other: Blood Haemoglobin
Routine haemotological investigation of blood haemoglobin levels in gm/dL will be recorded from withdrawn venous blood |
- 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 |
Inclusion Criteria:
- Systemically healthy individuals
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Absence of pathological gingival pigmentation
- 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)
- 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,
- 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
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
| Contact: Riya A Daniel, BDS, PG student | 9444140560 ext +91 | riyaad.rd@gmail.com |
| 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 |
| Studies a U.S. FDA-regulated Drug Product: | No |
| Studies a U.S. FDA-regulated Device Product: | No |
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Gingivitis Periodontitis Periodontal Diseases Mouth Diseases |
Stomatognathic Diseases Infections Gingival Diseases |

