A comparison between a typical dressing and an absorbed dressing after surgical removal of gum pigmentation

ISRCTN ISRCTN76318940
DOI https://doi.org/10.1186/ISRCTN76318940
ClinicalTrials.gov (NCT) Nil known
Clinical Trials Information System (CTIS) Nil known
Protocol serial number Nil known
Sponsor Damascus University
Funder Damascus University
Submission date
24/01/2020
Registration date
11/02/2020
Last edited
11/09/2020
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Oral Health
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Gum pigmentation (gingival pigmentation) is caused by melanin and melanin is a natural substance in the body that is found in freckles, sun spots, age spots. Some people have an overproduction of melanin in their gums. Discoloration may also be caused by long term use of certain medications.
Proper healing is a must for a successful periodontal surgery. Many new dressings are made and tested to reach a perfect dressing to insure complete and fast wound healing. The absorbed (cellulose-based) dressing (Reso-Pac) is the newest dressing. In this study, it is compared with the traditional dressing (Coe-Pack) in healing wounds.

Who can participate?
Healthy patients aged 18 – 40 years who have gingival pigmentation.

What does the study involve?
After surgical removal of gingival pigmentation, participants will receive two different types of wound dressing, one on each side of the mouth. Healing will be assessed for three weeks after the surgery.

What are the possible benefits and risks of participating?
The benefit is the potential for faster healing. The risks will be to have an allergic reaction towards the new dressing

Where is the study run from?
Damascus University Department of Periodontology (Syria)

When is the study starting and how long is it expected to run for?
November 2019 to January 2021.

Who is funding the study?
Damascus University (Syria)

Who is the main contact?
Dr Rudwan Kazwini
rudwan-den@hotmail.com

Contact information

Dr Rudwan Kazwini
Scientific

Mashrou Dummar Jazereh 19 Al-Ameen building
Damascus
00000
Syria

Phone +963 932652958
Email rudwan-den@hotmail.com

Study information

Primary study designInterventional
Study designSplit mouth randomized controlled trial
Secondary study designRandomised controlled trial
Study type Participant information sheet
Scientific titleA comparison between eugenol-free dressing (Coe-Pack) and absorbed dressing (Reso-Pac) after surgical removal of gingival pigmentation (spilt mouth study)
Study objectivesThe new cellulose-based dressing (Reso-Pac) will be more successful in healing wounds compared to the traditional dressing (Coe-Pack)
Ethics approval(s)Approved 18/6/2019, Damascus University Ethics Board (Mazzeh Highway, Damascus, Syria; +963 1133923486; sr.srd@damasuniv.edu.sy), ref: co2733
Health condition(s) or problem(s) studiedGingival melanosis
InterventionSurgical removal of gingival pigmentation on the maxillary using surgical scallop and putting the absorbed dressing Cellulose based (reso-pac) randomly on one side and the typical eugenol-free dressing (Coe-pak) on the other side.

Randomisation: a coin is used to determine which side to put the absorbed dressing (Reso-pac) and the eugenol-free dressing (Coe-pack)

Patients were followed up for three weeks after surgery.
Intervention typeProcedure/Surgery
Primary outcome measure(s)

1. Pain: each day for 1 week post-surgery using VAS (scale 0-100)
2. Induced pain: 1 week after surgery using air abrasion of 5 seconds on every side using VAS (scale 0-100)
3. Epithelial re-formation: using blue toluidine in 1 week, 2 weeks, 3 weeks after surgery
4. Healing: using Lundry Healing index Criteria (1988) 1 week, 2 weeks, 3 weeks after surgery

Key secondary outcome measure(s)

Time (s) of dressing application measured using a stopwatch

Completion date15/01/2021

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
Lower age limit18 Years
SexAll
Target sample size at registration10
Key inclusion criteria1. Healthy patient with gingival pigmentation grade 3 and 4 on the maxillary
2. Aged between 18 - 40 years
3. Good oral hygiene
Key exclusion criteria1. Systematic disease and hormone disorder
2. Medication that could lead to gingival pigmentation
3. Periodontitis
4. Smokers
5. Pregnant and breastfeeding
Date of first enrolment19/11/2019
Date of final enrolment20/12/2020

Locations

Countries of recruitment

  • Syria

Study participating centre

Damascus University
Department of Periodontology
Mazzah Highway
Damascus
00000
Syria

Results and Publications

Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
IPD sharing planThe datasets generated during and/or analysed during the current study are available from the corresponding author on reasonable request.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes

Editorial Notes

11/09/2020: Recruitment has resumed.
20/04/2020: Due to current public health guidance, recruitment for this study has been paused.
11/02/2020: Trial’s existence confirmed by Damascus University