DR. H.S.

JUDGE INSTITUTE OF DENTAL

SCIENCES & HOSPITAL
PANJAB UNIVERSITY, CHANDIGARH

Basic Information:
1.Name of the Institution: Dr. H.S. Judge Institute of
Dental Sciences & Hospital, Panjab University, Chandigarh

2.Title of the project: Evaluation of the prevalence of

dentin hypersensitivity in Indian adult population visiting
dental hospital.

3.Investigators:
Student Investigators:
Disha Nagpal

Intern, Department of Periodontology,

Dr. H.S. Judge Institute of Dental Sciences & Hospital,

Panjab University, Chandigarh

Divya Tarika

Intern, Department of Periodontology,

Dr. H.S. Judge Institute of Dental Sciences & Hospital,

Panjab University, Chandigarh

 Gagandeep Singh

Intern, Department of Periodontology,

Dr. H.S. Judge Institute of Dental Sciences & Hospital,

Panjab University, Chandigarh

Harleen Thukral

Intern, Department of Periodontology,

Dr. H.S. Judge Institute of Dental Sciences & Hospital,

Panjab University, Chandigarh

Faculty investigators:
1. Principal Investigator:
Dr. Shaveta Sood

Assistant Professor, Department of Periodontology,

Dr. H.S. Judge Institute of Dental Sciences & Hospital,

Panjab University, Chandigarh

Phone – 91-9417623584

Email - drshavetasood@yahoo.com

2. Department:
Department Of Periodontology

3. Head Of Department:
 Dr. Ashish Jain

Professor, Department of Periodontology,

Dr. H.S. Judge Institute of Dental Sciences & Hospital,

Panjab University, Chandigarh

Phone – 91-9888000444

Email – ashish@justice.com

4. Co-investigator:
Dr. Monika Nagpal

Lecturer, Department of Oral Pathology

Dr. H.S. Judge Institute of Dental Sciences & Hospital,

Panjab University, Chandigarh

Phone – 91-9463970232

Email- monika_simran@yahoo.co.in

5. Consent of the Investigators: Annexure I

6. Detail of the Project: Annexure II
7. Budget of the Project: Annexure III
8. Biodata of the Investigators : Annexure IV
9. Duration of the project : 3 – 4 months
 ANNEXURE - I

CONSENT OF THE INVESTIGATORS:

The following investigators give their consent to conduct the
project entitled “Evaluation of the prevalence of dentin
hypersensitivity in Indian adult population visiting dental
hospital.”

Principal investigator:
Student investigators:
( ) 1. (
)
Dr. Shaveta Sood
Disha Nagpal
Head of Department: 2. (
)
( )
Divya Tarika
Dr. Ashish Jain 3. (
)
Co-investigator:
Gagandeep Singh
( ) 4) (
)
Dr. Monika Nagpal
Harleen Thukral

ANNEXURE – III

BUDGET REQUIREMENTS (with detailed break up and

full justification)

1. Staff : Nil

2. Contingencies:

 Recurring (stationary\consumables) Rs
10,000/-

 Non-recurring (equipment\instruments) Rs
15,000/-

 Over head charges Nil

 Date -

Dr. K. Gauba

Director Principal cum Convener

Institutional Ethical Committee

Panjab University

Chandigarh – 14

Subject - Evaluation of the prevalence of dentin hypersensitivity

in Indian adult population visiting dental hospital.

Respected Sir

I am submitting a proposal entitled “Evaluation of the prevalence

of dentin hypersensitivity in Indian adult population visiting dental
hospital.” (copies enclosed) to you for the institutional ethical
clearance certificate. Further, this has already been submitted to
the departmental research evaluation committee, for approval.

With regards,
Dr. Shaveta Sood

Assistant Professor, Department of Periodontology,

Dr. H.S. Judge Institute of Dental Sciences & Hospital,

Panjab University, Chandigarh