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CTRI Number  CTRI/2025/04/085079 [Registered on: 17/04/2025] Trial Registered Prospectively
Last Modified On: 16/04/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Other 
Public Title of Study   ChkUrSmle: AI-Powered Mobile App for Orthodontic Treatment Need Assessment Using Intraoral Photos. 
Scientific Title of Study   Development and Validation of an AI-Powered Mobile Application (ChkUrSmle) for Orthodontic Treatment Need Assessment Using Intraoral Photographs 
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 AKSHATA AWACHAT 
Designation  Post Graduate Student 
Affiliation  RANJEET DEKHMUKH DENTAL COLLEGE AND RESEARCH CENTRE, NAGPUR 
Address  Room no. 110, 1st floor, Department of Orthodontics and Dentofacial Orthopaedics, Ranjeet Deshmukh Dental College and Research Centre, Nagpur.

Nagpur
MAHARASHTRA
440019
India 
Phone  08554916649  
Fax    
Email  awachat24akshata@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ananya Hazare 
Designation  Associate Professor 
Affiliation  RANJEET DEKHMUKH DENTAL COLLEGE AND RESEARCH CENTRE, NAGPUR 
Address  Room no. 110, 1st floor, Department of Orthodontics and Dentofacial Orthopaedics, Ranjeet Deshmukh Dental College and Research Centre, Nagpur.

Nagpur
MAHARASHTRA
440019
India 
Phone  08554916649  
Fax    
Email  ananya.hazare@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Ananya Hazare 
Designation  Associate Professor 
Affiliation  RANJEET DEKHMUKH DENTAL COLLEGE AND RESEARCH CENTRE, NAGPUR 
Address  Room no. 110, 1st floor, Department of Orthodontics and Dentofacial Orthopaedics, Ranjeet Deshmukh Dental College and Research Centre, Nagpur.

Nagpur
MAHARASHTRA
440019
India 
Phone  08554916649  
Fax    
Email  ananya.hazare@gmail.com  
 
Source of Monetary or Material Support  
Ranjeet Deshmukh Dental college and Research Centre, Nagpur 
 
Primary Sponsor  
Name  Dr Akshata Awachat 
Address  Room No. 110, 1st Floor Department of Orthodontics and Dentofacial Orthopaedics, Ranjeet Deshmukh Dental College and Research Centre, Nagpur. 
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 AKSHATA AWACHAT  Ranjeet Deshmukh Dental College and Research Centre, Nagpur.  Room no. 110, 1st floor, Department of Orthodontics and Dentofacial Orthopaedics, Ranjeet Deshmukh Dental College and Research Centre, Nagpur.
Nagpur
MAHARASHTRA 
08554916649

awachat24akshata@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE VSPM DCRC, NAGPUR  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Only Including Individuals with Dental Malocclusion Requiring Treatment for Correction of Their Dental Problems 
Patients  (1) ICD-10 Condition: K008||Other disorders of tooth development,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  AI-Powered Mobile App (ChkUrSmle) for Intraoral Photograph-based Orthodontic Screening  ChkUrSmle is an artificial intelligence (AI)-powered mobile application developed to assess orthodontic treatment needs using intraoral photographs captured through a smartphone camera. The application utilizes deep learning algorithms trained on the Index of Orthodontic Treatment Need (IOTN) to classify and grade malocclusions. Participants will be asked to provide intraoral photographs (frontal, left buccal, right buccal, and occlusal views), which will be uploaded to the ChkUrSmle app. The AI model will analyze these images and generate an IOTN grade (Dental Health Component), which will be compared to the standard grading done by trained orthodontists. The aim of the intervention is to validate the diagnostic accuracy, reliability, and feasibility of the mobile app in real-time clinical settings and assess its potential for screening orthodontic treatment needs in adolescents and young adults.  
 
Inclusion Criteria  
Age From  10.00 Year(s)
Age To  18.00 Year(s)
Gender  Both 
Details  1.Oral assent from subjects and written consent from parents/Guardian willing to participate in the study.
2.Participants aged between 10 and 18 years.
3.Availability of intraoral photographs taken as part of the study.
4. No prior orthodontic treatment (such as braces or aligners).
5.Ability to follow simple instructions for capturing intraoral photographs.
6.Participants willing to participate in the study.
 
 
ExclusionCriteria 
Details  1.Participants with a history of significant dental trauma.
2.Individuals who have already undergone orthodontic treatment.
3.Participants who are unable to provide consent or have not received parental consent (for minors).
4.Presence of active oral infections or severe dental caries that could interfere with the assessment.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1.Developing an AI-driven system for automated orthodontic assessment.
2.Validating the accuracy and reliability of AI-based IOTN scoring by comparing it with manual evaluations by orthodontic specialists.
3.Enhancing accessibility to orthodontic diagnostics by providing a non-invasive, remote, and cost-effective assessment tool.
 
12 Months
 
 
Secondary Outcome  
Outcome  TimePoints 
NIL   
 
Target Sample Size   Total Sample Size="1000"
Sample Size from India="1000" 
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   N/A 
Date of First Enrollment (India)   14/05/2025 
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="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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  

SUMMARY:

Rationale and Background:

Orthodontic malocclusions, if untreated, can lead to significant oral health issues, including speech difficulties, chewing impairments, and periodontal diseases. In underserved regions, limited access to orthodontic care exacerbates these issues, leaving many individuals without timely diagnosis or treatment. With the growing capabilities of artificial intelligence (AI), automated assessment offers a promising solution to enhance accessibility and efficiency in orthodontic diagnostics.

Novelty:

This study introduces a novel AI-powered mobile application for orthodontic treatment need assessment using intraoral photographs. By automating the Index of Orthodontic Treatment Need (IOTN) scoring, the app provides standardized and objective evaluations. Unlike traditional manual assessments that require in-person visits, this AI-based tool enables remote, cost-effective, and rapid diagnosis, making orthodontic care more accessible, particularly in resource-limited areas.

Objective:

The study aims to develop and validate an AI-based system for automated IOTN scoring by comparing it with manual assessments by orthodontic specialists.

Methods:

This cross-sectional study will include 1,000 participants aged 10–18 years from Ranjeet Deshmukh Dental College, Nagpur. Intraoral photographs will be analyzed by both the AI system and orthodontic experts. Statistical validation using Kappa statistics and Spearman correlation will measure the agreement and accuracy between AI and manual evaluations.

Expected Outcome:

The study aims to demonstrate that AI can deliver reliable and standardized orthodontic assessments, improving access to early diagnosis and treatment. This innovation has the potential to enhance oral healthcare equity, especially in remote and underserved areas.

 
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