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CTRI Number  CTRI/2025/07/091357 [Registered on: 22/07/2025] Trial Registered Prospectively
Last Modified On: 21/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Crossover Trial 
Public Title of Study   A Study Comparing Digital and Conventional Dental Impressions in Children 
Scientific Title of Study   Comparative evaluation of digital and conventional impression methods in pediatric patients: A randomized crossover trial 
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 Saumya Jose 
Designation  Post Graduate Student 
Affiliation  Christian Dental College 
Address  Department of Pediatric and Preventive Dentistry, Room No 8, Christian Dental College, Brown Rd, CMC Campus, Ludhiana

Ludhiana
PUNJAB
141008
India 
Phone  9075656707  
Fax    
Email  saumyajosecdc@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ruchika Kundra 
Designation  Associate Professor 
Affiliation  Christian Dental College 
Address  Department of Pediatric and Preventive Dentistry, Room No 8 Christian Dental College, Brown Rd, CMC Campus, Ludhiana

Ludhiana
PUNJAB
141008
India 
Phone  9855966788  
Fax    
Email  rkundra4@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr. Mebin George Mathew 
Designation  Associate Professor 
Affiliation  Christian Dental College 
Address  Department of Pediatric and Preventive Dentistry Room No 8, Christian Dental College, Brown Rd, CMC Campus,Ludhiana

Ludhiana
PUNJAB
141008
India 
Phone  8951748659  
Fax    
Email  mebingmathew@gmail.com  
 
Source of Monetary or Material Support  
Christian Dental College, Ludhiana 
 
Primary Sponsor  
Name  Dr Saumya Jose 
Address  Christian Dental College, Brown Rd, CMC Campus,Ludhiana- 141008, Punjab, India 
Type of Sponsor  Other [] 
 
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 Saumya Jose  Christian Dental College  Department of Pediatric and Preventive Dentistry, Room No 8, Brown Rd, CMC Campus, Ludhiana
Ludhiana
PUNJAB 
9075656707

saumyajosecdc@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Biomedical and Health Research, Christian Medical College and Hospital, Ludhiana  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Malocclusion 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Conventional Alginate Impression  Conventional impression will be taken using Impreceed Alginate (Impreceed,GC Corporation, Japan). Impression material according to the manufacturers instructions. The alginate is hand-mixed with water. The operator will hand- mixed the alginate, take the upper impression and second operator will register the impression time. The impressions will be poured by type III gypsum.  
Intervention  Digital Impression  The digital impression will be made with the intraoral optical scanner (dfine intraorla scanner, Dentcare Lab, Kerala, India) following the procedure reported by the manufacturer. In the upper arch, the occlusal, buccal and palatal surfaces will be scanned in sequence. Another operator will register the impression time. 
 
Inclusion Criteria  
Age From  7.00 Year(s)
Age To  14.00 Year(s)
Gender  Both 
Details  1. A healthy child with no significant medical history
2. Child aged 7-14 years
3. Patients with fully erupted maxillary permanent first molars and
presence of maxillary canines which are caries free, not restored and
without any anomalies.
4. Patients with no previous experience with digital intraoral scan or
alginate impression technique
5. Patients in need of treatment with removable orthodontic appliances
6. Patients in need of dental treatment, excluding fixed orthodontic appliance therapy
7. Children whose parents or guardians gave consent 
 
ExclusionCriteria 
Details  1. Non-compliant patients
2. Patients with syndromes or systemic diseases
3. Patients suffering from cleft lip and palate
4. Patients with fixed appliance
5. Children whose parents or guardians did not give consent 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To compare comfort between conventional and digital impression in children  At baseline and at 2 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
To compare physiologic response between conventional & digital
impression in children  
1. At baseline
2. After 2 weeks 
To compare accuracy in conventional & digital impression in children   1. At baseline
2. After 2 weeks 
To compare time taken for conventional & digital impression in
children  
1. At baseline
2. After 2 weeks 
To compare preference between conventional & digital impression
in children  
1. At baseline
2. After 2 weeks 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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   Phase 4 
Date of First Enrollment (India)   18/08/2025 
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)  Open to Recruitment 
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   In pediatric dentistry, dental impressions are fundamental for diagnostic assessment and treatment planning, particularly in managing the growing orthodontic needs of children. Conventional impressions often cause discomfort, gagging, TMJ pain and anxiety, making cooperation difficult. They also carry technical drawbacks such as distortion and long setting times. Digital impressions using intraoral scanners offer an alternative by generating 3D images of the dentition and reducing lab work. However, in children aged 7–14, factors like smaller oral cavities, mixed dentition, and limited access to posterior areas may affect their accuracy. Stress during dental procedures can lead to increased heart rate, rapid breathing, and reduced oxygen saturation—physiological changes influenced by anxiety and fear. While previous studies have focused on preferences and procedural time, few have assessed these objective stress indicators This study aims to bridge these gaps by comprehensively comparing digital and conventional providing clinically relevant insights to enhance pediatric dental care A randomized crossover study will be conducted on 40 participants, each receiving both conventional and digital impressions, with a one week washout period between procedures. Block randomization will determine the order of procedures, with allocations concealed in sealed, opaque envelopes which will be opened at the time of impression. Conventional Alginate impressions of upper arch will be taken using hand-mixed alginate and poured with type III gypsum. Digital impressions of upper arch will be recorded using an intraoral scanner following manufacturer guidelines. Chairside time will be recorded for each method. Physiological responses—pulse rate and oxygen saturation—will be recorded before, during, and after each procedure using a wireless pulse oximeter. Maxillary arch distances will be conducted using vernier calipers on the cast poured from the alginate impression and digitally in the intraoral scanner via the software ruler, with specific reference points. After both sessions, patient preference will be recorded, and subjective feedback on pain, gag reflex, breathing difficulty, and comfort will be assessed using the Wong-Baker FACES® Scale. The results will be tabulated and statistically analysed 
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